학술논문

Haemodynamic Changes Detected during Open Prostatectomy and Transurethral Resection for Benign Prostatic Hyperplasia.
Document Type
Article
Source
Scandinavian Journal of Urology & Nephrology. Sep99, Vol. 33 Issue 3, p176. 5p.
Subject
*BENIGN prostatic hyperplasia
*TRANSURETHRAL prostatectomy
*PROSTATE
*MYOCARDIAL infarction
*URETHRA
*UROLOGY
Language
ISSN
0036-5599
Abstract
To detect possible intraoperative haemodynamic differences, 60 patients undergoing transurethral (n = 18) or open prostatectomy (n = 42) for benign prostatic hyperplasia were evaluated. The same type of general anaesthesia was used in the two groups. Data, including temperature and cardiac output, were collected at five standard times during the procedures. No significant differences were found between the two groups. However, in all patients, irrespective of the operation, significant decreases in cardiac output and increases in systemic resistance occurred during surgery. Body temperature showed a mild, insignificant decrease, which may play a role in determining the mild haemodynamic derangement observed in all patients. Our patients subjected to open prostatectomy and transurethral resection presented the same kind of haemodynamic derangement, with no significant differences. Therefore it seems unlikely that the kind of surgery could play a relevant role in the late mortality rate of these patients. [ABSTRACT FROM AUTHOR]