Koch M O, Brandell R A, Lin D, Smith J A
Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765.
J Urol. 1994 Oct;152(4):1178-9. doi: 10.1016/s0022-5347(17)32532-6.
We reviewed 109 consecutive patients undergoing radical retropubic prostatectomy to determine the effect of intermittent pneumatic compression devices on intraoperative blood loss. Sequential compression devices were used intraoperatively and perioperatively in 86 patients, while 23 underwent surgery without these devices. There were no identifiable selection factors between the 2 groups. Median intraoperative blood loss was 885 cc without sequential compression devices and 800 cc when they were used. These results are at odds with previous reports in the urological literature and suggest that anatomical control of the dorsal vein complex negates any potential influence of sequential compression devices on blood loss during radical prostatectomy.
我们回顾了109例连续接受耻骨后根治性前列腺切除术的患者,以确定间歇性气动压迫装置对术中失血的影响。86例患者在术中和围手术期使用了序贯压迫装置,而23例患者在没有这些装置的情况下接受了手术。两组之间没有可识别的选择因素。在不使用序贯压迫装置时,术中失血量中位数为885毫升,使用时为800毫升。这些结果与泌尿外科文献中的先前报道不一致,提示在根治性前列腺切除术中,对背静脉复合体的解剖控制消除了序贯压迫装置对失血的任何潜在影响。