单极经尿道前列腺剜切术研究现状
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摘要
随着医疗技术的不断发展,经尿道前列腺剜除术可以从解剖层次上更为彻底地切除增生腺体,因而其具有既往经尿道前列腺术式所不具有的独特优势,如手术效果好、术后复发率低、患者满意度高等。目前该技术逐渐成熟,主要以经尿道激光前列腺剜除术(LEP)为主,但是受限于LEP术后较高的尿失禁发生率及激光设备高昂的价格,很多基层医院望而却步。正是在这种背景下,单极经尿道前列腺剜切术(mTUERP)渐渐走入临床医生的视野,mTUERP仅仅依靠原有TURP中所使用的设备即可开展,将有可能成为真正替代TURP的新术式,本文正是对该技术的发展和现状进行较为全面的介绍,进而推动该技术的临床应用。
Transurethral enucleation of the prostate allows more complete excision of the proliferative glands at the anatomical level, and has its unique advantages over the traditional surgical procedures, such as better results of surgery, lower recurrence rate, and higher satisfaction of the patients. At present, transurethral laser enucleation of the prostate has a limited application in many grass-root hospitals for the high price of laser and plasma equipment and a high incidence rate of postoperative urinary incontinence. In this context, monopolar transurethral enucleation and resection of the prostate(mTUERP) has come into the attention of clinicians, which can be performed with the equipment for transurethral resection of the prostate(TURP) and may become a real alternative of TURP. This paper presents an overview on the development and present status of mTUERP. Natl J Androl, 2019, 25(6): 566-571
Transurethral enucleation of the prostate allows more complete excision of the proliferative glands at the anatomical level, and has its unique advantages over the traditional surgical procedures, such as better results of surgery, lower recurrence rate, and higher satisfaction of the patients. At present, transurethral laser enucleation of the prostate has a limited application in many grass-root hospitals for the high price of laser and plasma equipment and a high incidence rate of postoperative urinary incontinence. In this context, monopolar transurethral enucleation and resection of the prostate(mTUERP) has come into the attention of clinicians, which can be performed with the equipment for transurethral resection of the prostate(TURP) and may become a real alternative of TURP. This paper presents an overview on the development and present status of mTUERP. Natl J Androl, 2019, 25(6): 566-571
引文
[1] Juliao AA,Plata M,Kazzazi A,et al.American Urological Association and European Association of Urology guidelines in the management of benign prostatic hypertrophy:Revisited.Curr Opin Urol,2012 ,22(1):34-39.
[2] Foster HE,Barry MJ,Dahm P,et al.Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia:AUA guideline.J Urol,2018,200(3):612-619.
[3] Hiraoka Y.Transurethral endoscopic enucleation of the prostate (EEP).World J Urol,2017,35(10):1629-1630.
[4] Agarwal DK,Krambeck AE.Holmium laser enucleation of the prostate is an effective treatment in patients with concomitant bladder diverticula and outlet obstruction.World J Urol,2018,36(1):87-90.
[5] Peng B,Huang J,Wang G,et al.Transurethral enucleation of prostate with button electrode plasmakinetic vaporization for the treatment of Benign Prostatic Hyperplasia.Sci Rep,2016,6:39583.
[6] Lee YJ,Oh SA,Kim SH,et al.Patient satisfaction after holmium laser enucleation of the prostate (HoLEP):A prospective cohort study.PLoS One,2017,12(8):e0182230.
[7] Rivera ME,Lingeman JE,Krambeck AE,et al.Holmium laser enucleation of the prostate.J Endourol,2018,32(S1):S7-S9.
[8] Shigemura K,Fujisawa M.Current status of holmium laser enucleation of the prostate.Int J Urol,2018,25(3):206-211.
[9] Hiraoka Y.A new method of prostatectomy,transurethral detachment and resection of benign prostatic hyperplasia.Nihon Ika Daigaku Zasshi,1983,50(6):896-898.
[10] Hiraoka Y,Lin T,Tsuboi N,et al.Transurethral enucleation of benign prostatic hyperplasia.Nihon Ika Daigaku Zasshi,1986,53(2):212-215.
[11] Hiraoka Y,Akimoto M.Transurethral enucleation of benign prostatic hyperplasia.J Urol,1989,142(5):1247-1250.
[12] Watanabe J,Hiraoka Y.Semi-radical transurethral resection of the prostate for small benign prostatic hyperplasia.Hinyokika Kiyo,1994,40(9):789-794.
[13] Shimizu Y,Hiraoka Y,Iwamoto K,et al.Measurement of residual adenoma after transurethral resection of the prostate by transurethral enucleation technique.Urol Int,2005,74(2):102-107.
[14] Hiraoka Y,Shimizu Y,Iwamoto K,et al.Trial of complete detachment of the whole prostate lobes in benign prostate hyperplasia by transurethral enucleation of the prostate.Urol Int,2007,79(1):50-54.
