Nursing Care of Anastomotic Urine Leakage after Laparoscopic Radical Resection of Prostate Cancer

2021 ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Victor H. W. Yeung ◽  
Yi Chiu ◽  
Sylvia S. Y. Yu ◽  
W. H. Au ◽  
Steve W. H. Chan

Purpose. Kattan and Stephenson nomograms are based on the outcomes of patients with prostate cancer recruited in the USA, but their applicability to Chinese patients is yet to be validated. We aim at studying the predictive accuracy of these nomograms in the Chinese population.Patients and Methods. A total of 408 patients who underwent laparoscopic or open radical resection of prostate from 1995 to 2009 were recruited. The preoperative clinical parameters of these patients were collected, and they were followed up regularly with PSA monitored. Biochemical recurrence was defined as two or more consecutive PSA levels >0.4 ng/mL after radical resection of prostate or secondary cancer treatment.Results. The overall observed 5-year and 10-year biochemical recurrence-free survival rates were 68.3% and 59.8%, which was similar to the predicted values by the Kattan and Stephenson nomograms, respectively. The results of our study achieved a good concordance with both nomograms (Kattan: 5-years, 0.64; Stephenson: 5-years, 0.62, 10-years, 0.71).Conclusions. The incidence of prostate cancer in Hong Kong is increasing together with the patients’ awareness of this disease. Despite the fact that Kattan nomograms were derived from the western population, it has been validated in our study to be useful in Chinese patients as well.


2020 ◽  
Vol 12 (1) ◽  
pp. 110-115 ◽  
Author(s):  
Li Li ◽  
Li-Jun Zheng

Hydroxyapatite [Ca10(PO4)6(OH)2] is the one of the major inorganic constituents of natural bone, which has been broadly used in medical and biological applications. The present research work reports on the preparation of hydroxyapatite nanoparticles (HA NPs) via a green and eco-friendly approach based on the use of pectin. The crystalline size, purity and morphology of the as-fabricated HA NPs were studied by X-ray diffraction (XRD), Fourier transform infrared (FTIR) spectroscopy, energy dispersive X-ray (EDAX) spectroscopic analysis and scanning electron microscopy (SEM), correspondingly. Further, cytotoxicity investigations showed a dose dependent cytotoxicity towards prostate cancer cells (PC3 cells). Overall, the results illustrated herein suggest that the as-developed HA NPs may offer prospects for the development of drugs for prostate cancer treatment in nursing care for children.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Li Fan ◽  
Xiaohua Tang ◽  
Yuqin Cui

Objective: Objective To explore the first aid and nursing of patients with anastomotic fistula after radical resection of esophagus carcinoma complicated with major carotid hemorrhage.Methods: The clinical data of anastomotic fistula complicated with carotid artery rupture and massive hemorrhage after radical resection of typical esophageal carcinoma were analyzed and summarized.Results:Through the close cooperation of medical care, the rescue was successful.Conclusion:Earlier prevention observation, raising first aid consciousness and actively cooperating with doctors can improve the success rate of rescue.


2020 ◽  
Vol 3 (2) ◽  
pp. e22-e30
Author(s):  
Masaru Morita ◽  
Akira Morita ◽  
Takeshi Matsuura

