Nicoll G A, Riffle G N, Andersen F O
J Urol. 1978 Dec;120(6):702-4. doi: 10.1016/s0022-5347(17)57335-8.
Mortality rates, length of hospitalization, transfusion requirements, weights of excised tissue, complications and operating time are analyzed in this series of 300 patients who underwent suprapubic prostatectomies in which a removable purse-string closure of the bladder neck was used. The results are compared to those in other studies. The mortality rate in our study is the lowest reported to date for a large series. We believe that this technically simple operation, which has the most adaptability for combination with conjunctive operations, low transfusion requirements, few long-term complications and which can be done rapidly, is the most desirable method to remove benign prostates of 40 gm. or larger. We believe that there should be acceptance of broader indications for its use and that greater emphasis should be placed on teaching this procedure in urological training programs.
在这300例行耻骨上前列腺切除术的患者系列中,分析了死亡率、住院时间、输血需求、切除组织重量、并发症及手术时间,这些手术采用了可移除的膀胱颈荷包缝合术。将结果与其他研究的结果进行比较。我们研究中的死亡率是迄今为止大量病例报告中最低的。我们认为,这种技术上简单的手术,最适合与联合手术相结合,输血需求低,长期并发症少,且能快速完成,是切除40克或更大良性前列腺的最理想方法。我们认为,应该接受其更广泛的应用指征,并应在泌尿外科培训项目中更加强调教授该手术方法。