Holmium激光前列腺造影（HoLEP）嵌块：初步经验和技术巩固

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2025-05-01 DOI:10.1016/j.acuro.2025.501745

J. Pineda-Murillo, O. Hernández-León, J.S. Cuéllar del Río, J.R. Arellano-Cuadros, G. Martínez-Carrillo, G.A. Quintero-Cortés, S.P. de la Paz-Martínez, J.C. Ávalos-Ramón, J.A. Lugo-García

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引用次数: 0

摘要

简介和目的良性前列腺增大在60岁男性中的患病率约为60%。En bloc enucation及其变体于2010年出现，是指在切除前列腺的同时将前列腺包膜的3叶完全去核，保留包膜平面和尿道括约肌的方法。本研究的目的是分析该手术技术的实施情况，考虑其发展前后一组患者的学习曲线和经验积累。材料与方法回顾性研究于2022年7月至2024年11月，纳入136例因前列腺增生而出现下尿路症状并有手术指征的患者。分析出血、手术时间、住院时间、去核前列腺体积以及去核、碎裂、时间和激光能量效率。结果术后P <组手术疗效显著；与曲线前组相比为0.0001，决定系数R2 = 0.8091。曲线后组去核效率、激光时间和能量差异有统计学意义（p0.05）。结论钬激光前列腺摘除是一种安全有效的手术治疗方法，即使在学习阶段也是如此。该程序的转折点取决于在培训过程中适当的指导和适当的案例选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Enucleación prostática con láser holmium (HoLEP) En-bloc: experiencia inicial y consolidación de la técnica

Introduction and objectives

Benign prostatic enlargement has a prevalence of approximately 60% in 60-year-old men. En bloc enucleation and its variants, which emerged in 2010, are methods to enucleate the 3 lobes of the prostatic capsule completely, maintaining the capsular plane and the urethral sphincter while removing the prostate. The aim of the present study is to analyze the implementation of the surgical technique, considering the learning curve and the experience accumulated in a group of patients before and after its development.

Material and methods

Retrospective study from July 2022 to November 2024, in which 136 patients with lower urinary tract symptoms due to prostate growth with indication for surgical treatment were included. Bleeding, surgical time, hospital stay, enucleated prostate volume, as well as enucleation, morcellation, time and laser energy efficiencies were analyzed.

Results

The efficacy of the procedure was higher in the post-curve group with a P < 0.0001 compared to the pre-curve group with a coefficient of determination R² = 0.8091. Enucleation efficiencies, laser time and energy showed a statistically significant difference (P 0.05) in favor of the post-curve group.

Conclusions

Holmium laser enucleation of the prostate has proven to be an effective and safe surgical treatment, even during the learning curve. The turning point of the procedure depends on proper mentoring and the appropriate selection of cases during the training process.

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.