免穿刺免缝扎免夹闭根治性前列腺切除术

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Biopsy-free，stitchless，clipless radical prostatectomy

WANG Shaogang，YANG Chunguang

（Department of Urology，Tongji Hospital of Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430034，China）ABSTRACT：Biopsy，intraoperative suturing of the dorsal vascular complex （DVC） of penile and clipping of the lateral vascular pedicle to control bleeding during radical prostatectomy （RP） are the classic procedures for the diagnosis and treatment of prostate cancer in clinical practice. Based on intrafascial RP and the idea of whole gland conformal separation，a series of “micro-innovations” were carried out，including DVC stitchless and vascular pedicle clipless techniques. They simplified the surgical steps，protected the surrounding structure and facilitated RP，which were preferred for patients with localized prostate cancer.

KEY WORDS：prostate cancer；radical prostatectomy；biopsy-free；stitchless；clipless

摘要：穿刺活检确诊前列腺癌、术中缝扎阴茎背深静脉复合体（DVC）并夹闭侧血管蒂控制出血，是临床实践中前列腺癌诊断治疗的经典流程。（剩余8503字）