解剖性前列腺癌根治术介绍.ppt

解剖性前列腺癌根治术 ANATOMIC RADICAL RETROPUBIC PROSTATECTOMY 浙江大学附属第一医院 谢立平 David Hall McConnell Professor & Director Johns Hopkins Medical Institutions Chairman Brady Urological Institute The three goals of the surgeon cancer control preservation of urinary control preservation of sexual function SURGICAL ANATOMY Arterial and Venous Anatomy Arterial and Venous Anatomy Arterial and Venous Anatomy Santorini’s venous plexus Arterial and Venous Anatomy internal pudendal artery Pelvic Plexus Pelvic Plexus neurovascular bundles neurovascular bundles Pelvic Fascia P：prostate N：nerve R：rectum Ｂ：blood Pelvic Fascia Striated Urethral Sphincter "sandwich" of muscles horseshoe shaped fatigue-resistant, slow- twitch fibers SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE SURGICAL TECHNIQUE