Management with Santorini's Plexus Should Be Personalized during Prostatectomy

被引:1
作者
Wilamowski, Jacek [1 ]
Wojtarowicz, Mateusz [2 ]
Adamowicz, Jan [1 ]
Golab, Adam [2 ]
Pozniak, Michal [1 ]
Leminski, Artur [2 ]
Kuffel, Blazej [1 ]
Slojewski, Marcin [2 ]
Drewa, Tomasz [1 ]
机构
[1] Nicolaus Copernicus Univ, Coll Med, Dept Urol & Androl, PL-85089 Bydgoszcz, Poland
[2] Pomeranian Med Univ, Dept Urol & Urol Oncol, PL-71899 Szczecin, Poland
来源
JOURNAL OF PERSONALIZED MEDICINE | 2022年 / 12卷 / 05期
关键词
prostate cancer; prostatectomy; Santorini's plexus; LAPAROSCOPIC RADICAL PROSTATECTOMY; DORSAL VEIN COMPLEX; VENOUS COMPLEX; DYSFUNCTION; CONTINENCE; RECOVERY; LIGATION;
D O I
10.3390/jpm12050769
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini's plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers were compared. In one center, patients underwent DVC ligation in all cases, whereas in the second center, this step was omitted. Subsequently, the histological and functional results were compared. Results showed that DVC management has an impact on blood loss and the duration of the surgery. In addition, omitting DVC ligation is demonstrated to reduce positive margin rate within the apex if the cancer was localized in this region. The continence and erectile function were similar in the 12-month follow up.
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页数:10
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