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良性前列腺增生超过150厘米:我们应该进行前列腺的内镜取核还是机器人辅助的简单前列腺切除术?

Ugo Pinar¹, Clément Sarrazin², Julien Anract³

¹Predictive Onco-Urology, AP-HP, Pitié-Salpêtrière Hospital, Department of Urology, 75013 Paris, France.

The French journal of urology

|March 15, 2025

概括

机器人辅助简单的前列腺切除术 (RASP) 和前列腺的holmium激光核切除术 (HoLEP) 对大前列腺有效. HoLEP提供更快的恢复,而RASP在复杂的病例中表现出色,指导治疗选择.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
手术瘤学手术瘤学

背景情况:

良性前列腺增生症 (BPH) 显著影响老年男性的生活质量.
管理巨大的前列腺体积 (>150mL) 提出了手术挑战.
像RASP和HoLEP这样的最小侵入性技术提供了传统开放式简单前列腺切除术 (OSP) 的替代方案.

研究的目的:

为了比较机器人辅助简单前列腺切除术 (RASP) 和非常大的前列腺 (>150mL) 的前列腺holmium激光取核 (HoLEP).
评估RASP与HoLEP的外科手术,功能和并发症结果.

主要方法:

进行了全面的文献审查.
分析了对大前列腺RASP和HoLEP进行比较的研究.
评估了有关手术疗效,并发症和康复的证据.

主要成果:

无论是RASP还是HoLEP,对于大前列腺,都显示出出色的结果.
霍勒普证明了更短的手术时间,住院时间,以及更少的血液损失.
对于复杂的解剖学,RASP提供了更高的精度,而功能结果是可比的.
过渡性失禁在HoLEP患者中更为频繁.

结论:

在治疗非常大的前列腺时,RASP和HoLEP是安全有效的.
HoLEP在外科手术后恢复和降低发病率方面具有优势.
对于需要精确剖析的复杂病例,RASP是有益的.
治疗选择取决于患者的因素和外科医生的专业知识.

关键词:

良性前列腺增生症良性前列腺增生症内镜外科手术是一种内镜外科手术.下部泌尿道的症状和症状机器人手术是一种机器人手术.

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