지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
With the recent increase in the elderly population, and the Westernization of the diet and increased consumption of meat products, a significant rise in the incidence of prostate cancer has been noted in the Republic of Korea. In cases with localized prostate cancer and sufficiently long life expectancy, the standard treatment is surgical resection of the prostate. Such surgical treatment is so far the only modality demonstrated through randomized prospective studies to be beneficial in terms of disease-specific survival; this procedure involves not only surgical removal of the prostate but also pelvic lymphadenectomy for accurate staging and neurovascular bundle preservation to aid in postoperative functional recovery. Prostatectomy can be carried out either with an open technique, laparoscopically, or under robot assistance. Reviews of the literature and meta-analyses have shown that laparoscopic and robot-assisted procedures offer significant reductions in blood loss and transfusion rates and advantages in terms of recovery from postoperative complications such as incontinence and impotence over open prostatectomy. However, no long-term oncologic outcomes are available for laparoscopic or robot-assisted procedures, and the long-term prevalence of incontinence and impotence for these two methods doesnot differ significantly from those for open prostatectomy, despite the laparoscopic and robot-assisted procedures being far more costly. Therefore, surgical treatment of prostate cancer should be carefully decided on following ample deliberation of various factors including the stage, age, comorbidities, and economic status of the patient and provision of sufficient information to the patient.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
송강현 / 2007 / 전립선암 환자의 진단 시기에 따른 임상적 요소들의 변화 / Investigative and Clinical Urology 48(6):574~578
김도정 / 2012 / Changes in Prostate Cancer Aggressiveness over a 12-Year Period in Korea / Investigative and Clinical Urology 53(10):680~685
Singh J / 2010 / Is there an optimal management for localized prostate cancer? / Clin Interv Aging 5:187~197
Bishoff JT / 1998 / Incidence of fecal and urinary incontinence following radical perineal and retropubic prostatectomy in a national population / J Urol 160:454~458
Holmberg L / 2002 / Scandinavian Prostatic Cancer Group Study Number 4. A randomized trial comparing radical prostatectomy with watchful waiting in early prostate cancer / N Engl J Med 347:781~789
김도정 / 2012 / Changes in Prostate Cancer Aggressiveness over a 12-Year Period in Korea / Investigative and Clinical Urology 53(10):680~685
Singh J / 2010 / Is there an optimal management for localized prostate cancer? / Clin Interv Aging 5:187~197
Bishoff JT / 1998 / Incidence of fecal and urinary incontinence following radical perineal and retropubic prostatectomy in a national population / J Urol 160:454~458
Holmberg L / 2002 / Scandinavian Prostatic Cancer Group Study Number 4. A randomized trial comparing radical prostatectomy with watchful waiting in early prostate cancer / N Engl J Med 347:781~789
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