Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Efficacy of the LigaSure system vs UltraCision harmonic scalpel in laparoscopic appendectomy for the management of acute appendicitis.","authors":"Mohamed Farid, Mohamed A Elhorbity, Ashraf A Elsayed, Mostafa M Khairy, Mohamed Riad, Alaaedin Ramadan, Azza Baz, Nadia A Isaway","doi":"10.20452/wiitm.2026.18025","DOIUrl":"10.20452/wiitm.2026.18025","url":null,"abstract":"<p><strong>Introduction: </strong>Acute appendicitis is the most common abdominal surgical emergency worldwide, with peak incidence between the second and third decades of life. Appendectomy, performed for over a century, remains the standard treatment.</p><p><strong>Aim: </strong>We aimed to compare the safety and efficacy of laparoscopic appendectomy using the LigaSure system vs UltraCision harmonic scalpel (HS).</p><p><strong>Materials and methods: </strong>This prospective comparative observational study was conducted from January 2023 to January 2025, and included 600 patients diagnosed with suspected acute appendicitis at 2 research centers. The patients were randomized into 2 equal groups: Group A (n = 300) underwent laparoscopic appendectomy using the UltraCision HS, and Group B (n = 300) underwent the procedure using the LigaSure system.</p><p><strong>Results: </strong>All 600 procedures were completed laparoscopically without conversion to open surgery. Mean (SD) operative time was 27.4 (6.7) minutes (range, 24-49 min) for Group A and 28.1 (7.4) minutes (range, 25-51 min) for Group B. Mean hospital stay was 1.14 (0.53) days for Group A and 1.16 (0.47) days for Group B. No major complications occurred. Two cases of minor postoperative complication (fever) were recorded (1 in each group), both of which resolved completely within 1 week.</p><p><strong>Conclusions: </strong>Both the LigaSure system and UltraCision HS are safe and effective for laparoscopic appendectomy in acute appendicitis, resulting in short operative times, minimal postoperative pain, low complication rates, and brief hospital stays.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 2","pages":"161-165"},"PeriodicalIF":1.7,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of mentorship on the learning curve of unilateral biportal endoscopic unilateral laminotomy for bilateral decompression in lumbar spinal stenosis: a cumulative sum analysis across 2 generations of surgeons.","authors":"Shijie Liu, Siyuan Yao, Yao Zhang, Wancheng Lin, Meng Yi, Jipeng Song, Lixiang Ding","doi":"10.20452/wiitm.2026.18026","DOIUrl":"10.20452/wiitm.2026.18026","url":null,"abstract":"<p><strong>Introduction: </strong>Unilateral biportal endoscopic unilateral laminotomy for bilateral decompression (UBE-ULBD) is a minimally-invasive yet technically demanding procedure for lumbar spinal stenosis.</p><p><strong>Aim: </strong>This study aimed to compare the learning curves of 2 generations of surgeons performing UBE-ULBD under a structured mentorship model.</p><p><strong>Materials and methods: </strong>We retrospectively analyzed 200 consecutive surgeries performed between January 2020 and June 2024. The first-generation surgeon (FGS) performed all procedures independently. The second-generation surgeon (SGS) assisted in 30 surgeries and then received on-site supervision for the first 15 independent cases. Data on operative time, blood loss, complications, and clinical outcomes, including the Visual Analog Scale and Oswestry Disability Index, were collected. Operative time-based cumulative sum analysis was used to evaluate the learning curves.</p><p><strong>Results: </strong>The FGS achieved proficiency after 37 and the SGS after 29 procedures. The SGS had significantly shorter mean (SD) operative time of 127.6 (13.2) vs 137.1 (19.3) minutes and lower blood mean (SD) loss of 49 (13.6) vs 57.7 (20.6) milliliters, as compared with his first-generation counterpart. Complications and clinical outcomes were comparable. After achieving proficiency, both surgeons showed improved efficiency without differences in safety or outcomes.</p><p><strong>Conclusions: </strong>Under the guidance of the FGS, the SGS achieved proficiency in UBE-ULBD more rapidly, as reflected in the shorter operative time. Moreover, once proficiency was reached, no notable differences were observed between the 2 surgeons in terms of postoperative complications or clinical outcomes.