Аннотация:
INTRODUCTION: Some authors consider HoLEP a new gold standard for the surgical management of prostatic hyperplasia. The increasing utilization of holmium enucleation has led to the development of various modifications of this treatment modality, including the so-called enucleation as a single piece (HoLEP en bloc), which reduces the operative time and, according to some authors, facilitates acquiring new surgical technique by surgical trainees. AIM: To compare the effectiveness and safety of the traditional HoLEP and HoLEP en bloc. MATERIALS AND METHODS: The study comprised 227 BPH patients aged from 53 to 86 years old (mean - 61.38+/-5.09 years). HoLEP en bloc was performed in 114 patients, of whom 39 patients had prostate volume (Vpr) less than 80 cm3, and in 75 patients it was more than 80 cm3. The standard HoLEP was performed in 113 patients, of whom 41 patients had Vpr less than 80 cm3, and in 72 patients it was more than 80 cm3. RESULTS: Enucleation time: HoLEP - 48+/-12 min, HoL
Ключевые слова:
en bloc; HoLEP; LUTS; prostatic hyperplasia; transurethral resection of prostatic hyperplasia
holmium; aged; comparative study; devices; human; low level laser therapy; male; middle aged; organ size; pathology; procedures; prostate; prostate hypertrophy; solid state laser; transurethral resection; treatment outcome; very elderly; Aged; Aged, 80 and over; Holmium; Humans; Laser Therapy; Lasers, Solid-State; Male; Middle Aged; Organ Size; Prostate; Prostatic Hyperplasia; Transurethral Resection of Prostate; Treatment Outcome
Рапопорт Л. М. Леонид Моисеевич 1956-
Сорокин Н. И. Николай Иванович 1979-
Суханов Р. Б. Роман Борисович 1976-
Дымов А. М. Алим Мухамедович 1982-
Еникеев Д. В. Дмитрий Викторович 1982-
Давыдов Д. С. Денис Сергеевич 1988-
Данилов С. П.
Rapoport L. M. Leonid Moiseevich 1956-
Sorokin N. I. Nikolay Ivanovich 1979-
Sukhanov R. B. Roman Borisovich 1976-
Dy'mov A. M. Alim Mukhamedovich 1982-
Enikeev D. V. Dmitrij Viktorovich 1982-
Davy'dov D. S. Denis Sergeevich 1988-
Danilov S. P.
En bloc holmium laser enucleation of the prostate (HOLEP EN BLOC): our experience
Текст визуальный непосредственный
Урология
Бионика Медиа
Вып. 3 С. 83-87
2018
Статья
en bloc HoLEP LUTS prostatic hyperplasia transurethral resection of prostatic hyperplasia
holmium aged comparative study devices human low level laser therapy male middle aged organ size pathology procedures prostate prostate hypertrophy solid state laser transurethral resection treatment outcome very elderly Aged Aged, 80 and over Holmium Humans Laser Therapy Lasers, Solid-State Male Middle Aged Organ Size Prostate Prostatic Hyperplasia Transurethral Resection of Prostate Treatment Outcome
INTRODUCTION: Some authors consider HoLEP a new gold standard for the surgical management of prostatic hyperplasia. The increasing utilization of holmium enucleation has led to the development of various modifications of this treatment modality, including the so-called enucleation as a single piece (HoLEP en bloc), which reduces the operative time and, according to some authors, facilitates acquiring new surgical technique by surgical trainees. AIM: To compare the effectiveness and safety of the traditional HoLEP and HoLEP en bloc. MATERIALS AND METHODS: The study comprised 227 BPH patients aged from 53 to 86 years old (mean - 61.38+/-5.09 years). HoLEP en bloc was performed in 114 patients, of whom 39 patients had prostate volume (Vpr) less than 80 cm3, and in 75 patients it was more than 80 cm3. The standard HoLEP was performed in 113 patients, of whom 41 patients had Vpr less than 80 cm3, and in 72 patients it was more than 80 cm3. RESULTS: Enucleation time: HoLEP - 48+/-12 min, HoL