• 作者：F. Ramó ; n de Fata Chilló ; n ; ^{frfata@hotmail.com} ; C. Nuñ ; ez Mora ; J.M. Garcí ; a Mediero ; P. Cabrera Castillo ; A. Garcí ; a Tello ; J. Angulo Cuesta
• 关键词：Hiperplasia prostá ; tica benigna ; Laparoscopia ; Adenomectomí ; a
• 刊名：Actas Urol贸gicas Espa帽olas
• 出版年：2010
• 期刊代码：pca37_02104806
• 类别：med
• 出版时间：October 2010
• 卷：34
• 期：9
• 页码：806-810
• 文件大小：404 K

Objective

We analyze the laparascopic adenomectomy preliminar results and describe the surgical technique, for benign prostatic hyperplasia (BPH), for glands greater than 60 cc.

Materials and methods

From January to April 2009 we have performed 10 laparoscopic adenomectomies. We performed a descriptive and retrospective study and early postoperative results were analyzed. Descriptive statistical analyses were performed using IPSS 17.0. The surgical technique is described step by step.

Results

Conversion to open surgery was not required, and none of the patients had serious peri-operative and post-operative complications. None of the ten patients required blood transfusions. Median operating time was 112,5 min (80鈥?35). Median hospital stay was 3,5 days (2鈥?) and median catheterization period was 7 days (3鈥?1). The median prostate enucleated weight was 62 gr. (40鈥?3). The median postoperative Qmax was 18,8 ml/seg and the median score of IPSS was 5.

Conclusions

Laparoscopic adenomectomy is a low rate morbidity technique and reproducible in centers with laparoscopic skills. Prospective and comparative studies with open surgery will be necessaries to choose the best technique for our patients.