Radical Retropubic Prostatectomy: Limited Benefit of Autologous Blood Donation
1995; Lippincott Williams & Wilkins; Volume: 154; Issue: 6 Linguagem: Inglês
10.1016/s0022-5347(01)66706-5
ISSN1527-3792
AutoresJeremy Goad, James A. Eastham, Kevin B. Fitzgerald, Michael W. Kattan, Michael Patrick Collini, David H. Yawn, Peter T. Scardino,
Tópico(s)Cardiac Arrest and Resuscitation
ResumoNo AccessJournal of UrologyClinical Urology: Original Article1 Dec 1995Radical Retropubic Prostatectomy: Limited Benefit of Autologous Blood Donation Jeremy R. Goad, James A. Eastham, Kevin B. Fitzgerald, Michael W. Kattan, Michael Patrick Collini, David H. Yawn, and Peter T. Scardino Jeremy R. GoadJeremy R. Goad , James A. EasthamJames A. Eastham , Kevin B. FitzgeraldKevin B. Fitzgerald , Michael W. KattanMichael W. Kattan , Michael Patrick ColliniMichael Patrick Collini , David H. YawnDavid H. Yawn , and Peter T. ScardinoPeter T. Scardino View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66706-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determine whether autologous blood donation significantly decreases the need for homologous transfusions after radical prostatectomy. Materials and Methods: The effects of estimated blood loss and autologous donation on the rate of homologous transfusions were analyzed in 3 groups of 100 consecutive patients treated between 1983 and 1992. Results: Overall, donors were less likely than nondonors to receive homologous blood. As median estimated blood loss decreased from 1,200 to 800 cc from groups 1 to 3 (p less than 0.05), the incidence of nondonors requiring homologous blood decreased from 62 to 11 percent and that of autologous units transfused decreased from 96 to 19 percent. Conclusions: With decreasing blood loss, safe but stringent criteria for transfusion and improved safety of the blood supply, autologous donation is an inefficient method to lower the slight risk of complications following homologous transfusion during radical prostatectomy. References 1 : Impact of anatomical radical prostatectomy on urinary continence.. J. Urol.1991; 145: 512. Abstract, Google Scholar 2 : Sexual function following radical prostatectomy: influence of preservation of neurovascular bundles.. J. Urol.1991; 145: 998. Abstract, Google Scholar 3 : Effect of temporary occlusion of hypogastric arteries on blood loss during radical retropubic prostatectomy.. J. Urol.1991; 146: 362. Abstract, Google Scholar 4 : Technical consideration in radical retropubic prostatectomy: blood loss after ligation of dorsal venous complex.. J. Urol.1990; 143: 1163. Abstract, Google Scholar 5 : Control of the deep dorsal venous complex in radical retropubic prostatectomy.. J. Urol.1993; 149: 799. Abstract, Google Scholar 6 : Radical retropubic prostatectomy with reduced morbidity: an anatomic approach.. NCI Monogr.1988; 7: 133. Google Scholar 7 : Radical prostatectomy: the pros and cons of the perineal versus retropubic approach. J. Urol., part 21992; 147: 888. Abstract, Google Scholar 8 : Perioperative blood transfusions and prostate cancer recurrence and survival.. Amer. J. Surg.1988; 156: 374. Google Scholar 9 : The use of autologous blood. J.A.M.A.1990; 263: 414. Google Scholar 10 : Prostate cancer recurrence in radical surgery patients receiving autologous or homologous blood.. Transfusion1991; 32: 31. Google Scholar 11 : Impact of autologous blood transfusions on patients undergoing radical prostatectomy using hypotensive anesthesia. J. Urol.1993; 149: 73. Link, Google Scholar 12 : Radical retropubic prostatectomy: morbidity and quality of life. Experience with 620 consecutive cases. J. Urol., part 21992; 147: 883. Abstract, Google Scholar 13 : Modifications in the technique of radical retropubic prostatectomy to minimize blood loss.. Urol. Clin. N. Amer.1994; 20: 65. Google Scholar 14 : Prudent strategies for elective red blood cell transfusion.. Ann. Intern. Med.1992; 116: 393. Google Scholar 15 : Autologous blood donation in nonorthopaedic surgical procedures as a blood conservation strategy.. Vox Sang.1992; 63: 96. Google Scholar 16 : American Association of Blood Banks: Standards for Blood Banks and Transfusion Services. Arlington: Virginia1989. Google Scholar 17 : Perioperative red blood cell transfusion. J.A.M.A.1988; 260: 2700. Google Scholar 18 : Strategies for the review of transfusion practices.. J.A.M.A.1989; 262: 1993. Google Scholar 19 : American College of Physicians. Ann. Intern. Med.1992; 116: 403. Google Scholar 20 : Autologous blood donations prior to elective cardiac surgery. Safety and effect on subsequent blood use.. J.A.M.A.1989; 262: 1963. Google Scholar 21 : Blood loss and replacement in total hip arthroplasty: a multicenter study.. The Preoperative Autologous Blood Donation Study Group. Transfusion1992; 32: 63. Google Scholar 22 : The risk of transfusion-transmitted infection.. New Engl. J. Med.1992; 327: 419. Google Scholar 23 : The declining risk of post-transfusion hepatitis C virus infection. New Engl. J. Med.1992; 327: 369. Google Scholar Department of Urology, Department of Pathology and Information Technology Program, Baylor College of Medicine, and Urology and Blood Bank Services of The Methodist Hospital, Houston, Texas.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCHANG S, DUONG D, WELLS N, COLE E, SMITH J and COOKSON M (2018) Predicting Blood Loss and Transfusion Requirements During Radical Prostatectomy: The Significant Negative Impact of Increasing Body Mass IndexJournal of Urology, VOL. 171, NO. 5, (1861-1865), Online publication date: 1-May-2004.GOLDSCHLAG B, AFZAL N, CARTER H and FLEISHER L (2018) IS PREOPERATIVE DONATION OF AUTOLOGOUS BLOOD RATIONAL FOR RADICAL RETROPUBIC PROSTATECTOMY?Journal of Urology, VOL. 164, NO. 6, (1968-1972), Online publication date: 1-Dec-2000.WILLIAMS G, LEE A, ADLER H, COBURN A, ROSAS A, TANG R and SCARDINO P (2018) BILATERAL ANTERIOR ISCHEMIC OPTIC NEUROPATHY AND BRANCH RETINAL ARTERY OCCLUSION AFTER RADICAL PROSTATECTOMYJournal of Urology, VOL. 162, NO. 4, (1384-1385), Online publication date: 1-Oct-1999.Dillioglugil O, Leibman B, Leibman N, Kattan M, Rosas A and Scardino P (2018) Risk Factors for Complications and Morbidity After Radical Retropubic ProstatectomyJournal of Urology, VOL. 157, NO. 5, (1760-1767), Online publication date: 1-May-1997.Eastham J, Kattan M, Rogers E, Goad J, Ohori M, Boone T and Scardino P (2018) Risk Factors for Urinary Incontinence after Radical ProstatectomyJournal of Urology, VOL. 156, NO. 5, (1707-1713), Online publication date: 1-Nov-1996. Volume 154Issue 6December 1995Page: 2103-2109 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.Metrics Author Information Jeremy R. Goad More articles by this author James A. Eastham More articles by this author Kevin B. Fitzgerald More articles by this author Michael W. Kattan More articles by this author Michael Patrick Collini More articles by this author David H. Yawn More articles by this author Peter T. Scardino More articles by this author Expand All Advertisement PDF downloadLoading ...
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