학술논문

RETROSPECTIVE ANALYSIS OF POSITIVE SURGICAL MARGIN AT RADICAL PROSTATECTOMY / 根治的前立腺全摘除術における切除断端陽性についての検討
Document Type
Journal Article
Source
日本泌尿器科学会雑誌 / The Japanese Journal of Urology. 2015, 106(1):12
Subject
Prostatectomy
Surgical margin
切除断端
前立腺全摘
Language
Japanese
ISSN
0021-5287
1884-7110
Abstract
We retrospectively reviewed 182 patients who underwent radical prostatectomy in our hospital between April, 2009 to December, 2012, and who had not received any prior hormonal therapy. We also excluded the patients who couldn't followed up more than 6 months after surgery and pN1 patients. Positive surgical margins were observed in 65 cases. We determined what were the significant factors associated with the margin status. The another aim of present study is to evaluate the risk factor which might have significance for biochemical recurrence. BMI ≥25.0, prostate volume <40 cm3, and biopsy positive core ≥25% were significant predictors of positive surgical margin. PSA nadir ≥0.02 ng/ml and pT3 were the significant factors which associated with biochemical recurrence of those patients with positive margin status.