Application of morcellator in 1.94 μm thulium laser enucleation of benign prostatic hyperplasia with volume >80 ml
10.3969/j.issn.1007-1989.2017.11.009
- VernacularTitle:组织粉碎器在1.94μm铥激光剜除术治疗体积大于80 ml前列腺增生的应用研究
- Author:
Yang DENG-KE
1
;
Hu WEI
;
Jiao XIANG
;
Guo DA-YONG
;
Yan JUN-LING
;
Wang JUN
;
Wang WEN-HAO
;
Zhang SHAO-HUI
;
Li XIN-WEI
Author Information
1. 解放军第 159 中心医院 泌尿外科
- Keywords:
1.94 μm thulium laser;
benign prostatic hyperplasia;
surgery;
enucleatiom;
morcellator
- From:
China Journal of Endoscopy
2017;23(11):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of 1.94 μm thulium laser enucleation of benign prostatic hyperplasia (BPH) with volume >80 ml by morcellator. Methods From September 2014 to June 2016, there were 95 BPH patients with prostate volume over 80 ml treated by thulium laser were divided into two groups according to the surgical procedure: 45 cases in group A, prostate tissue were washed out of bladder after vapoenucleation by 1.94 μm thulium laser; 50 cases in group B, the enucleated prostate tissue were extracted by morcellator. The operation time, the decreasing level of hemoglobin on the first day after surgery, the hospitalization time, the gland tissue weight, catheterization duration, short-term incidence of complications, and the IPSS, PVP, Qmax, QOL in 3 months after surgeon of the two groups were observed and recorded. Results There was significant difference in operation time and gland tissue weight between the two groups. The group B have significantly short operation time compared with group A (P < 0.05), and obtained gland tissue remarkably exceed the group A (P < 0.05). No significant difference was found in hemoglobin level, hospitalization time, catheterization duration, and short-term complication between the two groups (P > 0.05). The IPSS, PVR, Qmax and QOL of 3 month, after operation were significantly improved but without any significant difference between the two groups (P < 0.05). Conclusion Vaporization cutting tissue or morcellating tissue after 1.94 μm thulium laser enucleation has high safety, good curative effect and low complication, while extraction prostate tissue by morcellator can shorten the operation time and get more tissues.