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 2","pages":"197-205"},"PeriodicalIF":1.7,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of a checklist -based management model on postoperative complication rates and hospitalization time after metabolic and bariatric surgery.","authors":"Jianing Xie, Xu Zhu, Yaqian Zhang, Xiaowei Zhang","doi":"10.20452/wiitm.2026.18023","DOIUrl":"10.20452/wiitm.2026.18023","url":null,"abstract":"<p><strong>Introduction: </strong>Metabolic and bariatric surgery (MBS) is associated with various postoperative complications and extended hospital stays. Standardized management protocols may enhance patient outcomes.</p><p><strong>Aim: </strong>This study aimed to evaluate the impact of a checklist-based management protocol on postoperative recovery, length of hospital stay (LOS), and complication rates in patients undergoing laparoscopic MBS.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 209 patients who underwent laparoscopic MBS between December 2021 and December 2022. The patients were divided into 2 groups based on the perioperative management protocol used. The observational group (n = 112) received checklist-based management, while the control group (n = 97) received standard care. Primary outcomes included LOS, time to first flatus, and time to first mobilization. Secondary outcomes comprised postoperative complications classified according to the Clavien-Dindo scale, postoperative nausea and vomiting (PONV), and analgesic consumption. Health literacy and self-efficacy were assessed using the Newest Vital Sign (NVS) questionnaire and the Self-Rated Abilities for Health Practices (SRAHP) scale.</p><p><strong>Results: </strong>The observational group demonstrated shorter median (interquartile range) LOS (4 [4-5] vs 6 [5-7] d; <i>P</i> <⁠0.001), earlier mean (SD) first flatus (36.76 [10.23] vs 48.32 [12.62] h), and shorter mean time to first mobilization (12.58 [4.68] vs 18.5 [6.29] h), as compared with the control group. The total complication rate was lower in the observational group (4.46% vs 16.49%; <i>P</i> = 0.004), and this cohort also showed lower incidence of PONV and reduced analgesic consumption in comparison with the controls. There were no intergroup differences in the NVS or SRAHP scores before application of the checklist-based management, but postmanagement, the observational group scored higher.</p><p><strong>Conclusions: </strong>Checklist-based perioperative management was associated with improved postoperative recovery, reduced complications, as well as enhanced health literacy and self-efficacy in the patients undergoing MBS.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 2","pages":"166-173"},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopy‑assisted breast‑conserving treatment: the first Polish review of 30 patients.","authors":"Paweł Piotrowiak, Maria Skonieczna, Piotr Pluta","doi":"10.20452/wiitm.2026.18024","DOIUrl":"10.20452/wiitm.2026.18024","url":null,"abstract":"<p><strong>Introduction: </strong>Minimally-invasive procedures in breast surgery have gained popularity due to their favorable cosmetic outcomes and oncological results comparable to those achieved with conventional techniques. However, this approach has not been yet widely adopted in Poland, and its availability is limited to a small number of hospitals in Europe.</p><p><strong>Aim: </strong>This study aimed to evaluate the safety and feasibility of the first Polish endoscopic breast-conserving surgeries (E-BCSs).</p><p><strong>Materials and methods: </strong>A total of 30 patients who underwent E-BCS at 2 breast cancer centers in Poland between July 2024 and September 2025 were included in the study. We assessed short-term outcomes of E-BCS in women with early breast cancer or precancerous lesions qualified for local wide excision. Median (interquartile range) observation time was 8 (6-13.25) months.</p><p><strong>Results: </strong>All procedures were completed without conversion to open surgery. No severe complications were observed. Postoperative surgical site infection occurred in 1 patient (3.3%). Three patients (10%) required reoperation due to positive margins.</p><p><strong>Conclusions: </strong>Our preliminary data indicate that E-BCS offers a low risk of complications and short-term safety and feasibility. Its outcomes are comparable to those of conventional surgery, making it a viable alternative to standard procedures.