[15] Iwamoto K,Hiraoka Y,Shimizu Y.Transurethral detachment prostatectomy using a tissue morcellator for large benign prostatic hyperplasia.J Nippon Med Sch,2008,75(2):77-84.
[16] Tsarichenko DG,Simberdeev RR,Glybochko PV,et al.Monopolar transurethral enucleation of benign prostatic hyperplasia:Our initial experience.Urologiia,2016,(4):70-75.
[17] Pansadoro V,Emiliozzi P,Del Vecchio G,et al.Monopolar transurethral enucleation of prostatic adenoma:Preliminary report .Urology,2017,102:252-257.
[18] Enikeev D,Glybochko P,Okhunov Z,et al.Retrospective analysis of short-term outcomes after monopolar versus laser endoscopic enucleation of the prostate:A single center experience .J Endourol,2018,32(5):417-423.
[19] Ajib K,Zgheib J,Salibi N,et al.Monopolar transurethral enucleo-resection of the prostate versus holmium laser enucleation of the Prostate:A canadian novel experience.J Endourol,2018,32(6):509-515.
[20] 朱卫国,何秉勋,欧阳波.经尿道单极电切剜除法治疗前列腺增生.华西医学,2009,1(7),101-102.
[21] 顾昌世,唐萍,贾本忠,等.应用ACMI高频单极电切系统经尿道前列腺剜除术1 5例疗效观察.贵州医学,2009;33(6) :525-526.
[22] 黄圳,丁建业,熊萍,等.经尿道单极前列腺剜除术与经尿道等离子前列腺剜除术的疗效及安全性比较.中华腔镜泌尿外科杂志(电子版),2011,5(4) :282-285.
[23] 潘东亮,晋连超,杨冰,等.单极电切镜经尿道前列腺剜除术与经尿道前列腺切除术治疗前列腺增生症的临床对比研究.国际泌尿系统杂志,2013,33(5) :581-584.
[24] 肖尚文,徐刚,梅述怀,等.单极电切镜下经尿道前列腺剜除术安全性及有效性研究.现代中西医结合杂志,2013,22(27):3034-3035.
[25] 范晓松,章更生,虞伟星,等.单极电切镜行经尿道前列腺剜除术90例分析.浙江医学 2013,35(9) :803-804.
[26] 江涛,毛厚平,高锐,等.经尿道单极前列腺剜除术与经尿道等离子前列腺剜除术的疗效及安全性比较.福建医科大学学报,2015,49(6) :376-378,383.
[27] 王永忠,郭文彬,刘建平,等.经尿道单极前列腺剜除术术中内环境变化的探讨.中华腔镜泌尿外科杂志(电子版),2017,11(3):54-57.
[28] Hiraoka Y.Transurethral endoscopic enucleation of the prostate (EEP).World J Urol,2017,35(10):1629-1630.
[29] El Tayeb MM,Borofsky MS,Paonessa JE,et al.Wolf piranha versus lumenis VersaCut prostate morcellation devices:A prospective randomized trial.J Urol,2016,195(2):413-417.
[30] Fayad AS,Sheikh MG,Zakaria T,et al.Holmium laser enucleation versus bipolar resection of the prostate:A prospective randomized study.Which to choose?J Endourol,2011,25(8):1347-1352.
[31] Shah HN,Mahajan AP,Hegde SS,et al.Peri-operative complications of holmium laser enucleation of the prostate:experience in the first 280 patients,and a review of literature.BJU Int,2007,100(1):94-101.
[32] 李凌,彭泳涵,王则宇,等.“两点一线一面”的手术原则在钬激光前列腺剜除术中的应用研究.临床泌尿外科杂志,2017,32(4) :250-254.
[2] Foster HE,Barry MJ,Dahm P,et al.Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia:AUA guideline.J Urol,2018,200(3):612-619.
[3] Hiraoka Y.Transurethral endoscopic enucleation of the prostate (EEP).World J Urol,2017,35(10):1629-1630.
[4] Agarwal DK,Krambeck AE.Holmium laser enucleation of the prostate is an effective treatment in patients with concomitant bladder diverticula and outlet obstruction.World J Urol,2018,36(1):87-90.
[5] Peng B,Huang J,Wang G,et al.Transurethral enucleation of prostate with button electrode plasmakinetic vaporization for the treatment of Benign Prostatic Hyperplasia.Sci Rep,2016,6:39583.
[6] Lee YJ,Oh SA,Kim SH,et al.Patient satisfaction after holmium laser enucleation of the prostate (HoLEP):A prospective cohort study.PLoS One,2017,12(8):e0182230.
[7] Rivera ME,Lingeman JE,Krambeck AE,et al.Holmium laser enucleation of the prostate.J Endourol,2018,32(S1):S7-S9.
[8] Shigemura K,Fujisawa M.Current status of holmium laser enucleation of the prostate.Int J Urol,2018,25(3):206-211.
