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1、解剖性前列腺癌根治术解剖性前列腺癌根治术解剖性前列腺癌根治术解剖性前列腺癌根治术ANATOMIC RADICAL RETROPUBIC PROSTATECTOMY浙江大学附属第一医院浙江大学附属第一医院浙江大学附属第一医院浙江大学附属第一医院浙江大学附属第一医院浙江大学附属第一医院谢立平谢立平谢立平谢立平谢立平谢立平David Hall McConnell Professor&Director Johns Hopkins Medical Institutions Chairman Brady Urological Institute The three goals of the surgeon
2、 cancer control preservation of urinary control preservation of sexual function 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 bun
3、dlesneurovascular bundles Pelvic Fascia P：prostate N：nerveR：rectum：bloodPelvic 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