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双侧盆腔淋巴结清扫术及耻骨后根治性前列腺切除术的围手术期及术后并发症

Perioperative and postoperative complications from bilateral pelvic lymphadenectomy and radical retropubic prostatectomy.

作者信息

Igel T C, Barrett D M, Segura J W, Benson R C, Rife C C

出版信息

J Urol. 1987 Jun;137(6):1189-91. doi: 10.1016/s0022-5347(17)44445-4.

DOI:10.1016/s0022-5347(17)44445-4
PMID:3586152
Abstract

The complications experienced by 692 consecutive patients who underwent bilateral pelvic lymphadenectomy and radical retropubic prostatectomy from 1978 through 1984 were analyzed. Four patients (0.6 per cent) died in the perioperative or early postoperative period. Pulmonary embolus developed in 19 patients (2.7 per cent) and severe to total urinary incontinence occurred in 34 (5 per cent). Our large series suggests that radical retropubic prostatectomy with staging bilateral pelvic lymphadenectomy can be performed in a safe manner with minimal postoperative morbidity.

摘要

对1978年至1984年间连续692例行双侧盆腔淋巴结清扫术和耻骨后根治性前列腺切除术患者所经历的并发症进行了分析。4例患者(0.6%)在围手术期或术后早期死亡。19例患者(2.7%)发生肺栓塞,34例患者(5%)出现严重至完全性尿失禁。我们的大量病例表明,分期双侧盆腔淋巴结清扫术的耻骨后根治性前列腺切除术可以安全地进行,术后发病率极低。

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