解剖性前列腺癌根治术谢立平.ppt

,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,解剖性前列腺癌根治术,ANATOMIC RADICAL RETROPUBIC PROSTATECTOMY,浙江大学附属第一医院,谢立平,David 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 function,SURGICAL ANATOMY,Arterial and Venous Anatomy,Arterial and Venous Anatomy,Arterial and Venous Anatomy,Santorinis venous plexus,Arterial and Venous Anatomy,internal pudendal artery,Pelvic Plexus,Pelvic Plexus,neurovascular bundles,neurovascular bundles,Pelvic Fascia,P,：,prostate N,：,nerve,R,：,rectum,：,blood,Pelvic Fascia,Striated Urethral Sphincter,sandwich of muscles,horseshoe shaped,fatigue-resistant,slow-,twitch fibers,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,SURGICAL TECHNIQUE,