European Journal of Surgical Oncology
Volume 36, Issue 3 , Pages 281-286 , March 2010

Development of “extended radical retropubic prostatectomy”: A surgical technique for improving margin positive rates in prostate cancer

  • H. Miyake

      Affiliations

    • Division of Urology, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe 650 0017, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 78 382 6155; fax: +81 78 382 6169.
    • ,
  • H. Fujimoto

      Affiliations

    • Department of Urology, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104 0045, Japan
    • ,
  • M. Komiyama

      Affiliations

    • Department of Urology, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104 0045, Japan
    • ,
  • M. Fujisawa

      Affiliations

    • Division of Urology, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe 650 0017, Japan

,Accepted 19 October 2009.

References 

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  2. Hull GW, Rabbani F, Abbas F, et al. Cancer control with radical prostatectomy alone in 1,000 consecutive patients. J Urol. 2002;167:528–534
  3. Khan MA, Partin AW. Surgical margin status after radical retropubic prostatectomy. BJU Int. 2005;95:281–284
  4. Chang SS, Cookson MS. Impact of positive surgical margins after radical prostatectomy. Urology. 2006;68:249–252
  5. Sofer M, Hamilton-Nelson KL, Civantos F, et al. Positive surgical margins after radical retropubic prostatectomy: the influence of site and number on progression. J Urol. 2002;167:2453–2456
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  10. Soulie M, Seguin P, Benoit J, et al. Impact of a modified apical dissection during radical retropubic prostatectomy on the occurrence of positive surgical margins: a comparative study in 212 patients. Urology. 2001;58:217–221
  11. Ward JF, Zincke H, Bergstralh EJ, et al. The impact of surgical approach (nerve bundle preservation versus wide local excision) on surgical margins and biochemical recurrence following radical prostatectomy. J Urol. 2004;172:1328–1332
  12. Dussinger AM, Beck SD, Cheng L, et al. Does wide primary perirectal dissection during radical retropubic prostatectomy alter pathologic and biochemical outcomes?. Urology. 2005;66:95–100
  13. Klein EA, Kupelian PA, Tuason L, et al. Initial dissection of the lateral fascia reduces the positive margin rate in radical prostatectomy. Urology. 1998;51:766–773
  14. Richman M, McLaughlin S, Maygarden S, et al. Initial incision of lateral pelvic fascia and early ligation of vascular pedicles during radical prostatectomy: potential to reduce positive margin rates. BJU Int. 2005;95:40–45
  15. Serni S, Masieri L, Lapini A, et al. A low incidence of positive surgical margins in prostate cancer at high risk of extracapsular extension after a modified anterograde radical prostatectomy. BJU Int. 2004;93:279–283
  16. Walsh PC. Radical prostatectomy for localized prostate cancer provides durable cancer control with excellent quality of life: a structured debate. J Urol. 2000;163:1802–1807
  17. Myers RP. Improving the exposure of the prostate in radical retropubic prostatectomy: longitudinal bunching of the deep venous plexus. J Urol. 1989;142:1282–1284
  18. Miyake H, Sakai I, Ishimura T, et al. Significance of cancer detection in the anterior lateral horn on systematic prostate biopsy: the effect on pathological findings of radical prostatectomy specimens. BJU Int. 2004;93:57–59
  19. Sakai I, Harada K, Hara I, et al. A comparison of the biological features between prostate cancers arising in the transition and peripheral zones. BJU Int. 2005;96:528–532
  20. Sakai I, Harada K, Hara I, et al. Intussusception of the bladder neck does not promote early restoration to urinary continence after non-nerve-sparing radical retropubic prostatectomy. Int J Urol. 2005;12:275–279

☆ The first and second authors equally contributed to this study.

PII: S0748-7983(09)00497-1

doi: 10.1016/j.ejso.2009.10.013

European Journal of Surgical Oncology
Volume 36, Issue 3 , Pages 281-286 , March 2010

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