Application of pelvic double-slice retractor in the division of bladder and prostate pedicles in male patients with complicated pelvic anatomy

VernacularTitle:盆腔双叶拉钩在男性复杂盆腔膀胱和前列腺血管蒂处理中的应用
Author: Zhihong ZHANG ; Ranlu LIU ; Baomin QIAO ; Kuo YANG ; Baojie MA ; Yong XU
Publication Type:Journal Article
Keywords: Pelvic double-slice retractor; Vascular pedicle; Exposure; Cystectomy; Prostatectomy
From: Chinese Journal of Urology 2012;33(7):512-514
CountryChina
Language:Chinese
Abstract: Objective To evaluate effectiveness of the applying pelvic double-slice retractor in the division of bladder and prostate pedicles in male patients with previous surgery history during radical cystectomy (RC) and anterograde radical prostatectomy (ARP). Methods The pelvic double-slice retractor was used to expose the bladder and prostate pedicles in 43 RC (30 cases with BMI ＞ 28 kg/m2,16 cases had previous partial cystectomy) and 37 ARP ( all cases with BMI ＞ 28 kg/m2 ). Results The pelvic double-slice retractor provided excellent exposure for the division of bladder and prostate pedicles.The handling of bladder and prostate pedicles became easy and safe without unnecessary bleeding and injury to the rectum.The median operating time to control the pedicles during RC and ARP were 12 min and 7 min,and the average blood loss were 30 ml and 20 ml,respectively. Conclusion The use of pelvic double-slice retractor for the exposure of the bladder and prostate pedicles is simple and effective in male patients with complicated pelvic anatomy during RC and ARP.