| Summary: | The effective surgical treatments of
localized prostate cancer patients were explored. 90 prostate cancer patients admitted to our hospital were selected as study
subjects. They were divided into research (treated by modified extraperitoneal
total intrafascial laparoscopic radical prostatectomy) and control (treated by
extraperitoneal laparoscopic radical prostatectomy) groups by random number table
method, having 45 cases each. The operation time, bleeding volume, drainage time,
hospitalization time, vascular endothelial stimulation index, urinary control
function, erectile function, complications, and recurrence were monitored and
compared. No significant difference was found between the two groups in clinical
operation related indexes. On 3rd and 7th days after operation, VEGF (Vascular
Endothelial Growth Factor) and IGF-I (Insulin-like Growth Factor 1) in research
group were lower than those in control (p < 0.005). The urine control
rate and erectile function normal rate in research group were higher than those
in control (p < 0.005). Modified extraperitoneal laparoscopic total
intrafascial radical prostatectomy reduced the degrees of trauma and irritation
in the operation of prostate cancer patients. Moreover, during the observation
period, it improved the postoperative urinary control and erectile function of
patients and reduced the complications. Thus, this method has the worth of
clinical promotion and application.
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