Prevention and Treatment of Vascular Injury in Laparoscopic Radical Prostatectomy Toshiro TERACHI 1 , Kazuhiro OKUMURA 1 , Akito TERAI 2 , Toshiyuki KAMOTO 2 , Eijiro NAKAMURA 2 , Hiroshi OKUNO 2 , Osamu OGAWA 2 1Department of Urology, Tenri Hospital 2Department of Urology, Faculty of Medicine, Kyoto University Keyword: 前立腺癌 , 腹腔鏡下前立腺全摘除術 , 血管処理 pp.545-549
Published Date 2001/12/15
DOI https://doi.org/10.11477/mf.4426900274
  • Abstract
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The prostate and seminal vesicle are located at the deepest area in the narrow small pelvic cavity. While there are no large vessels around them, the bleeding from the deep dorsal vein complex (DVC), neurovascular bundle (NVB) and vesicular arteries should be controlled carefully. Because the was deference and seminal vesicle are small organs and only a small space can be made around them during dissection in the very tight Douglas pouch, a bipolar forceps is the most useful tool for hemostasis. While the DVC is ligated for hemostasis by suture-ligation with an absorbable suture, the urethra is divided by scissors without hemostasis.

Copyright © 2001, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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