Safety and Efficacy of Using Tranexamic Acid at the Beginning of Robotic-Assisted Radical Prostatectomy in a Double-Blind Prospective Randomized Pilot Study
Language English Country Czech Republic Media print
Document type Journal Article, Randomized Controlled Trial
Grant support
00179906
Ministerstvo Zdravotnictví Ceské Republiky
PubMed
33355078
DOI
10.14712/18059694.2020.60
PII: am_2020063040176
Knihovny.cz E-resources
- Keywords
- prostate carcinoma, robotic-assisted radical prostatectomy, tranexamic acid,
- MeSH
- Adult MeSH
- Double-Blind Method MeSH
- Fibrinolytic Agents administration & dosage MeSH
- Blood Loss, Surgical prevention & control MeSH
- Tranexamic Acid administration & dosage MeSH
- Middle Aged MeSH
- Humans MeSH
- Pilot Projects MeSH
- Prospective Studies MeSH
- Prostatectomy methods MeSH
- Robotic Surgical Procedures methods MeSH
- Aged MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Randomized Controlled Trial MeSH
- Names of Substances
- Fibrinolytic Agents MeSH
- Tranexamic Acid MeSH
BACKGROUND: The prophylactic administration of tranexamic acid has been shown to be appropriate for procedures with a high risk of perioperative bleeding in cardiac surgery and orthopaedics. In urology the ambiguous results have been reported. Our goal was to evaluate the effect of tranexamic acid administration in robotic-assisted radical prostatectomy (RARP). A pilot, prospective, double-blind, randomized study was conducted to evaluate this effect. METHODS: The study included 100 patients who received RARP in the period from April 2017 to January 2018. The patients were randomly assigned to study and control groups of 50 patients each. RESULTS: The median follow-up was 6 months. Lower haemoglobin level drop weighted for gram of operated prostate was observed in the study group when treating the dorsal vein complex (DVC) at the beginning of the procedure (p = 0.004 after 3 hours and p < 0.001 after 24 hours). There was no evidence of any serious side effect of tranexamic acid. CONCLUSION: We demonstrated the safety of tranexamic acid at RARP. In addition, we showed that administration of tranexamic acid at the beginning of RARP significantly reduces the decrease in haemoglobin after the procedure when treating the DVC at the beginning of the procedure.
Department of Surgery Faculty of Medicine and University Hospital Hradec Králové Czech Republic
Department of Urology Faculty of Medicine and University Hospital Hradec Králové Czech Republic
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