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 2","pages":"148-153"},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Type 2 diabetes mellitus remission 10 years after metabolic and bariatric surgery: a multicenter retrospective study in Poland (BARI‑10‑POL).","authors":"Paweł Jaworski, Natalia Dowgiałło-Gornowicz, Michał Orłowski, Paula Franczak, Izabela Karpińska, Piotr Major, Wiesław Tarnowski","doi":"10.20452/wiitm.2026.18020","DOIUrl":"10.20452/wiitm.2026.18020","url":null,"abstract":"<p><strong>Introduction: </strong>Type 2 diabetes mellitus (T2DM), a chronic metabolic disease, affects millions of people worldwide, causes numerous complications, (eg, cardiovascular disease, kidney damage, neuropathy), and is strongly associated with obesity, a primary risk factor for its development and progression. In this paper, we presented 10-year outcomes of patients with T2DM who underwent metabolic and bariatric surgery (MBS), focusing on factors contributing to T2DM remission.</p><p><strong>Aim: </strong>This 10-year study evaluated MBS efficacy, focusing on T2DM remission predictors and complications.</p><p><strong>Materials and methods: </strong>We analyzed data of 113 patients with T2DM who underwent primary MBS between 2008 and 2014. Individuals with missing / inconsistent data or follow-up shorter than10 years were excluded. Information on surgery and treatment outcomes (described via standardized reporting) was analyzed.</p><p><strong>Results: </strong>The most frequently performed surgery was sleeve gastrectomy (57.5%). Among the analyzed cohort, 10 years postsurgery, 80 patients (70.8%) experienced T2DM remission, 19 (16.8%) T2DM improvement, and 14 (12.4%) had no T2DM-related changes. Median (interquartile range) follow-up was 10.9 (10.4-11.7) years. Multivariable logistic regression showed that T2DM duration of over 10 years was associated with lower likelihood of T2DM remission, whereas the type of surgery was not a significant factor influencing it. However, undergoing one anastomosis gastric bypass (OAGB) tended to increase the probability of T2DM remission.</p><p><strong>Conclusions: </strong>Although T2DM duration remains a significant predictor of remission, the study suggests a potential trend toward higher remission rates after OAGB, which requires confirmation in larger studies.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"52-57"},"PeriodicalIF":1.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urgent laparoscopic repair of coexisting incarcerated giant Morgagni and hiatal hernias in an elderly patient: a case‑based technical note from a high‑volume surgical center.","authors":"Jakub Radulski, Kamil Nurczyk","doi":"10.20452/wiitm.2026.18018","DOIUrl":"10.20452/wiitm.2026.18018","url":null,"abstract":"<p><p>The co-occurrence of a giant Morgagni hernia (MH) and a large hiatal hernia (HH) is exceedingly rare. We describe key operative steps of simultaneous surgical treatment of a large MH and HH, including surgical qualification, operating room setting, instrumentation, port placement, reduction of herniated viscera, methods of defect closure, and postoperative care. We present an unusual case of a 77-year-old woman with chronic constipation, abdominal pain, and loss of appetite, who was referred to a tertiary gastrointestinal surgery center after initial evaluation due to acute symptoms of gastrointestinal obstruction. Computed tomography showed a giant MH containing an incarcerated transverse colon and greater omentum, causing a considerable mediastinal shift toward the left. The examination also demonstrated a giant type III HH with most of the stomach displaced into the posterior mediastinum. The patient subsequently underwent a successful urgent minimally-invasive surgical repair. This technical note outlines the diagnostic challenges and details the laparoscopic approach used for the simultaneous repair of both complex diaphragmatic defects. This case highlights that even large, combined diaphragmatic hernias can be safely and effectively managed using advanced laparoscopic techniques, also in elderly patients.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"100-104"},"PeriodicalIF":1.