Okabe Tadashi, Kim Chol, Yamanashi Yoshitaka, Sakamoto Atsuhiro
Department of Anesthesiology, Nippon Medical School, Tokyo 113-8603.
Masui. 2007 Dec;56(12):1404-7.
For anesthetic management of traditional open prostatectomy, preparation for hemorrhage is necessary. However, it has been considered that the amount of bleeding under laparoscopic prostatectomy is less than that of traditional open surgery.
The amount of bleeding and autologous blood preparation, fluid balance, and anesthetic management were investigated in patients who had undergone laparoscopic or open prostatectomy at the Nippon Medical School Hospital between June, 2004 and November, 2005, retrospectively. The difference of these aspects between the two surgical method groups was evaluated.
Thirty-two patients underwent prostatectomy in the investigation period. In these patients, 4 patients were excluded due to incomplete anesthesia record or change of surgical method. The amount of bleeding, and both amount of autologous blood preparation and transfusion in the laparoscopic surgery were less than those in the open surgery. There were no significant differences in the fluid balance and amount of urine output between the two groups.
We conclude that preparation of autologous blood transfusion is necessary for the traditional open prostatectomy, but not for the laparoscopic prostatectomy.
对于传统开放性前列腺切除术的麻醉管理，有必要做好出血准备。然而，一直以来人们认为腹腔镜前列腺切除术的出血量少于传统开放性手术。
回顾性调查2004年6月至2005年11月在日本医科大学医院接受腹腔镜或开放性前列腺切除术患者的出血量、自体血准备情况、液体平衡及麻醉管理。评估两组手术方法在这些方面的差异。
在调查期间有32例患者接受了前列腺切除术。在这些患者中，4例因麻醉记录不完整或手术方法改变而被排除。腹腔镜手术的出血量、自体血准备量和输血量均少于开放性手术。两组在液体平衡和尿量方面无显著差异。
我们得出结论，传统开放性前列腺切除术有必要准备自体输血，而腹腔镜前列腺切除术则无需如此。
