INTRAOPERATIVE BLOOD-LOSS AND PROGNOSIS IN PROSTATE-CANCER PATIENTS UNDERGOING RADICAL RETROPUBIC PROSTATECTOMY

被引:53
作者
OEFELEIN, MG
COLANGELO, LA
RADEMAKER, AW
MCVARY, KT
机构
[1] NORTHWESTERN UNIV, SCH MED, DEPT UROL, CHICAGO, IL 60611 USA
[2] NORTHWESTERN UNIV, SCH MED, LURIE CANC CTR, BIOMETRY SECT, CHICAGO, IL USA
关键词
PROSTATECTOMY; PROSTATIC DISEASES; BLOOD LOSS; SURGICAL; PROSTATIC NEOPLASMS;
D O I
10.1016/S0022-5347(01)67070-8
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To assess more thoroughly the prognostic significance of perioperative transfusions, we examined a previously ignored factor, namely intraoperative blood loss. Materials and Methods: Univariate and multivariate stepwise regression analysis was performed on results of a 10-year series of 251 consecutive men who underwent radical retropubic prostatectomy for clinically localized carcinoma, Results: Gleason score, operative blood loss and pathological stage were significantly (p<0.0001) associated with progression-free survival. A risk ratio of 1.08 (95% confidence interval 1.05 to 1.10) was demonstrated for every 100 mi. of operative blood loss. Conclusions: The operative blood loss but not the type tautologous or allogeneic) of blood transfused was significantly related to decreased recurrence-free survival after radical retropubic prostatectomy. This finding implies that the operative events necessitating transfusion are potentially more significant than the immunological effects of the transfusion.
引用
收藏
页码:442 / 447
页数:6
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