Lerner S E, Blute M L, Lieber M M, Zincke H
Mayo Clinic, USA.
Oncology (Williston Park). 1995 May;9(5):379-82; discussion 382, 385-6, 389.
Complication rates in 1,000 consecutive patients who underwent radical retropubic prostatectomy for clinically localized prostate cancer between November 1989 and January 1992 were assessed and compared to complication rates in a historical group of patients operated on by primarily the same surgeons prior to 1987. In the contemporary series, there were no operative deaths, only 22% of patients required blood transfusion, and only six (0.6%) patients suffered rectal injuries. Early complications, including myocardial infarction, pulmonary embolism, bacteremia, and wound infection, occurred in less than 1% of patients. Vesical neck contracture, the most common late complication, developed in 87 patients (8.7%). At 1 year post-surgery, 80% of patients were completely continent, and fewer than 1% were totally incontinent.
对1989年11月至1992年1月间因临床局限性前列腺癌接受耻骨后根治性前列腺切除术的1000例连续患者的并发症发生率进行了评估，并与1987年以前主要由同一组外科医生手术的历史患者组的并发症发生率进行了比较。在当代系列中，无手术死亡病例，仅22%的患者需要输血，仅6例（0.6%）患者发生直肠损伤。早期并发症，包括心肌梗死、肺栓塞、菌血症和伤口感染，发生率不到1%。膀胱颈挛缩是最常见的晚期并发症，87例（8.7%）患者出现该并发症。术后1年，80%的患者完全控尿，完全失禁的患者不到1%。
