OPTIMIZATION OF LAPAROSCOPIC NERVE-SPARING RADICAL PROSTATECTOMY
Oncourology
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| Title |
OPTIMIZATION OF LAPAROSCOPIC NERVE-SPARING RADICAL PROSTATECTOMY
ОПТИМИЗАЦИЯ ТЕХНИКИ ЛАПАРОСКОПИЧЕСКОЙ НЕРВОСБЕРЕГАЮЩЕЙ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ |
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| Creator |
V. Perepechay A.; District Medical Center, Federal Biomedical Agency of Russia, Rostov-on-Don
V. Medvedev L.; Kuban State Medical University, Krasnodar S. Dimitriadi N.; District Medical Center, Federal Biomedical Agency of Russia, Rostov-on-Don В. Перепечай А.; ФГУ Южный окружной медицинский центр ФМБА России, Ростов-на-Дону В. Медведев Л.; Кубанский государственный медицинский университет, Краснодар С. Димитриади Н.; ФГУ Южный окружной медицинский центр ФМБА России, Ростов-на-Дону |
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| Subject |
laparoscopic radical prostatectomy; nerve-sparing procedure; Brussels techniques; preserved potency
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| Description |
Objective: to determine the optimal technique of laparoscopic nerve-sparing radical prostatectomy (RPE). Materials and methods. The PubMed database was used to examine matters on the anatomy of the prostate, its surrounding structures, and different techniques of laporoscopic RPE (LRPE). This has led to the conclusion that the Brussels technique provides better results in nervesparing at LRPE. In July 2008 to July 2009, 17 laparoscopic radical prostatectomies (15 patients underwent extrafascial prostatectomy, 2 patients had interfascial prostatectomy) were performed using the Brussels technique via transperitoneal approach; the results were prospectively evaluated. Results. The mean follow-up was 5.3 months so we cannot adequately assess the results now. The health status of the patients was evaluated using the questionnaires (International Continence Society and International Index of Erectile Function-5) filled in by them before and after surgery. Four of 5 patients who had been followed up for more than 6 months were continent, 1 patient used 1 pad. Out of 2 patients with a median follow-up of 2 months who had led a sexual life before surgery (International Index of Erectile Function-5 greater than 20 scores), erection was preserved in one patient after bilateral nerve-sparing prostatectomy and not preserved in the other after unilateral one. Conclusion. Anterior approach to the prostate provides better control of the neurovascular bundles in the seminal vesicular region. The modified Brussels technique is more preferable in performing LRPE.
Objective: to determine the optimal technique of laparoscopic nerve-sparing radical prostatectomy (RPE). Materials and methods. The PubMed database was used to examine matters on the anatomy of the prostate, its surrounding structures, and different techniques of laporoscopic RPE (LRPE). This has led to the conclusion that the Brussels technique provides better results in nervesparing at LRPE. In July 2008 to July 2009, 17 laparoscopic radical prostatectomies (15 patients underwent extrafascial prostatectomy, 2 patients had interfascial prostatectomy) were performed using the Brussels technique via transperitoneal approach; the results were prospectively evaluated. Results. The mean follow-up was 5.3 months so we cannot adequately assess the results now. The health status of the patients was evaluated using the questionnaires (International Continence Society and International Index of Erectile Function-5) filled in by them before and after surgery. Four of 5 patients who had been followed up for more than 6 months were continent, 1 patient used 1 pad. Out of 2 patients with a median follow-up of 2 months who had led a sexual life before surgery (International Index of Erectile Function-5 greater than 20 scores), erection was preserved in one patient after bilateral nerve-sparing prostatectomy and not preserved in the other after unilateral one. Conclusion. Anterior approach to the prostate provides better control of the neurovascular bundles in the seminal vesicular region. The modified Brussels technique is more preferable in performing LRPE. |
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| Publisher |
"PH "ABV-Press"", LLC
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| Contributor |
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| Date |
2014-07-24
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| Type |
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion — — |
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| Format |
application/pdf
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| Identifier |
http://oncourology.abvpress.ru/index.php/oncur/article/view/17
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| Source |
Oncourology; № 1 (2010); 39-44
Онкоурология; № 1 (2010); 39-44 1726-9776 |
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| Language |
rus
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| Relation |
http://oncourology.abvpress.ru/index.php/oncur/article/view/17/32
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| Rights |
Authors who publish with this journal agree to the following terms:Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Авторы, публикующие в данном журнале, соглашаются со следующим:Авторы сохраняют за собой авторские права на работу и предоставляют журналу право первой публикации работы на условиях лицензии Creative Commons Attribution License, которая позволяет другим распространять данную работу с обязательным сохранением ссылок на авторов оригинальной работы и оригинальную публикацию в этом журнале.Авторы сохраняют право заключать отдельные контрактные договоронности, касающиеся не-эксклюзивного распространения версии работы в опубликованном здесь виде (например, размещение ее в институтском хранилище, публикацию в книге), со ссылкой на ее оригинальную публикацию в этом журнале.Авторы имеют право размещать их работу в сети Интернет (например в институтском хранилище или персональном сайте) до и во время процесса рассмотрения ее данным журналом, так как это может привести к продуктивному обсуждению и большему количеству ссылок на данную работу (См. The Effect of Open Access). |
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