The key step of prostatectomy nerve sparing treatment

Relatively it’s a complex surgical procedure, any mishandling of any step could lead to surgical failure. According to the most commonly used foreign ways of abdominal surgery, there are mainly the following key steps and technical difficulties.

and below is the most key step of prostatectomy nerve sparing treatment:

The rear of the prostate

Surgical incision rectum from the bladder at the bottom of the peritoneal fold was found the vas deferens and seminal vesicle seminal vesicle , pasting the full free surface. Ensure the free full seminal surgical procedure will be useful later. When in the free seminal side, try not to use electrocoagulation to avoid adjacent neurovascular bundles caused by thermal damage, can be used hemolock seminal vesicle side of dealing with vascular pedicle.

deep dorsal vein complex handling of DVC will be properly handled to avoid intraoperative bleeding, to maintain a clear surgical field is beneficial neurovascular bundle identification, separation and retention. Under the premise of fully exposed, suture DVC is not difficult. Surgery is to remove cover on the DVC and prostate all the fat, cuting off the pubic ligament of prostate isolated levator ani muscle fibers, you can fully reveal the DVC. Needle holder of the best practices for the right rectus paths is beside the trocar. Built on the urethra when stitching a metal spies to help confirm whether the urethra has been sutured at the same time. To pay special attention to away from the prostate needle should be sharp, so that the urethra can be avoided when the suture was cut off or residual prostate caused by sharp positive surgical margin. We have to pay atten that when you cut off the DVC, as little as possible in order to avoid injury electricity coagulation of the blood vessels and nerves on both sides of the prostate sharp beam, so as not to affect the outcome.

Prostate Cancer