[Multivariate analysis on radical retropubic prostatectomy associated blood loss: importance of prostate size, pelvic lymph-node dissection and percentage of carcinoma].
BACKGROUND
Radical retropubic prostatectomy (RRP) has been associated with blood loss requiring blood transfusion.


OBJECTIVE
To define risk factors for blood transfusion.


METHODS
The charts of 303 patients who underwent RRP between the years 1992 and 2002 were prospectively reviewed. Blood loss, blood requirements and correlative clinical data were recorded and a multivariate analysis model was applied.


RESULTS
Data was available in 293 cases (97%). A total of 122 patients were transfused (42%) with a median of 2 units of packed cells. Median estimated blood loss was 766 ml (range 150-2800). Blood loss declined progressively during the study period (1220 ml in 1992 to 826 ml in 2002). Multivariate analysis reveals that estimated blood loss and transfusion rate are related to performance of pelvic lymph node dissection, prostate size and percentage of cancer in the prostatectomy specimen.


CONCLUSIONS
Our series indicates that blood preparation may be spared in patients who are not candidates for pelvic lymph node dissection with prostate smaller than 57 gr. and with less than 77% in the biopsy specimen (equivalent to < 66% of cancer in the prostatectomy specimen).
Stav
Kobi
K
Department of Urology, Assaf Harofeh Medical Center, Zerifin affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel.
Rahimi-Levene
Naomi
N
Shilo
Yaniv
Y
Korenberg
Avraham
A
Lindner
Arie
A
Zisman
Amnon
A
D016063:Blood Loss, Surgical; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D011467:Prostate / Q000033:anatomy & histology / Q000473:pathology; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome