[Specific features of hemostasis during radical retropubic prostatectomy]

From September 1999 through March 2008 radical retropubic prostatectomy (RRP) with bilateral pelvic lymphadenectomy was fulfilled in 148 male patients aged from 48 to 77 years, mean age 61 +/- 5.3 years. The patients were divided into 2 groups: the first group (63 patients) was subjected to RRP without using apparatus "LigaSure" and using either antegrade or retrograde technique RRP. In the second group patients hemostasis was achieved by using apparatus "LigaSure" in addition to other methods. Mean duration of surgery in the first group was 154 minute when using the antegrade technique, and 161 minutes when using the retrograde technique. In the second group mean time of operative intervention was 123 min when using the antegrade technique and 128 min with the retrograde (p < 0.01). The volume of blood loss in the 1st group varied on average from 1624 with the antegrade technique to 1587 ml with the retrograde technique, while in the 2nd group 1028 with the antegrade technique and 1138 ml with the retrograde technique (p < 0.01). Blood transfusion in the 1st group was required for 42 patients, in the 2nd group for 19 patients (< 0.01). The data obtained show that individual approach to every patient when using RRP as well as wide use of modem instruments allow dangerous complications to be avoided or minimized.