2010, Number 5
Radical prostatectomy morbidity, early surgical complications, and risk factors: experience at the Hospital General Dr. Manuel Gea González
Santana-Ríos Z, Fulda-Graue S, Hernández-Castellanos V, Camarena-Reynoso H, Pérez-Becerra R, Urdiales-Ortiz A, Leos-Acosta C, Shuck-Bello C, Merayo-Chalico C, Sánchez-Turati G, Saavedra-Briones D, Fernández-Noyola G, Martínez Á, Ahumada S, Cantellano-Orozco M, Morales-Montor G, Pacheco-Gahbler C, Calderón-Ferro F
Language: Spanish
References: 7
Page: 278-282
PDF size: 410.02 Kb.
ABSTRACT
Radical prostatectomy is a safe, well-tolerated procedure with a low morbidity rate and a general mortality rate of 0.2%. The general complication rate is from 5-7% and advanced age is the most frequently associated factor.Objective: To evaluate the incidence of early complications in radical prostatectomy along with associated risk factors.
Methods: A descriptive, retrolective, longitudinal study was carried out on 175 prostate cancer patients that underwent radical prostatectomy. Early complications associated with the procedure were evaluated in the first 7 days and were related to the factors of age, prostate specific antigen, clinical stage, Gleason score, prostate volume, extraprostatic disease, lymphadenectomy, and previous transurethral resection of the prostate. Whether or not there were any factors that increased the risk of presenting with early complication was determined.
Results: Early complication incidence associated with radical prostatectomy was 13.4% (n=20). There were no tatistically significant early complication risk factors related to age, prostate specific antigen, Gleason score, prostatic volume, extraprostatic disease, lymphadenectomy, or previous transurethral resection of the prostate.
Conclusions: It is necessary to be aware of potential complications in radical prostatectomy in order to make adequate therapeutic decisions. No early complication risk factors associated with radical prostatectomy were found.
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