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Blood loss during laparoscopic radical prostatectomy – is it significant or not?

INTRODUCTION: The traditional assessment of blood loss during laparoscopic radical prostatectomy (LRP) is based on the blood volume collected intraoperatively in the suction device bottles. While this method is not perfect, analysis of changes in blood cell count (BCC) resulting from LRP is advisabl...

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Autores principales: Poletajew, Sławomir, Antoniewicz, Artur A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Polish Urological Association 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921755/
https://www.ncbi.nlm.nih.gov/pubmed/24578914
http://dx.doi.org/10.5173/ceju.2012.01.art3
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author Poletajew, Sławomir
Antoniewicz, Artur A.
author_facet Poletajew, Sławomir
Antoniewicz, Artur A.
author_sort Poletajew, Sławomir
collection PubMed
description INTRODUCTION: The traditional assessment of blood loss during laparoscopic radical prostatectomy (LRP) is based on the blood volume collected intraoperatively in the suction device bottles. While this method is not perfect, analysis of changes in blood cell count (BCC) resulting from LRP is advisable. MATERIAL AND METHODS: 71 men were submitted to LRP due to prostate cancer in our institution over an 18-month time period. From this group, we isolated 60 men with clinically minimal intraoperative blood loss (<200 ml) and included them into the study. Mean age of the cohort was 62.8 years. We performed standard BCC on the day before and 6 hours after the surgery. At the same time points, we measured creatinine serum concentration and calculated eGFR to avoid the data misinterpretation resulting from impaired renal function in the postoperative period. RESULTS: Statistically and clinically significant differences regarding all BCC parameters measured pre- and postoperatively were observed. The number of red blood cells, hemoglobin concentration, and hematocrit diminished by 17.5% (4.68T/l vs. 3.86T/l, p <0.02), 17.0% (8.93 mmol/l vs. 7.41 mmol/l, p < 0.02), and 17.9% (0.429 vs. 0.352, p <0.02), respectively. Simultaneously, renal function was stable with no significant change in eGFR (82.9 ml/min/1.73 m^2 vs. 79.09 ml/min/1.73 m^2, p = 0.28). CONCLUSIONS: Standard LRP brings on a significant blood loss. While clinically insignificant, this blood loss seems to be as high as approx. 600 ml based on laboratory findings. BCC seems to be a more accurate method of intraoperative blood loss estimation compared to measurement of blood volume collected intraoperatively in the suction device bottles.
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spelling pubmed-39217552014-02-27 Blood loss during laparoscopic radical prostatectomy – is it significant or not? Poletajew, Sławomir Antoniewicz, Artur A. Cent European J Urol Urological Oncology INTRODUCTION: The traditional assessment of blood loss during laparoscopic radical prostatectomy (LRP) is based on the blood volume collected intraoperatively in the suction device bottles. While this method is not perfect, analysis of changes in blood cell count (BCC) resulting from LRP is advisable. MATERIAL AND METHODS: 71 men were submitted to LRP due to prostate cancer in our institution over an 18-month time period. From this group, we isolated 60 men with clinically minimal intraoperative blood loss (<200 ml) and included them into the study. Mean age of the cohort was 62.8 years. We performed standard BCC on the day before and 6 hours after the surgery. At the same time points, we measured creatinine serum concentration and calculated eGFR to avoid the data misinterpretation resulting from impaired renal function in the postoperative period. RESULTS: Statistically and clinically significant differences regarding all BCC parameters measured pre- and postoperatively were observed. The number of red blood cells, hemoglobin concentration, and hematocrit diminished by 17.5% (4.68T/l vs. 3.86T/l, p <0.02), 17.0% (8.93 mmol/l vs. 7.41 mmol/l, p < 0.02), and 17.9% (0.429 vs. 0.352, p <0.02), respectively. Simultaneously, renal function was stable with no significant change in eGFR (82.9 ml/min/1.73 m^2 vs. 79.09 ml/min/1.73 m^2, p = 0.28). CONCLUSIONS: Standard LRP brings on a significant blood loss. While clinically insignificant, this blood loss seems to be as high as approx. 600 ml based on laboratory findings. BCC seems to be a more accurate method of intraoperative blood loss estimation compared to measurement of blood volume collected intraoperatively in the suction device bottles. Polish Urological Association 2012-03-19 2012 /pmc/articles/PMC3921755/ /pubmed/24578914 http://dx.doi.org/10.5173/ceju.2012.01.art3 Text en Copyright by Polish Urological Association http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Urological Oncology
Poletajew, Sławomir
Antoniewicz, Artur A.
Blood loss during laparoscopic radical prostatectomy – is it significant or not?
title Blood loss during laparoscopic radical prostatectomy – is it significant or not?
title_full Blood loss during laparoscopic radical prostatectomy – is it significant or not?
title_fullStr Blood loss during laparoscopic radical prostatectomy – is it significant or not?
title_full_unstemmed Blood loss during laparoscopic radical prostatectomy – is it significant or not?
title_short Blood loss during laparoscopic radical prostatectomy – is it significant or not?
title_sort blood loss during laparoscopic radical prostatectomy – is it significant or not?
topic Urological Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921755/
https://www.ncbi.nlm.nih.gov/pubmed/24578914
http://dx.doi.org/10.5173/ceju.2012.01.art3
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