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解剖性前列腺癌根治术ANATOMICRADICALRETROPUBICPROSTATECTOMYDavidHallMcConnellProfessor&DirectorJohnsHopkinsMedicalInstitutionsChairmanBradyUrologicalInstituteThethreegoalsofthesurgeon•cancercontrol•preservationofurinarycontrol•preservationofsexualfunctionSURGICALANATOMYArterialandVenousAnatomyArterialandVenousAnatomyArterialandVenousAnatomySantorini’svenousplexusArterialandVenousAnatomyinternalpudendalarteryPelvicPlexusPelvicPlexusneurovascularbundlesneurovascularbundlesPelvicFasciaP：prostateN：nerveR：rectumＢ：bloodPelvicFasciaStriatedUrethralSphinctersandwichofmuscleshorseshoeshapedfatigue-resistant,slow-twitchfibersSURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUESURGICALTECHNIQUE