Key result
Open prostatectomy was associated with a lower mortality rate of 0.7% compared to an overall mortality rate of 1.1% among patients undergoing prostatic surgery.
Why the study?
Does open prostatectomy improve outcomes compared to closed prostatectomy in patients undergoing prostatic surgery?
Cohort (n=3,377)
No
Does open prostatectomy improve outcomes compared to closed prostatectomy in patients undergoing prostatic surgery?
Open prostatectomy was associated with a lower mortality rate (0.7%) compared to the overall cohort (1.1%) in a large retrospective review.
Hypothesis-generating for open prostatectomy; leaves open comparative benefit versus closed approaches and should not yet change practice.
Selection of open techniques for prostatic surgery has increased in frequency since the end of World War II. In an effect to discern the results of these changes we reviewed the records of 3,377 patients having either open or closed prostatectomies performed in a large general hospital since 1946. We found an overall mortality rate of 1.1% with a lower rate of 0.7% for the open procedures. Postoperative hemorrhage, the most frequent complication of prostatectomy, was compared, as was the incidence of reoperations and combined surgical procedures. These data support the increased selection of open prostatectomy.
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McCormack et al. (1964) conducted a cohort in Prostatic surgery (n=3,377). Open prostatectomy vs. Closed prostatectomy was evaluated on Mortality rate. Open prostatectomy was associated with a lower mortality rate of 0.7% compared to an overall mortality rate of 1.1% among patients undergoing prostatic surgery.
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