Sach R, Marshall V R
Br J Surg. 1977 Mar;64(3):210-4. doi: 10.1002/bjs.1800640318.
A comparison of the results of prostatectomy in the same hospital after a 15-year interval has shown that there has been a significant reduction in the mortality (2-3 per cent versus 6-7 per cent). However, on reviewing the results of prostatectomy over the past 30 years it is evident that in spite of improved pre- and postoperative care the mortality and morbidity for high risk patients have remained constant. If the safety for this operation is to improve, it would seem that more care in patient selection is necessary and that other means of achieving urinary drainage will need consideration and evaluation in elderly men with significant cardiovascular and respiratory disease.
一家医院在间隔15年后对前列腺切除术的结果进行比较，结果显示死亡率有显著降低（从6%-7%降至2%-3%）。然而，回顾过去30年的前列腺切除术结果可以明显看出，尽管术前和术后护理有所改善，但高危患者的死亡率和发病率一直保持不变。如果要提高该手术的安全性，似乎有必要在患者选择上更加谨慎，并且对于患有严重心血管和呼吸系统疾病的老年男性，需要考虑和评估其他实现尿液引流的方法。
