Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Augustin, H; Hammerer, P; Graefen, M; Palisaar, J; Noldus, J; Fernandez, S; Huland, H.
Intraoperative and perioperative morbidity of contemporary radical retropubic prostatectomy in a consecutive series of 1243 patients: results of a single center between 1999 and 2002.
EUR UROL. 2003; 43(2): 113-118.
Doi: 10.1016%2FS0302-2838%280http://dx.doi.org/10.1016%2FS0302-2838%2802%2900495-5
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Augustin Herbert
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- Abstract:
- OBJECTIVES: To up date counselling of patients in an experienced center, we assessed intraoperative and perioperative complications in a consecutive series of contemporary radical retropubic prostatectomy for localized prostate cancer. METHODS: In a prospective study, we analyzed all intraoperative and perioperative complications within 30 days in a consecutive series of 1243 patients undergoing radical prostatectomy between January 1999 and February 2002. All adverse events were graduated in major and minor complications by their severity and sequel. RESULTS: There were no deaths. Overall, 996 patients (80.2%) were not affected by any complication. Major complications were observed in 50 patients (4.0%), minor complications in 197 (15.8%). Pelvic lymphadenectomy was performed in 861 (69.3%) patients. This procedure was associated with a significantly higher rate of lymphoceles requiring a drainage, 4.2% versus 0.3% (p<0.006) and a higher rate of deep venous thrombosis, 1.4% versus 0.5% (p<0.2), respectively. CONCLUSION: Radical retropubic prostatectomy is a safe surgical procedure. Postoperatively the majority of our patients was not compromised by any complication within 30 days. Furthermore, due to a higher rate of lymphoceles and thromboembolic events the indication for pelvic lymphadenectomy should be considered carefully.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Chi-Square Distribution -
- Humans -
- Intraoperative Complications - epidemiology
- Male - epidemiology
- Middle Aged - epidemiology
- Postoperative Complications - epidemiology
- Prospective Studies - epidemiology
- Prostatectomy - adverse effects
- Prostatic Neoplasms - surgery
- Treatment Outcome - surgery
- Find related publications in this database (Keywords)
- morbidity
- prostate cancer
- radical prostatectomy