TY - JOUR A2 - Gontero, Paolo AU - Joniau, S. G. AU - Van Baelen, A. A. AU - Hsu, C. Y. AU - Van Poppel, H. P. PY - 2012 DA - 2012/01/12 TI - Complications and Functional Results of Surgery for Locally晚期前列腺癌SP -706309 VL -2012 AB-手术在T3阶段T3前列腺癌（CT3 PCA）中的作用仍存在争议。我们回顾了139例连续的患者的记录，他们接受了CT3 PCA的根治性前列腺切除术（RP），平均随访为8年。收集了与手术和围手术期并发症有关的所有数据。在术后12个月内评估了连续性和勃起功能，并分析了长期的肿瘤结局。在0.7％的病例中，直肠损伤和闭孔神经的损伤都发生。没有注意到严重的院内并发症，也不需要重新干预。2.2％的患者和1.4％的尿液引流期间，淋巴漏出。在7.2％的情况下，发生了与伤口有关的问题。吻合式狭窄发生在2.9％。 These complication rates were not different compared to surgical series of RP in localized PCa. At 12 months, complete continence was 87.8% and erectile function had fully recovered in 6% and 10% of patients who underwent a non-nerve sparing or unilateral nerve-sparing procedure, respectively. 10-year estimated biochemical PFS, clinical PFS, CSS and OS were 51.8%, 85.6%, 94.6% and 85.9%, respectively. In cT3 PCa, RP is technically feasible with morbidity comparable to RP in clinically localized PCa. Long-term oncologic control was excellent. SN - 1687-6369 UR - https://doi.org/10.1155/2012/706309 DO - 10.1155/2012/706309 JF - Advances in Urology PB - Hindawi Publishing Corporation KW - ER -