Clinical tracer prostate cancer
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Clinical Tracer “Prostate cancer”. อุบัติการณ์ของมะเร็งต่อมลูกหมาก คณะแพทยศาสตร์ศิริราชพยาบาล. อุบัติการณ์มะเร็งในผู้ชาย : มะเร็งต่อมลูกหมาก เลื่อนลำดับจากอันดับ 3 รองจากมะเร็งปอดและตับ ในปี 2545 มาเป็นอันดับ 1 ในปี 2549

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Clinical Tracer “Prostate cancer”

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Clinical tracer prostate cancer

Clinical Tracer Prostate cancer


Clinical tracer prostate cancer

  • : 3 2545 1 2549

  • 2549 16.01% 472 53.8%

  • 60-79


Clinical tracer prostate cancer

Radical Prostatectomy


Clinical tracer prostate cancer1

Clinical Tracer Prostate cancer

1. Laparoscopic radical prostatectomy Robotic Assisted LRP

2. Radiation Therapy

3.

4. 1

5. VIP

6.


Clinical tracer prostate cancer

1.

2. Multidisciplinary Team


Clinical tracer prostate cancer

3. Urinary incontinence, Erectile Dysfunction abdominal distension

Robotic Surgery

4. recurrence

Discharge planning model R2R care team


Clinical tracer prostate cancer

1. lab

Fast Tract for VIP

2.

3.


Clinical tracer prostate cancer

1.

-

2.

care map

3.


Clinical tracer prostate cancer

1. Evidence Based Practice CPG National Comprehensive Cancer Network 2005

2. Benchmarking


Clinical tracer prostate cancer

1.

Robot da Vinci S 80 2549

2.

Robotic Surgery

3.

1 Robotic Surgery


Clinical tracer prostate cancer

1.

Robotic Assisted LRP

2.

2549 5 , 2550 7


Clinical tracer prostate cancer

1. one stop service VIP

2. VIP Fast tract


Clinical tracer prostate cancer

3.

4.

5. Fellow


Clinical tracer prostate cancer

1.

2. international guideline

3.

4.

5. recurrence radical prostatectomy 5

6. , VIP


Kpi radical prostatectomy

30 22.2%

60 19.3%

( 10%)

1. Positive margin T2

2. Nerve sparing with free margin

3. Rate of incontinence at 6 mt. < 20%

4. Rate of ED at 12 mt. < 40%

5. Rate of biochemical failure

30 80%

60 75%

KPI Radical Prostatectomy


Robotic assisted lrp

Robotic Assisted LRP

16 2550

1

Average OR time356 min (250-690)

Average LOS9.1 (7-12 )

6

Average or time :case 1-10 = 390 min

case 51-60 = 350 min

case 91-100 = 312 min


Clinical tracer prostate cancer

Laparoscopic RPVS Robotic Assisted RP


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