Effect of Transabdominal Laparoscopic Radical Surgery with Retzius Space Preservation on Surgical Effect and Urinary Control Function in Patients with Prostate Cancer
HAN Guangye
MA Kuo
SONG Weihang
LIU Pei
ZHANG Shaohua
YU Qinnan
Abstract：Objective To investigate the surgical effect of transabdominal laparoscopic radical surgery(LRS)with Retzius space preservation in patients with prostate cancer.Methods A total of 84 patients with prostate cancer in the First Affiliated Hospital of Xinxiang Medical University from January 2021 to August 2023 were selected and divided into reserved gap group and routine surgery group by the random number table method,42 patients in each group.The routine surgery group underwent routine transabdominal LRS,and the reserved gap group underwent transabdominal LRS with Retzius space.Perioperative indicators,maximum urine flow rate,sexual function before and after surger,complications were compared between reserved gap group and routine surgery group.Results The operation time in the reserved gap group was longer than routine surgery group,the intraoperative blood loss,postoperative drainage time,postoperative catheterization time and hospitalization time were less than routine surgery group,the incidence of complications was lower than routine surgery group,the maximum urine flow rate and the International Index of Erectile Function Questionnaire-5 score after 6 months of surgery were higher than routine surgery group(P＜0.05).The positive rate of surgical margin had no difference between two groups(P＞0.05).Conclusion Transperitoneal LRS with Retzius space preservation can promote postoperative recovery in the clinical treatment of prostate cancer,reduce urinary control function damage and sexual dysfunction.
Keywords：prostate cancerRetzius spacelaparoscopic radical surgeryurinary controlsexual functioncomplication
Publication Date：2025-09-13
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 3097-3100 )