Background and ObjectivesMinimally invasive methods are expected to avoid the risk of overtreatment and overtreatment of radical therapy to manage the increased number of patients with low-volume, low-grade localized prostate cancer. Based on our experience of radical transurethral resection of prostate cancer (TURPCa) as a radical treatment, we studied the efficacy and safety of focal TURPCa as a focal therapy for patients with localized prostate cancer. Materials and MethodsWe performed focal TURPCa in 49 patients during the period from July 2007 to August 2016 and followed them with prostate-specific antigen (PSA) testing for the mean period of 68.0 months. We selected the patient as a candidate for the study if the biopsy revealed that cancer foci were limited in one lobe, or the foci were several or less even found in both lobes. Standard TURP was followed by further resection and fulguration of the peripheral zone where cancer was considered to exist. We selected one of our three methods of focal TURPCa as follows: one lobe radical TURPCa, radical resection of the affected lobe with unaffected lobe being resected less vigorously; nerve-sparing radical TURPCa, radical resection of both lobes except for the posterolateral part of the prostate; target radical TURPCa, radical resection of the cancer focus and the surrounding prostate when the target is suggested single. ResultsTwelve patients were in the low-risk group (D’Amico), 29 in the intermediate-risk group, and 8 in the high-risk group. Pathological stages were as follows: pT0, three cases; pT2a-b, 17 cases; pT2c, 29 cases. The preoperative PSA of 6.15±2.73 ng/mL (mean±SD) dropped to 0.172±0.283 ng/mL postoperatively. PSA failure occurred in only two patients (4.1%). Incontinence did not develop and erectile function was preserved in eight (44.4%) of the 18 potent patients. The most frequent complication was bladder neck contracture (20.4%). Other complications included acute epididymitis (8.1%), bladder tamponade (2.0%). No patients died of prostate cancer. ConclusionsThough the final assessment of efficacy will require long-term follow-up results with more cases, we may think focal TURPCa can be another treatment option as a focal therapy for localized prostate cancer.


2021 ◽  
Vol 20 ◽  
Author(s):  
Bianca de Moura de Moura Peloso-Carvalho ◽  
Sterline Therrier ◽  
Camila Alessandra da Silva Marcelo ◽  
Namie Okino Sawada ◽  
Murilo César do Nascimento ◽  
...  

Objetivo: descrever as características sociodemográficas e clínicas de homens com câncer de próstata em atendimento oncológico. Método: estudo transversal, descritivo, de abordagem quantitativa. Os dados foram coletados de junho a dezembro de 2019 em entrevistas e por acesso aos prontuários, analisados por meio de estatística descritiva e apresentados em valores absolutos e relativos. Resultados: dos 55 participantes, predominaram homens na faixa etária de 70 a 79 anos (45,45%); brancos (45,45%); casados (63,64%); com ensino fundamental incompleto (54,55%); de crença católica (74,55%); residentes de zona urbana (87,27%); com esposa ou companheira (34,55%); com ótima relação com familiares (56,36%); aposentados (80%); com renda mensal de um a três salários mínimos (74,55%); que consideravam sua situação financeira regular (49,09%); negavam etilismo (56,36); eram ex-fumantes (47,27%); encaminhados ao serviço pelo Sistema Único de Saúde (85,45%); com tempo de diagnóstico há mais de 12 meses (69,09%); sem metástase (61,82%); que realizaram radioterapia (38,18%) e quimioterapia (61,82%). Conclusão: este estudo permitiu evidenciar que, no contexto do adoecimento por câncer de próstata dos homens entrevistados, há características que devem ser identificadas pelos profissionais de saúde que são essenciais para o planejamento do cuidado congruente às suas demandas.


1997 ◽  
Vol 6 (2) ◽  
pp. 117-123 ◽  
Author(s):  
LISELOTTE JAKOBSSON ◽  
INGALILL RAHM HALLBERG ◽  
LARS LOVEN

Author(s):  
Jeferson Santos Araújo ◽  
Vander Monteiro da Conceição ◽  
Marcia Maria Fontão Zago

Objective: to interpret the meanings attributed by men with prostate cancer to the experience regarding their bodies and masculinities during illness. Method: ethnographic research with 17 men, guided by the narrative method and theoretical framework of medical anthropology and masculinities. The information was collected through recorded interviews, direct observation and field diary records, which were analyzed by inductive thematic analysis. Results: men undergo body and identity transformations when they get sick with prostate cancer, transiting through multiple masculinities, resigning their actions, and occupying subordinate positions in relation to other healthy bodies, which are marginalized in their social relationships and allied with regard to establishing their affective relationships. Conclusion: this evidence enhances and deepens the knowledge disclosed in the literature and contributes to the strengthening of nursing care actions when dealing with the sick.


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