根治性前列腺切除术：死亡率和发病率的前瞻性评估
Radical prostatectomy: prospective assessment of mortality and morbidity.
作者信息
Davidson P J, van den Ouden D, Schroeder F H
机构信息
Department of Urology, Erasmus University and Academic Hospital, Rotterdam, The Netherlands.
出版信息
Eur Urol. 1996;29(2):168-73.
OBJECTIVE
To prospectively analyse the morbidity of radical prostatectomy.
METHODS
Morbidity data from 188 consecutive radical prostatectomy patients were collected prospectively. Mortality, intraoperative, early postoperative and late postoperative complications were analysed.
RESULTS
1.5% mortality. 3.7% suffered an intraoperative complication. Early postoperative problems were common (43%). Of those with greater than 1 year follow-up, 5.9% remained with some incontinence, and a further 11 patients had artificial sphincters implanted; 32% had narrowing of the anastomosis, requiring at least 1 dilation; 43% of patients retained their potency.
CONCLUSIONS
It is concluded that radical prostatectomy can be performed with minimal mortality and acceptable morbidity.
目的
前瞻性分析根治性前列腺切除术的发病率。
方法
前瞻性收集188例连续接受根治性前列腺切除术患者的发病数据。分析死亡率、术中、术后早期和晚期并发症。
结果
死亡率为1.5%。3.7%发生术中并发症。术后早期问题常见（43%）。在随访超过1年的患者中，5.9%仍有某种程度的尿失禁，另有11例患者植入了人工括约肌；32%出现吻合口狭窄，至少需要1次扩张；43%的患者保留了性功能。
结论
得出结论，根治性前列腺切除术可以在死亡率极低且发病率可接受的情况下进行。
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