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of radiofrequency ablation combined with high ligation vs simple radiofrequency ablation for lower extremity varicose veins: a retrospective comparative study.","authors":"Jianli Zhang, Xinyu Zhang, Rui Zhang","doi":"10.20452/wiitm.2026.18017","DOIUrl":"10.20452/wiitm.2026.18017","url":null,"abstract":"<p><strong>Introduction: </strong>Simple radiofrequency ablation (RFA) is a standard minimally-invasive treatment for lower extremity varicose veins (LEVV), yet concerns regarding recurrence and efficacy in severe cases persist.</p><p><strong>Aim: </strong>We aimed to evaluate clinical efficacy, safety, and long-term prognosis of RFA combined with high ligation (RFHL) vs simple RFA.</p><p><strong>Materials and methods: </strong>This retrospective study analyzed 108 LEVV patients (from January 2020 to November 2024) divided into 2 groups based on the procedure they underwent: RFHL (n = 54) and RFA (n = 54). The comparisons included perioperative indicators, clinical efficacy, complications, and 1-year recurrence rates. A stratified analysis was performed for severe cases (Clinical-Etiology-Anatomy-Pathophysiology [CEAP] classification, C4-C6).</p><p><strong>Results: </strong>Perioperative metrics (operative time, blood loss, recovery, and pain intensity) showed no differences between the groups. However, RFHL achieved a significantly higher total effective rate than RFA. Notably, in severe cases (C4-C6), RFHL efficacy was superior. The RFHL group demonstrated markedly lower complication and 1-year recurrence rates. Additionally, 6-month venous function was considerably better in the RFHL group.</p><p><strong>Conclusions: </strong>RFHL is associated with comparable perioperative recovery to RFA but offers significantly higher efficacy, better safety, and lower long-term recurrence, especially in severe LEVV (CEAP, C4-C6). RFHL should be considered the preferred surgical approach for severe cases.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"45-51"},"PeriodicalIF":1.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uniportal robotic‑assisted thoracic surgery for anatomical lung resections: initial experience and technical feasibility.","authors":"Mehlika İşcan, Ömer Yavuz","doi":"10.20452/wiitm.2026.18021","DOIUrl":"10.20452/wiitm.2026.18021","url":null,"abstract":"<p><strong>Introduction: </strong>Uniportal robotic-assisted thoracic surgery (URATS) combines the precision of robotic systems with the minimal invasiveness of single-incision surgery. However, its widespread adoption is currently limited by technical challenges regarding external robotic arm collision and setup complexity.</p><p><strong>Aim: </strong>We aimed to evaluate the feasibility, safety, and early adaptation of URATS using a standardized \"vertical parallel\" docking strategy during our initial experience.</p><p><strong>Materials and methods: </strong>Data from the first 12 consecutive patients undergoing URATS anatomical lung resections were retrospectively analyzed. A strict vertical parallel docking configuration was employed, stacking the robotic arms linearly within the incision to prevent collision. The early learning trends were assessed using trend analysis of docking and console times.</p><p><strong>Results: </strong>The cohort included 7 lobectomies, 4 segmentectomies, and 1 pneumonectomy. All procedures were successfully completed without conversion to thoracotomy or multiportal RATS. Median total operative time was 211 minutes (range, 122-368 min). A rapid standardization of the setup phase was observed, with median docking time stabilizing at 5 minutes (range, 4-7 min). Correlation analysis demonstrated rapid adaptation to the setup process within the initial cases (Spearman ρ = -0.92; <i>P</i> <⁠0.001). Console times fluctuated according to patient-specific complexity (eg, obesity, adhesions) rather than case sequence. No major intraoperative complications occurred.</p><p><strong>Conclusions: </strong>URATS is a safe and feasible technique for complex anatomical resections, including pneumonectomy, even during the initial experience. The adoption of a vertical parallel docking strategy may shorten the initial adaptation phase by preventing robotic arm collisions, thereby making the procedure more reproducible.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"63-70"},"PeriodicalIF":1.