腹腔镜前列腺切除术的经验

腹腔镜前列腺切除术的经验
Experience with laparoscopic prostatic adenomectomy

Abstract
Background
摘要
背景
Up to the present, transurethral resection of the prostate has been recognized as the standard surgical treatment for prostatic growth. The first report of a laparoscopic procedure for the management of prostatic growth was in 2002, when Dr. Mariano Mirandolino published an anecdotal case of laparoscopic prostatic adenomectomy (LPA) in Brazil. Since then 19 studies have been published reporting on the experience with this laparoscopic technique. The procedure was begun at our hospital in mid-2010.
目前，经尿道前列腺电切术已被公认为前列腺增生的标准手术治疗方法。对前列腺增长管理的腹腔镜手术第一次报告是在2002年，当Mariano Mirandolino博士发表的腹腔镜前列腺腺瘤的轶事病例（LPA）在巴西。从那时起，19项研究已发表的报告，这种腹腔镜技术的经验。程序开始于我院2010年。

Aim
目的
The aim of the present study was to describe the experience with LPA at our hospital, along with the characteristics of the patients that underwent the procedure.
本研究的目的是用LPA在我们医院经验描述，随着接受该手术，患者的特点。

Material and methods
材料与方法
Patients that underwent LPA within the time frame of 2010 to December 2014 were included in the study. Preoperative characteristics, intraoperative findings, and postoperative results were documented.
病人接受LPA的时间框架内2010年至2014年12月被列入研究。术前特点,术中发现、术后结果记录。

Results
结果
A total of 58 patients were included. The median age was 66 years (range: 46 to 85 years). Twelve patients presented with chronic degenerative diseases. Mean surgery duration was 148.6 min with a range of 90 to 240 min, and mean blood loss was 228.56 ml, with a median of 400 ml. The mean weight of the extracted adenomas was 118 ± 34 g. The postoperative means were: hospital stay, 2.7 days, time with a transurethral Foley catheter, 7.79 days, and time with a Penrose drain in the space of Retzius, 6.4 days. Follow-up was carried out in outpatient consultation for a mean 4.2 months, and IPSS questionnaires were applied one month after surgery, showing a mean improvement of 15 points (P < .001). In relation to postoperative complications (9%), acute urinary retention due to bladder clots presented the day after the procedure.
总共有58例患者被纳入。平均年龄为66岁（范围：46至85岁）。十二例慢性退行性疾病。平均手术时间为148.6分钟的范围90～240 min，平均出血量228.56 ml，平均400 ml，用提取的腺瘤的平均体重为118±34 g.术手段：住院2.7天，时间与电Foley catheter，7.79天，和时间在Retzius空间彭罗斯漏，6.4天。随访门诊咨询平均为4.2个月，术后IPSS问卷，应用一个月，显示了平均提高15分（P<0.001）。在术后并发症（9%），急性尿潴留，由于膀胱血栓形成的一天后的程序。

Conclusions
结论
LPA is an alternative procedure to transurethral resection of the prostate that shows good functional results and a low complication rate.
PA的替代程序经尿道前列腺显示良好的功能结果和并发症率低。

Keywords
Laparoscopic prostatic adenomectomy; Benign prostatic hyperplasia; Prostate surgery
关键词
腹腔镜前列腺腺瘤；良性前列腺增生；前列腺手术

原文：
Experiencia de adenomectomía prostática laparoscópica.pdf (1.34 MB, 下载次数: 0, 售价: 99 香叶)

2016-10-3 10:21 上传

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腹腔镜前列腺切除术的经验