Đánh giá kết quả phẫu thuật cắt tuyến tiền liệt triệt căn đường sau xương mu điều trị ung thư tuyến tiền liệt tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To evaluate the results of retropubic radical prostatectomy in the treatment of prostate cancer. Subject and method: A descriptive prospective study was performed on patients with prostate cancer indicated for radical prostatectomy at 108 Military Central Hospital. Result: 30 consecutive prostate cancer patients were undergone retropubic radical prostatectomy from July 2018 to June 2023. The mean age was 67.5, and tumor stages T1-2-3 were 6.7%, 83.3% and 10%, respectively. The mean operation time was 167 minutes, the average blood loss was 508ml with 43.3% intraoperative transfusion, and rectal injury was found in 2 patients (6.7%). There was 1 patient required endoscopic surgery due to bladder neck stenosis; the rate of urinary continence was 95.6% at 3 months after surgery. Evaluation of surgical results: The rates of good - average and bad results were 80% - 16.7% and 3.3%, respectively. Conclusion: Retropubic radical prostatectomy was complicated surgery with the long operation time and the high rate of blood loss as well as intraoperative transfusion.