Bourdon J, Wetzel O
Service d'Urologie, Centre Hospitalier Départemental, Les Oudairies, La Roche-sur-Yon.
Prog Urol. 1994 Oct;4(5):710-4.
Haemostasis of Santorini's venous plexus during radical prostatectomy or total cystoprostatectomy is a delicate phase of the procedure which facilitates the conditions of the surgery and the postoperative course. Based on a series of 150 prostatectomies, the authors describe their technique using Babcock forceps for "en bloc "ligation of the venous plexus. After opening the pelvic aponeurosis and section of the puboprostatic ligaments, a Babcock forceps is placed above the urethra and prostatic apex, including all of Santorini's plexus enclosed by its fibrous tissue, allowing exposure of the abascular plane of cleavage situated between the anterior surface of the urethra and this plexus. Klikenberg scissors are then introduced into the depression formed underneath the jaws of the Babcock forceps and are guided by the index finger into the symmetrical depression of the other side. The hypogastric connective tissue is perforated lateromedially and the scissors are gently opened to enlarge the passage. A right-angle dissector is then inserted and grips n.1 or 2 absorbable suture material which, after removing the Babcock forceps, is used to tie all of the anterior venous complex. This technical device allows a more reproducible and standardised approach to this operative step.
在根治性前列腺切除术或全膀胱前列腺切除术中，Santorini静脉丛的止血是手术中的一个精细阶段，它有助于手术条件及术后恢复过程。基于150例前列腺切除术的系列研究，作者描述了他们使用Babcock钳对静脉丛进行“整块”结扎的技术。打开盆筋膜并切断耻骨前列腺韧带后，将一把Babcock钳置于尿道和前列腺尖上方，包括被其纤维组织包裹的所有Santorini丛，这样就能暴露位于尿道前表面和该静脉丛之间的无血管分离平面。然后将Klikenberg剪刀插入Babcock钳钳口下方形成的凹陷处，并用食指引导至另一侧的对称凹陷处。从外侧向内侧穿透腹下结缔组织，然后轻轻打开剪刀以扩大通道。接着插入直角分离器并夹住1号或2号可吸收缝合材料，在移除Babcock钳后，用其结扎所有前静脉复合体。这种技术手段使得该手术步骤的操作更具可重复性和标准化。
