摘要
钬激光前列腺剜除术(holmium laser enucleation of the prostate,HoLEP)是引进国外的一种高新技术,手术操作难度大,HoLEP可达到与开放手术完全相同的解剖学目标,与经尿道前列腺电切术(transurethral resection ofthe prostate,TURP)金标准相比,特别对前列腺尖部的处理远胜一筹,可沿外括约肌与前列腺包膜分成3块或整块完整剥离前列腺,且更微创、安全、手术时间短、出血少、术后恢复快,目前作者已成功完成>3000例手术,无1例严重并发症。HoLEP病例选择:凡能接受麻醉、能接受HoLEP操作,均可行HoLEP。本文详细介绍了钬激光前列腺剜除方法与技巧,手术操作要点。作者对前列腺剜除术操作结合前列腺腔内外解剖特点作了全面剖析与点评,对行钬激光前列腺剜除术对术者的要求、手术完成标准以及损伤与防治等问题进行了详细的介绍。
Holmium laser enucleation of the prostate （HoLEP）,as a new hi-tech introduced from abroad,may bring about exactly the same results as open surgery,and is even superior to transurethral resection of the prostate （TURP）,especially in handling the front prostate,with its advantages of minimal invasiveness,better safety,shorter operation time,less blood loss,and quicker recovery,which can be achieved through peeling off the prostate alongside the external sphincter and getting it removed in three parts or as a whole. So far,the author has accomplished more than 3 000 surgeries using this technique,without any serious complications. Any patient that can accept anesthesia and endoscopic surgery can be treated by HoLEP. This article presents an overview of the methods,skills and key points of HoLEP,gives a comprehensive analysis of HoLEP based on the anatomic features of the internal and external prostate,and offers a detailed introduction of the requirements of the operator,criteria for the accomplishment of the operation,and prevention and management of surgical damages.
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2010年第8期675-678,共4页
National Journal of Andrology
关键词
钬激光
前列腺剜除术
组织粉碎
holmium laser
enucleation of the prostate
tissue lithotripter
