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| 钬激光剜除术与腹腔镜单纯切除大腺瘤 Holmium laser enucleation versus laparoscopic simple prostatectomy for large adenomas Abstract OBJECTIVE: The aim of this study is to compare Holmium laser enucleation of the prostate with another minimally invasive technique, the laparoscopic simple prostatectomy. 摘要 目的： 本研究的目的是比较钬激光剜除术与其他微创技术的前列腺癌，腹腔镜单纯前列腺切除术。 MATERIALS AND METHODS: We compared outcomes of a series of 40 patients who underwent laparoscopic simple prostatectomy (n=20) with laser enucleation of the prostate (n=20) for large adenomas (>100 grams) at our institution. Study variables included operative time and catheterization time, hospital stay, pre- and post-operative International Prostate Symptom Score and maximum urinary flow rate, complications and economic evaluation. Statistical analyses were performed using the Student t test and Fisher test. 材料与方法： 我们比较了一系列的40例患者行腹腔镜单纯前列腺切除术的结果（n = 20）与激光前列腺剜除术（n = 20）为大腺瘤（＞100克）在我们的机构。研究变量包括手术时间和留置时间，住院时间，术前和术后的国际前列腺症状评分和最大尿流率，并发症和经济评价。使用学生t检验和t检验进行统计分析。 RESULTS: There were no significant differences in patient age, preoperative prostatic size, operating time or specimen weight between the 2 groups. Duration of catheterization (P=.0008) and hospital stay (P<.0001) were significantly less in the laser group. Both groups showed a statistically significant improvement in functional variables at 3 months post operatively. The cost utility analysis for Holmium per case was 2589 euros versus 4706 per laparoscopic case. In the laser arm, 4 patients (20%) experienced complications according to the modified Clavien classification system versus 5 (25%) in the laparoscopic group (P>.99). 结果: 2组患者的年龄、术前前列腺大小、手术时间或标本重量差异无统计学意义。激光组住院时间（P = 0008）和住院时间（P＜0001）明显少于对照组。这两组表现出显着的改善，在3个月后手术后的功能变量。钬每例的成本效用分析为2589欧元，每腹腔镜的情况下，4706欧元。在激光的手臂，4例（20%）出现并发症根据改良的Clavien分级系统与5（25%）在腹腔镜组（P<0.99）。 CONCLUSION: Holmium enucleation of the prostate has similar short term functional results and complication rates compared to laparoscopic simple prostatectomy performed in large glands with the advantage of less catheterization time, lower economic costs and a reduced hospital stay. 结论： 前列腺剜除术钬有类似的短期功能结果和并发症发生率比较，腹腔镜单纯切除术与减少置管时间的优势大的腺体，降低经济成本，减少住院天数。 KEYWORDS: Adenomectomía laparoscópica; Benign prostatic hyperplasia; Grandes adenomas; Hiperplasia prostática benigna; HoLEP; Laparoscopic simple prostatectomy; Large adenomas; Minimally invasive techniques; Técnicas mínimamente invasivas 关键词： 腹腔镜腺瘤切除;良性前列腺增生症;大腺瘤;良性前列腺增生症;除术;简单的腹腔镜前列腺切除术;大腺瘤;微创技术;微创技术 英文全文：http://www.dxye.com/thread-24328-1-1.html |
