Radical prostatectomy:
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
2001
|
| Series: | The urologic clinics of North America
28,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XI S., S. 443 - 675 Ill., graph. Darst. |
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| 490 | 1 | |a The urologic clinics of North America |v 28,3 | |
| 650 | 7 | |a Prostatectomie |2 gtt | |
| 650 | 4 | |a Laparoscopy | |
| 650 | 4 | |a Postoperative Complications |x prevention & control | |
| 650 | 4 | |a Prostate neoplasms | |
| 650 | 4 | |a Prostate |x Cancer | |
| 650 | 4 | |a Prostatectomy | |
| 650 | 4 | |a Prostatic Neoplasms | |
| 650 | 4 | |a Prostatic neoplasms |x Radiotherapy | |
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| adam_text | K )lf l PROSTATECTOMY
CONTENTS
Preface xv
Herbert Lepor
Indicators of Pathologic Stage of Prostate Cancer and Their Use
in Clinical Practice 443
Mark R. Feneley and Alan W. Partin
Pathologic stage strongly influences therapeutic outcome and decision
making for men with clinically localized prostate cancer. Prediction of
stage has become an essential component in the evaluation of individual
patients. Radical prostatectomy is increasingly recognized by practicing
urologists as a definitive method for eliminating organ confined prostate
cancer; however, the risk of understaging by clinical examination is sig¬
nificant and associated with a greater likelihood of cancer recurrence. The
prognostic importance of pathologic stage would justify the use of accurate
predictive models within decision algorithms. This article discusses how
information derived from careful clinical and pathologic assessment relates
to pathologic stage and may be used for its prediction.
The Role of Imaging Studies and Molecular Markers for
Selecting Candidates for Radical Prostatectomy 459
Judd W. Moul, Christopher J. Kane, and S. Bruce Malkowicz
This article reviews the contemporary value of imaging studies in the
evaluation of radical prostatectomy candidates. This article discusses the
emerging concept of molecular marker tests on prostate biopsy material
or of other body samples such as blood or bone marrow to help better
assess micrometastases or risk of recurrence.
Practical Surgical Anatomy for Radical Prostatectomy 473
Robert P. Myers
A sound knowledge of male pelvic anatomy is the essential first require¬
ment for good results in radical prostatectomy. Remarkable individual
variation confounds quick understanding. Without proper appreciation of
the complex inter relationships of muscle, fascia, bladder, prostate, urethra,
vii
and neurovascularity, goals of urinary control, preservation of erectile
function, and negative prostate resection margins will remain elusive.
Indications for Pelvic Lymphadenectomy in Prostate Cancer 491
Richard E. Link and Ronald A. Morton
Pelvic lymphadenectomy (PL) provides extremely valuable staging infor¬
mation in patients being treated for adenocarcinoma of the prostate; how¬
ever, the cost and potential morbidity associated with this procedure
suggests that it is not indicated in all patients. This article reviews the
indications for lymphadenectomy as well as factors that may influence
how one chooses which patients will benefit most from PL. This article
provides the initial steps for a decision analysis framework that will
introduce health state utilities into the decision to perform PL on an
individual patient basis.
Radical Retropubic Prostatectomy: Preoperative Management 499
Nirit Rosenblum and Herbert Lepor
The preoperative management of surgical candidates undergoing radical
retropubic prostatectomy is of paramount importance. This article de¬
scribes the authors approach for optimizing the selection of surgical
candidates and establishes guidelines for appropriate preoperative cardio¬
vascular assessment. Issues relevant to preoperative management include
management of anticoagulants, prevention of venous thromboembolism
and pulmonary embolism, preoperative bowel preparation, preoperative
use of prophylactic antibiotics, blood management prior to radical retropu¬
bic prostatectomy, and anesthetic selection are reviewed. Attention to these
preoperative management issues will greatly improve outcomes following
radical prostatectomy.
