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Korean J Urol Oncol > Volume 2(4); 2004 > Article
The Korean Journal of Urological Oncology 2004;2(4): 269-274.
근치적 전립선적출술 후 예후와 합병증에 영향을 미치는 요인
정연환, 조인래, 이건철, 전준성, 김종구, 박석산
인제대학교 의과대학 비뇨기과학교실
Affecting Factors on the Prognosis and Complications after Radical Prostatectomy
Yon Hwan Jung , In Rae Cho , Keon Cheol Lee , Jun Sung Jeon , Jong Ku Kim , Seok San Park
Department of Urology, College of Medicine, Inje University, Gimhae, Korea
Published online: December 30, 2004.
ABSTRACT
with prognosis and complications after radical prostatectomy.
Materials and Methods:
Hospital records of 27 patients who underwent radical prostatectomy by one surgeon at our department were retrospectively reviewed. We performed univariate analyses to correlate preoperative prognostic factors with intraoperative factors and postoperative variables.
Results:
Mean operative time was 5.0⁑0.8(3.7-6.6) hours with bleeding volume of 1,226.0⁑97.4(460-6,480)cc. Pelvis size calculated as length of linea terminalis was 13.6⁑0.8(11.6-14.9)cm. Less operative time was needed when duration from preoperative biopsy to operation was shorter and prostatic volume was larger but was not statistically significant. There was no correlations on pelvis size with other intraoperative factors such as operative time, bleeding volume. 11 patients had more advanced pathologic staging than preoperative clinical staging, therefore the diagnostic accuracy was 59.3%. The biochemical failure rate was significantly higher in patients with positive surgical margin than negative margin (p<0.05). Patients with positive surgical margin also have higher risk of postoperative urinary incontinence and erectile dysfunction.
Conclusions:
If patients have preoperatively higher PSA, Gleason score, positive surgical margin after resection, the risk of tumor recurrence will increase. There are no statistical correlation between operative time and duration from biopsy, prostatic volume, tumor volume and pelvis size. (Korean J Uro-Oncol 2004;2:269-274)
Key Words: Prostate neoplasms; Prostatectomy; Postoperative complications
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