Comparative analysis of perioperative clinical data and the dynamics of peripheral hemogram changes in patients with localized prostate cancer who have undergone retropubic and endoscopic radical prostatectomy
Rok vydání: | 2017 |
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Předmět: |
medicine.medical_specialty
complications Prostatectomy business.industry medicine.medical_treatment Urology Perioperative prostate cancer lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 medicine.disease Peripheral Prostate cancer peripheral hemogram endoscopic laparoscopic extraperitoneal radical prostatectomy homeostasis medicine In patient leukocyte indices business |
Zdroj: | Здоровье мужчины, Vol 0, Iss 3(62), Pp 116-123 (2017) |
ISSN: | 2412-5547 2307-5090 |
DOI: | 10.30841/2307-5090.3(62).2017.118208 |
Popis: | The objective: to analyze the clinical data and postoperative blood loss and peripheral hemogram changes in patients who were undergone retropubic radical prostatectomy (RRPE) and endoscopic (minimally invasive) radical prostatectomy (ERPE), and hold them intergroup comparison. Patients and methods. There were estimated results of treatment of localized prostate cancer (PC) in 219 patients who were undergone radical prostatectomy (RPE) at the clinic SI «Institute of Urology of NAMS Ukraine» for 2013–2015 years. The patients were divided into two groups. Group I included 164 (74,9%) patients (were undergone EREP). Group II included 55 (25,1%) patients (were undergone RRPE). The clinical, laboratory, computational and pathomorphological data for each patient were analyzed. The data were processed using parametric and nonparametric statistics (Student’s t-test, Mann-Whitney test, chi-squared test et al.). Results. The mean age of patients in group І was 64,8±6,9 years, in group II – 62,7±4,5 years, there were marked statistically significant increasing in age of patients in group І (p=0,0115). A decreasing in the volume of intraoperative blood loss were detected in group I with respect to group II, respectively, 400 [200; 600] ml vs 500 [300; 800] ml (p=0,0439). The frequency of blood transfusions was 12,8% vs 12,7% in groups I and II, respectively (p=0,9881). The time of bladder catheterization of group I was statistically significantly lower than that of group II (p=0,0012), the median was 12 [9; 15] vs 14 [12; 16] days, respectively. The median of the preoperative PSA in group I was 10,8 [7,8; 15,8] ng/ml, and in group II – 12,5 [9,2; 22,3] ng/ml (p=0,0485). ДHb in the operated patients was in the group I -23 [-33; -13] g/L vs -37 [-45; -27] g/L in group II (p |
Databáze: | OpenAIRE |
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