Radical Retropubic Prostatectomy 509
Herbert Lepor
Historically, radical prostatectomy is a surgical technique associated with
significant morbidity. The ability to minimize intraoperative bleeding and
preserve continence and potency requires a comprehensive understanding
of pelvic anatomy, meticulous surgical technique, and appropriate surgical
instruments. The anatomic radical retropubic prostatectomy first described
by Walsh in 1982 represents a technique in evolution. The detailed surgical
approach for anatomic radical retropubic prostatectomy described in this
article represents the author s technique that has been developed after
performing over 2,000 radical prostatectomies since 1986. The step by step
illustrations and description of technique are designed to aid the urologic
surgeon develop an efficient approach to this surgical procedure.
The Technique of Radical Perineal Prostatectomy 521
Michael J. Scolieri and Martin I. Resnick
Radical perineal prostatectomy has been used for the treatment of prostate
cancer for nearly a century. Few contemporary urologists use this tech¬
nique in the treatment of localized prostate cancer. The attempt to reduced
hospitalization costs and the use of laparoscopic lymphadenectomy in
select patients has renewed interest in the radical perineal prostatectomy.
This article details the step by step technique and provides an overview
of the current literature with regard to outcomes and morbidity for radical
perineal prostatectomy.
viii CONTENTS
Indications and Contraindications for Nerve Sparing Radical
Prostatectomy 535
Mitchell H. Sokoloff and Charles B. Brendler
With the success of prostate specific antigenscreening programs, many
prostate cancers are being diagnosed at an earlier stage when men are
more concerned about maintaining sexual function. Cavernous nerve pres¬
ervation surgery employed to preserve erectile function can be performed
safely in the majority of men undergoing radical prostatectomy. Nonethe¬
less, as the primary goal of any extirpative cancer operation is to remove
all of the tumor, factors that are associated with an increased risk of
leaving a positive surgical margin must be taken into consideration when
evaluating a patient for nerve preservation surgery. This article discusses
contraindications to nerve sparing radical prostatectomy and describes the
use of standardized frozen section analysis to help guide intraoperative
decision making regarding neurovascular bundle preservation.
Salvage Radical Prostatectomy 545
Bijan Shekarriz, Jyoti Upadhyay, and J. Edson Pontes
Salvage prostatectomy and cystoprostatectomy offer the best chance for
cure in select patients with local recurrence after definitive radiation ther¬
apy for prostate cancer. The best candidates are those with preradiation
favorable prognostic factors. Early detection of local recurrence using
serum prostate specific antigen (PSA) has resulted in improved disease
free survival compared with the pre PSA era over the last two decades.
The quality of life after salvage surgery is affected by urinary incontinence
and impotence. The majority of patients are satisfied with their treatment
results.
Long Term Biochemical Disease Free and Cancer Specific
Survival Following Anatomic Radical Retropubic Prostatectomy:
The 15 Year Johns Hopkins Experience 555
Misop Han, Alan W. Partin, Charles R. Pound,
Jonathan I. Epstein, and Patrick C. Walsh
In a series of 2404 men who underwent anatomic radical prostatectomy
with a mean follow up of 6.3 years (range 1 to 17), the overall actuarial
5 , 10 , and 15 year recurrence free survival rates for these men were 84%,
74%, and 66%, respectively. The actuarial likelihood of a postoperative
recurrence increased with advancing clinical stage, Gleason score, and
preoperative prostate specific antigen (PSA) level, and pathologic stage.
Subdivision of men with Gleason 7 tumors resulted in better stratification
with similar actuarial likelihood of postoperative recurrence for men with
Gleason (4+3) and Gleason score 8 to 10 diseases: however, recurrence rate
in men with Gleason (3+4) diseases was statistically different from that of
men with Gleason score 6 or Gleason (4+3) diseases. Excellent long term
results can be obtained with anatomic radical retropubic prostatectomy for
men with clinically localized prostate cancer. The proportion of men with
early stage prostate cancer will continue to increase with wide use of
screening using serum PSA testing and digital rectal examination.
