지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 443 - 448 (6page)
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초록· 키워드
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Purpose: To compare perioperative outcomes between running and interrupted vesicourethral anastomosis in open radical prostatectomy(RP). Materials and Methods: The medical records of 112 patients who underwent open RP for prostate cancer at our institution from2006 to 2008 by a single surgeon were retrospectively reviewed. Preoperative, intraoperative, and postoperative parameters weremeasured. Results: Of 112 consecutive patients, 62 patients underwent vesicourethral anastomosis by use of the running technique, whereas50 patients underwent anastomosis with the interrupted technique. The groups did not differ significantly in age, body mass index,prostate-specific antigen, prostate volume, or pathologic findings. The intraoperative extravasation rate was significantly lower inthe running group (8.1% vs. 24.0%, p=0.01). The mean anastomosis time was 15.1±5.3 and 19.3±4.6 minutes in the running andinterrupted groups, respectively (p=0.04). The rates of postoperative extravasation were similar for both groups (6.4% vs. 10.0%,p=0.12). The duration of catheterization was significantly shorter in the running group (9.0±3.0 days vs. 12.9±6.4 days, p<0.01). The rate of urinary retention after catheter removal and the rate of bladder neck contracture were not significantly different betweenthe two groups. The rate of urinary continence at 3, 6, 9, and 12 months after RP was also similar in both groups. Conclusions: Both anastomosis techniques provided similar functional results and a similar rate of postoperative urine extravasation. However, running vesicourethral anastomosis decreased the rate of intraoperative extravasation and time for anastomosis,without increasing the risk of urinary retention or bladder neck contracture.
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참고문헌 (21)
참고문헌 신청
Igel TC / 1988 / Comparison of techniques for vesicourethral anastomosis: simple direct versus modified Vest traction sutures / Urology 31:474~477
Surya BV / 1990 / Anastomotic strictures following radical prostatectomy: risk factors and management / J Urol 143:755~758
Lieber D / 2005 / Comparison of running and interrupted vesicourethral anastomoses in a porcine model / J Endourol 19:1109~1113
Poulakis V / 2006 / Vesicourethral anastomosis during endoscopic extraperitoneal radical prostatectomy: a prospective comparison between the single-knot running and interrupted technique / Urology 68:1284~1289
Harpster LE / 2007 / Initial results using a running vesicourethral anastomosis following open radical retropubic prostatectomy / J Urol 177:118~122
Surya BV / 1990 / Anastomotic strictures following radical prostatectomy: risk factors and management / J Urol 143:755~758
Lieber D / 2005 / Comparison of running and interrupted vesicourethral anastomoses in a porcine model / J Endourol 19:1109~1113
Poulakis V / 2006 / Vesicourethral anastomosis during endoscopic extraperitoneal radical prostatectomy: a prospective comparison between the single-knot running and interrupted technique / Urology 68:1284~1289
Harpster LE / 2007 / Initial results using a running vesicourethral anastomosis following open radical retropubic prostatectomy / J Urol 177:118~122
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