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1、ANATOMIC RADICAL RETROPUBIC PROSTATECTOMYANATOMIC RADICAL RETROPUBIC PROSTATECTOMYDavid 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 func
2、tion SURGICAL ANATOMY Arterial and Venous Anatomy Arterial and Venous AnatomyArterial and Venous AnatomySantorinis venous plexus Arterial and Venous Anatomyinternal pudendal artery Pelvic PlexusPelvic Plexus neurovascular bundlesneurovascular bundles Pelvic Fascia P：prostate N：nerveR：rectum：bloodPel
3、vic FasciaStriated Urethral Sphincter sandwich of muscles horseshoe shaped fatigue-resistant, slow- twitch fibers SURGICAL TECHNIQUE SURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUESURGICAL TECHNIQUE