Pathologic Assessment of the Surgical Specimen 567
Jonathan I. Epstein
The United States has seen a dramatic increase in the number of radical
prostatectomies performed per year. Concurrently, there has been an explo¬
sion in articles dealing with the relation of both conventional histologic
parameters and biomarkers to progression following radical prostatectomy.
CONTENTS ix
This article reviews the handling of radical prostatectomy specimens, and
the relation of findings derived from the prostatectomy specimen to the
prediction of postoperative prognosis.
Prevention and Management of Incontinence Following Radical
Prostatectomy 595
Kevin V. Carlson and Victor W. Nitti
Incontinence after radical prostatectomy can have a significant impact on
quality of life. Although several risk factors have been identified, surgical
and advancing are important factors associated with post prostatectomy
incontinence. Despite advances in technique, incontinence still occurs in a
relatively small group of men. Sphincteric dysfunction is the most common
cause of post radical prostatectomy incontinence, but bladder dysfunction
cannot be discounted. Treatments range from conservative to surgical and
should be tailored to the individual based on the degree of bother and
patient willingness to accept different therapeutic options.
Prevention and Management of Erectile Dysfunction Following
Radical Prostatectomy 613
Andrew R. McCullough
Erectile dysfunction (ED) remains the most common morbidity after radi¬
cal retropubic prostatectomy (RRP), approaching 90% in some series. Etio
logic factors are both nonsurgical and surgical. Age, time from surgery,
preoperative sexual function, psychological issues, and surgical technique
all play a role in postoperative erectile function. The recovery of erectile
function is a slow process, requiring as many as 2 years. The treatment of
post RRP ED is highly successful and includes, in increasing order of
effectiveness, MUSE, sildenafil, intracorporal injection therapy, vacuum
erection devices, and penile prostheses. Current areas of research include
the early intervention clinical protocols as well as animal studies in the
use of nerve and vascular growth factors to selectively encourage early
nerve regeneration.
The Role of Radiotherapy After Radical Prostatectomy 629
Steven E. Schild and Thomas M. Pisansky
The results of radiotherapy (RT) as used at the Mayo Clinic are reviewed
and compared with the available literature. An attempt is made to summa¬
rize the risks and benefits of RT in these settings. Additionally, avenues of
future potential investigation are explored.
Intraoperative, Perioperative, and Long Term Complications of
Radical Prostatectomy 639
Bijan Shekarriz, Jyoti Upadhyay, and David P. Wood
Radical prostatectomy has become increasingly popular for the treatment
of localized prostate cancer in the last decade. With improvements of
surgical technique and anesthesia, the rate of intraoperative and early
postoperative complications has decreased in the last two decades. Today,
long term morbidity associated with urinary incontinence and impotence
is the major concern of patients facing decisions regarding management
of localized prostate cancer. Improved continence and potency rates can
be achieved with increased surgeon s experience and in centers with large
volume of cases.
X CONTENTS
Laparoscopic Radical Prostatectomy:
Is It Feasible and Reasonable? 655
Jeffrey A. Cadeddu and Louis R. Kavoussi
Laparoscopic radical prostatectomy is a technically feasible procedure with
the worldwide experience exceeding 300 cases. It must be evaluated with
scrutiny before it can be advocated as a reasonable alternative to open
radical prostatectomy. Although short term results are comparable with
conventional surgery, long term oncologic equivalency to radical prostatec¬
tomy and advantages in morbidity remain to be demonstrated. The ability
to preserve potency appears less than with open series. Until the results
are equivalent, the procedures steep learning curve and additional expense
make it difficult to justify laparoscopic radical prostatectomy as an alterna¬
tive therapeutic modality for localized prostate cancer.
