Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press91310.17650/1726-9776-2019-15-3-17-27LECTUREЛЕКЦИЯCurrent view on nerve-sparing radical prostatectomyСовременный взгляд на нервосберегающую технику радикальной простатэктомииhttps://orcid.org/0000-0002-8887-5789SokolovE. A.СоколовЕ. А.
Russian Federation

Department of Urology and Surgical AndrologyRussian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Build. 1, 2/1 Barrikadnaya St., Moscow 125993, 

5 2nd Botkinskiy Proezd, Moscow 125284

Соколов Егор Андреевич, кандидат математических наук, ассистент кафедры урологии и хирургической андрологии РМАНПО, врач-уролог ГКБ им. С.П. Боткина

125993 Москва, ул. Баррикадная, 2/1, стр. 1, 

125284 Москва, 2-й Боткинский проезд, 5

rmapo@yandex.ruhttps://orcid.org/0000-0002-1249-7224VelievE. I.ВелиевЕ. И.
Russian Federation

Department of Urology and Surgical AndrologyRussian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Build. 1, 2/1 Barrikadnaya St., Moscow 125993, 

5 2nd Botkinskiy Proezd, Moscow 125284

Велиев Евгений Ибадович, доктор медицинских наук, профессор, профессор кафедры урологии и хирургической андрологии РМАНПО, заведующий урологическим отделением ГКБ им. С.П. Боткина

125993 Москва, ул. Баррикадная, 2/1, стр. 1, 

125284 Москва, 2-й Боткинский проезд, 5

veliev@urotop.ruhttps://orcid.org/0000-0001-9811-4628VelievR. A.ВелиевР. А.
Russian Federation

Department of Urology and Surgical Andrology

Build. 1, 2/1 Barrikadnaya St., Moscow 125993

Велиев Рагиф Акифович, кафедра урологии и хирургической андрологии

125993 Москва, ул. Баррикадная, 2/1, стр. 1

veliev@urotop.ruRussian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииS.P. Botkin City Clinical Hospital of the Moscow Healthcare DepartmentГБУЗ г. Москвы «Городская клиническая больница им. С.П. Боткина Департамента здравоохранения г. Москвы»3009201915317272801201915022019https://oncourology.abvpress.ru/oncur/article/view/913

More than 35 years since the first deliberate nerve-sparing radical prostatectomy, this technique remains one of the main methods of treatment for patients with localized prostate cancer. Further study of operative anatomy of the lower pelvis and development of surgical technique facilitated evolution of approaches to nerve sparing. This review is dedicated to analysis of current approaches to preservation of neurovascular bundles in radical prostatectomy allowing to optimize functional results of surgical treatment of prostate cancer.

Более чем через 35 лет с момента выполнения первой осознанной «нервосберегающей» радикальной простатэктомии, данная методика остаётся одним из основных методов лечения больных локализованным раком предстательной железы. Дальнейшее изучение оперативной анатомии малого таза и развитие хирургической техники способствовали эволюции подходов к нервосбережению. Данный обзор посвящен анализу современных подходов к сохранению сосудисто-нервных пучков при радикальной простатэктомии, позволяющих оптимизировать функциональные результаты хирургического лечения рака предстательной железы.

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