摘要2020年欧洲泌尿外科学会(EAU)前列腺癌指南在手术这一章节进行了大幅更新,新增了大量内容。推荐意见上"开放、腹腔镜和机器人手术整体效果没有明显差异"和"当怀疑肿瘤存在包膜外侵犯时不应行同侧保留性神经手术"两点推荐等级调整为"弱"。同时介绍了大量手术技术的改进,外科医生可根据自己的习惯选用以达到最佳手术效果。
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abstractsThe Chapter "Radical prostatectomy" has been completely update in the 2020 EAU prostate cancer guideline. Recommendation level of "No surgical approach has shown superiority in terms of functional or oncological results" and "Nerve-sparing surgery is not recommended when there is a risk of ipsilateral extracapsular extension" has been adjusted to "weak" . Various surgical techniques could further improve functional outcomes when performed appropriately based on the updated guideline.
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