The Craft of Urologic Surgery
Lapaioscopic Augmentation Cystoplasty: Surgical Technique 663
Raymond R. Rackley and Joseph B. Abdelmalak
Augmentation cystoplasty remains the most widely accepted recon¬
structive technique for creating a compliant and large capacity urinary
storage unit that protects the upper urinary tract and provides urinary
continence for people with bladder dysfunction due to noncompliance or
reduced functional capacity. The technical steps in performing a laparos¬
copic bladder augmentation are designed to emulate its open surgical
counterpart in every aspect, thereby producing similar functional results
with an improved recovery. This article describes the authors recon¬
structive techniques of laparoscopic enterocystoplasty that have been re¬
fined through the authors initial experience in performing 12 procedures.
Based on our reported experience, laparoscopic enterocystoplasty is techni¬
cally feasible and successfully emulates the established principles of open
enterocystoplasty and minimizes operative morbidity. Similar to open sur¬
gery, various bowel segments can be fashioned and anastomosed to the
bladder using laparoscopic techniques.
Index 671
Subscription Information Inside back cover
CONTENTS Xi
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| spelling | Radical prostatectomy Herbert Lepor guest ed. Surgical craft: laparoscopic augmentation cystoplasty Laparoscopic augmentation cystoplasty Philadelphia [u.a.] Saunders 2001 XI S., S. 443 - 675 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier The urologic clinics of North America 28,3 Prostatectomie gtt Laparoscopy Postoperative Complications prevention & control Prostate neoplasms Prostate Cancer Prostatectomy Prostatic Neoplasms Prostatic neoplasms Radiotherapy Urinary Reservoirs, Continent Prostatektomie (DE-588)4242869-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Prostatektomie (DE-588)4242869-5 s DE-604 Lepor, Herbert Sonstige oth Rackley, Raymond R. (DE-588)1067450513 aut Laparoscopic augmentation cystoplasty Abdelmalak, Joseph B. (DE-588)1067450548 aut Laparoscopic augmentation cystoplasty The urologic clinics of North America 28,3 (DE-604)BV000001584 28,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009550781&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis [Surgical craft: laparoscopic augmentation cystoplasty <<Raymond R. Rackley and Joseph B. Abdelmalak>>] |
| spellingShingle | Rackley, Raymond R. Abdelmalak, Joseph B. Radical prostatectomy The urologic clinics of North America Prostatectomie gtt Laparoscopy Postoperative Complications prevention & control Prostate neoplasms Prostate Cancer Prostatectomy Prostatic Neoplasms Prostatic neoplasms Radiotherapy Urinary Reservoirs, Continent Prostatektomie (DE-588)4242869-5 gnd |
| subject_GND | (DE-588)4242869-5 (DE-588)4143413-4 |
| title | Radical prostatectomy |
| title_alt | Surgical craft: laparoscopic augmentation cystoplasty Laparoscopic augmentation cystoplasty |
| title_auth | Radical prostatectomy |
| title_exact_search | Radical prostatectomy |
| title_full | Radical prostatectomy Herbert Lepor guest ed. |
| title_fullStr | Radical prostatectomy Herbert Lepor guest ed. |
| title_full_unstemmed | Radical prostatectomy Herbert Lepor guest ed. |
| title_short | Radical prostatectomy |
| title_sort | radical prostatectomy |
| topic | Prostatectomie gtt Laparoscopy Postoperative Complications prevention & control Prostate neoplasms Prostate Cancer Prostatectomy Prostatic Neoplasms Prostatic neoplasms Radiotherapy Urinary Reservoirs, Continent Prostatektomie (DE-588)4242869-5 gnd |
| topic_facet | Prostatectomie Laparoscopy Postoperative Complications prevention & control Prostate neoplasms Prostate Cancer Prostatectomy Prostatic Neoplasms Prostatic neoplasms Radiotherapy Urinary Reservoirs, Continent Prostatektomie Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009550781&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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