Fujita K, Kimura T, Saito K, Sangen H, Furuhata T, Uyama K, Ogura K, Ueno F
Department of Urology, National Hospital, Japan.
Clin Ther. 1988;10 Spec No:12-5.
Complications arising from transurethral and open subcapsular prostatectomy were studied in 121 patients with prostatic cancer and in 121 patients matched in age and prostate weight who had undergone prostatectomy for benign prostatic hypertrophy (BPH). After transurethral resection, cancer patients had a significantly longer hospital stay than did patients with BPH (P less than 0.01) and more had complications, such as perforation and bleeding. Compared to transurethral prostatectomy, open resection resulted in greater blood loss and more complications for the cancer patients. It is concluded that transurethral resection is as safe for most cancer patients as it is for patients with BPH, but the dangers of massive bleeding and dissemination of the cancer cells should not be overlooked.
对121例前列腺癌患者以及121例因良性前列腺增生（BPH）接受前列腺切除术、年龄和前列腺重量相匹配的患者，研究经尿道和开放性包膜下前列腺切除术引起的并发症。经尿道切除术后，癌症患者的住院时间明显长于BPH患者（P<0.01），且有更多并发症，如穿孔和出血。与经尿道前列腺切除术相比，开放性切除术导致癌症患者失血更多、并发症更多。得出的结论是，经尿道切除术对大多数癌症患者和BPH患者一样安全，但大出血和癌细胞播散的风险不应被忽视。
