Muto G, Bardari F, Bozzo R, Comi L, Moroni M, Leggero R, Coppola P
Department of Urology, Giovanni Bosco Hospital, Turin, Italy.
Eur Urol. 2001 Jan;39 Suppl 2:2-5. doi: 10.1159/000052549.
To investigate whether the use of the endoscopic gastrointestinal anastomosis (GIA) stapler for hemostasis of the dorsal vein complex during radical retropubic prostatectomy saves operation time and blood loss together with therapeutic efficacy.
From April 1990 to December 1998, a total of 296 patients underwent radical retropubic prostatectomy for prostate cancer in clinical stages T1, T2 and T3. In 157 patients we evaluated the efficacy of the endoscopic GIA stapler in order to minimize blood loss from the dorsal vein complex and to reduce mean operative time.
The mean total operative time decreased an average of 35 min and the mean blood loss fell from 850 to 400 cm(3) using the stapling technique. Although complications are seen with traditional methods, we noted a net increase in anastomotic strictures with this new technique.
Even if this technical trick is effective in reducing blood loss, a higher incidence of anastomotic strictures has to be taken into account when using staplers close to the anastomotic site.
探讨在耻骨后根治性前列腺切除术中使用内镜下胃肠吻合（GIA）吻合器对背静脉复合体进行止血是否能节省手术时间、减少失血量以及评估其治疗效果。
1990年4月至1998年12月，共有296例临床分期为T1、T2和T3期的前列腺癌患者接受了耻骨后根治性前列腺切除术。对其中157例患者评估了内镜下GIA吻合器的效果，以尽量减少背静脉复合体的失血量并缩短平均手术时间。
使用吻合技术后，平均总手术时间平均减少了35分钟，平均失血量从850立方厘米降至400立方厘米。虽然传统方法会出现并发症，但我们注意到这种新技术使吻合口狭窄净增加。
即使这种技术技巧在减少失血量方面有效，但在吻合部位附近使用吻合器时，必须考虑到吻合口狭窄的发生率较高。