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigation-assisted vs robot -assisted unilateral biportal endoscopic lumbar interbody fusion for single-level lumbar degenerative disease: a retrospective comparative study.","authors":"Jipeng Song, Shijie Liu, Siyuan Yao, Yao Zhang, Wancheng Lin, Lixiang Ding","doi":"10.20452/wiitm.2026.18019","DOIUrl":"10.20452/wiitm.2026.18019","url":null,"abstract":"<p><strong>Introduction: </strong>Lumbar degenerative disease (LDD) is increasingly common, and causes back and leg pain that impairs quality of life. Lumbar interbody fusion (LIF) is effective for patients with neural compression and segmental instability. Unilateral biportal endoscopic LIF (UBE-LIF) allows for minimally-invasive decompression and fixation, while navigation- and robot-assisted systems improve pedicle screw accuracy and intraoperative guidance.</p><p><strong>Aim: </strong>This study compared perioperative outcomes and clinical efficacy of navigation-assisted vs robot-assisted single-level UBE-LIF.</p><p><strong>Materials and methods: </strong>Patients with single-level LDD who underwent navigation-assisted (Na group; n = 23) or robot-assisted (Ra group; n = 29) UBE-LIF between January 2020 and December 2024 were retrospectively enrolled. Clinical outcomes were assessed using the Numeric Rating Scale, Oswestry Disability Index, and modified MacNab criteria. Pedicle screw placement and radiological parameters, including disc height, lumbar lordosis, and segmental lumbar lordosis, were evaluated, and IF was assessed at 12 months postoperatively.</p><p><strong>Results: </strong>Endoscopic operative time was shorter in the Na group than in the Ra group (116.74 vs 127.86 min; <i>P</i> = 0.03), whereas screw insertion time and pedicle screw placement were superior in the Ra group (39.55 vs 46.52 min; <i>P</i> = 0.001 and 98.5% vs 92.4%; <i>P</i> = 0.04, respectively). Both groups showed comparable improvements in clinical outcomes, radiological parameters, and fusion rates, with similarly low complication rates.</p><p><strong>Conclusions: </strong>Navigation- and robot-assisted UBE-LIF are safe and effective procedures. Robot-assisted surgery offers higher screw accuracy and faster insertion, while the navigation-assisted approach reduces endoscopic operating time. Clinical outcomes and fusion rates between the 2 techniques are similar.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"91-99"},"PeriodicalIF":1.7,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thulium laser enucleation of the prostate vs bipolar transurethral resection of the prostate in moderate-to-large prostates: perioperative and functional outcomes.","authors":"Samer Al-Rawashdah","doi":"10.20452/wiitm.2026.18016","DOIUrl":"10.20452/wiitm.2026.18016","url":null,"abstract":"<p><strong>Introduction: </strong>Thulium laser enucleation of the prostate (ThuLEP) and bipolar transurethral resection of the prostate (bipolar TURP) are established surgical therapy alternatives that have proved effective in treating benign prostatic hyperplasia (BPH).</p><p><strong>Aim: </strong>This study aimed to compare perioperative and functional results obtained in patients with moderate-to-large BPH treated with ThuLEP and bipolar TURP.</p><p><strong>Materials and methods: </strong>This was a retrospective multicenter study of 154 men at a mean (SD) age of 68.4 (7.9) years, who received ThuLEP (n = 78) or bipolar TURP (n = 76) in 2018-2024 in 2 hospitals in Amman, Jordan. The collected data included demographics, comorbidities, perioperative variables, complications, and functional outcomes at 1 and 6 months postoperatively.</p><p><strong>Results: </strong>ThuLEP was associated with greater mean (SD) tissue removal (61.4 [18.2] vs 44.9 [14.6] g; <i>P</i> = 0.001), lower estimated blood loss (120 [65] vs 260 [110] ml; <i>P</i> = 0.001), shorter catheterization time (29.4 [9.8] vs 52.1 [14.3] h; <i>P</i> = 0.001), and shorter hospital stay (1.6 [0.7] vs 3.1 [1.2] d; <i>P</i> <⁠0.001), as compared with TURP. At 6 months, ThuLEP also resulted in a lower mean (SD) International Prostate Symptom Score (6.1 [2.8] vs 8.7 [3.4]; <i>P</i> <⁠0.001), better quality of life score (1.1 [0.6] vs 1.8 [0.8]; <i>P</i> <⁠0.001), and a higher maximum urinary flow rate (22.4 [5.2] vs 17.6 [4.7] ml/s; <i>P</i> <⁠0.001). ThuLEP was an independent predictor of a favorable perioperative outcome (adjusted odds ratio, 2.74; 95% CI, 1.32-5.68; <i>P</i> = 0.006).</p><p><strong>Conclusions: </strong>ThuLEP is safer and more effective in patients with moderate-to-large volume prostates.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"71-77"},"PeriodicalIF":1.7,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}