PREDICTORS OF OPERATIVE BLOOD LOSS IN PATIENTS UNDERGOING SMALL INCISION RADICAL PROSTATECTOMY

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  • Yamada Yuta
    Department of Urology, International Medical Center of Japan Department of Urology, Graduate School of Medicine, The University of Tokyo
  • Minowada Shigeru
    Department of Urology, International Medical Center of Japan
  • Fujimura Tetsuya
    Department of Urology, Graduate School of Medicine, The University of Tokyo
  • Matsumoto Akihiko
    Department of Urology, International Medical Center of Japan Department of Urology, Graduate School of Medicine, The University of Tokyo
  • Takahashi Atsuko
    Department of Urology, International Medical Center of Japan Department of Urology, Graduate School of Medicine, The University of Tokyo
  • Kanemura Mikio
    Department of Urology, International Medical Center of Japan
  • Nishimatsu Hiroaki
    Department of Urology, Graduate School of Medicine, The University of Tokyo
  • Homma Yukio
    Department of Urology, Graduate School of Medicine, The University of Tokyo

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Other Title
  • 小切開前立腺全摘除術における術中出血量の検討―BMI，前立腺体積との関係―
  • ショウセッカイ ゼンリツセン ゼンテキジョジュツ ニ オケル ジュッチュウ シュッケツリョウ ノ ケントウ BMI ゼンリツセン タイセキ ト ノ カンケイ

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Abstract

We performed 82 cases of small incision radical prostatectomy from July, 2003 to September, 2009. There were 38 cases of cT1c, 41 cases of cT2, and 3 cases of cT3. Mean operative time was 222±31.7 (min.). Mean operative blood loss was 1,232±583 (ml). We evaluated factors predicting operative blood loss, such as prostate volume, body mass index (BMI), age, and preoperative PSA level. Group with smaller prostate volume and group with lower BMI showed significantly less blood loss compared to that of a higher group (p=0.0009, p=0.0014, respectively). Multivariate analysis showed that prostate volume and BMI were significant predictors for operative blood loss (p=0.0005, p=0.0122, respectively). Prostate volume and BMI may be a useful predictor for operative blood loss.<br>

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