Dorsal vein complex control after apical dissection results in low apical positive surgical margins, but other surgical maneuvers are required to optimize early continence recovery.

摘要

The authors of a study in this month's Platinum Journal [ 1 ] are to be congratulated for their careful demonstration of how the dorsal venous complex (DVC) can be controlled after apical dissection with selective suture ligation (the study group). They compare this technique to the "standard" of DVC suture ligation followed by athermal division. The authors report that the study technique, which avoids controlling the DVC until the apical dissection has been performed, results in fewer instrument changes and thus a shorter operating time; however, this positive result was countered by increased estimated blood loss (EBL) in the study group. We would suggest that neither the 15 min saved nor the 8.7 ml difference in EBL is of clinical importance.