[9] Hiraoka Y.A new method of prostatectomy,transurethral detachment and resection of benign prostatic hyperplasia.Nihon Ika Daigaku Zasshi,1983,50(6):896-898.
[10] Hiraoka Y,Lin T,Tsuboi N,et al.Transurethral enucleation of benign prostatic hyperplasia.Nihon Ika Daigaku Zasshi,1986,53(2):212-215.
[11] Hiraoka Y,Akimoto M.Transurethral enucleation of benign prostatic hyperplasia.J Urol,1989,142(5):1247-1250.
[12] Watanabe J,Hiraoka Y.Semi-radical transurethral resection of the prostate for small benign prostatic hyperplasia.Hinyokika Kiyo,1994,40(9):789-794.
[13] Shimizu Y,Hiraoka Y,Iwamoto K,et al.Measurement of residual adenoma after transurethral resection of the prostate by transurethral enucleation technique.Urol Int,2005,74(2):102-107.
[14] Hiraoka Y,Shimizu Y,Iwamoto K,et al.Trial of complete detachment of the whole prostate lobes in benign prostate hyperplasia by transurethral enucleation of the prostate.Urol Int,2007,79(1):50-54.
[15] Iwamoto K,Hiraoka Y,Shimizu Y.Transurethral detachment prostatectomy using a tissue morcellator for large benign prostatic hyperplasia.J Nippon Med Sch,2008,75(2):77-84.
[16] Tsarichenko DG,Simberdeev RR,Glybochko PV,et al.Monopolar transurethral enucleation of benign prostatic hyperplasia:Our initial experience.Urologiia,2016,(4):70-75.
[17] Pansadoro V,Emiliozzi P,Del Vecchio G,et al.Monopolar transurethral enucleation of prostatic adenoma:Preliminary report .Urology,2017,102:252-257.
[18] Enikeev D,Glybochko P,Okhunov Z,et al.Retrospective analysis of short-term outcomes after monopolar versus laser endoscopic enucleation of the prostate:A single center experience .J Endourol,2018,32(5):417-423.
[19] Ajib K,Zgheib J,Salibi N,et al.Monopolar transurethral enucleo-resection of the prostate versus holmium laser enucleation of the Prostate:A canadian novel experience.J Endourol,2018,32(6):509-515.
[20] 朱卫国,何秉勋,欧阳波.经尿道单极电切剜除法治疗前列腺增生.华西医学,2009,1(7),101-102.
[21] 顾昌世,唐萍,贾本忠,等.应用ACMI高频单极电切系统经尿道前列腺剜除术1 5例疗效观察.贵州医学,2009;33(6) :525-526.
[22] 黄圳,丁建业,熊萍,等.经尿道单极前列腺剜除术与经尿道等离子前列腺剜除术的疗效及安全性比较.中华腔镜泌尿外科杂志(电子版),2011,5(4) :282-285.
[23] 潘东亮,晋连超,杨冰,等.单极电切镜经尿道前列腺剜除术与经尿道前列腺切除术治疗前列腺增生症的临床对比研究.国际泌尿系统杂志,2013,33(5) :581-584.
[24] 肖尚文,徐刚,梅述怀,等.单极电切镜下经尿道前列腺剜除术安全性及有效性研究.现代中西医结合杂志,2013,22(27):3034-3035.
[25] 范晓松,章更生,虞伟星,等.单极电切镜行经尿道前列腺剜除术90例分析.浙江医学 2013,35(9) :803-804.
[26] 江涛,毛厚平,高锐,等.经尿道单极前列腺剜除术与经尿道等离子前列腺剜除术的疗效及安全性比较.福建医科大学学报,2015,49(6) :376-378,383.
[27] 王永忠,郭文彬,刘建平,等.经尿道单极前列腺剜除术术中内环境变化的探讨.中华腔镜泌尿外科杂志(电子版),2017,11(3):54-57.
[28] Hiraoka Y.Transurethral endoscopic enucleation of the prostate (EEP).World J Urol,2017,35(10):1629-1630.
[29] El Tayeb MM,Borofsky MS,Paonessa JE,et al.Wolf piranha versus lumenis VersaCut prostate morcellation devices:A prospective randomized trial.J Urol,2016,195(2):413-417.
[30] Fayad AS,Sheikh MG,Zakaria T,et al.Holmium laser enucleation versus bipolar resection of the prostate:A prospective randomized study.Which to choose?J Endourol,2011,25(8):1347-1352.
[31] Shah HN,Mahajan AP,Hegde SS,et al.Peri-operative complications of holmium laser enucleation of the prostate:experience in the first 280 patients,and a review of literature.BJU Int,2007,100(1):94-101.
[32] 李凌,彭泳涵,王则宇,等.“两点一线一面”的手术原则在钬激光前列腺剜除术中的应用研究.临床泌尿外科杂志,2017,32(4) :250-254.