机器人米林前列腺切除术:重访治疗大腺体良性前列腺增生的古老技术

IF 1.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Scottish Medical Journal Pub Date : 2022-02-01 DOI:10.1177/00369330221080750

Venkata Rm Kusuma, D. Moschonas, M. Perry, K. Patil

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引用次数: 1

摘要

大于100毫升的大型良性前列腺的外科治疗仍然是一个挑战。各种指南推荐钬激光前列腺去核术(HOLEP)，双极TURP，铥激光前列腺去核术(ThuVEP)，以及腺体大小超过80ml的开放式前列腺切除术。1 - 3由于输血率、并发症和住院时间延长，开放性前列腺切除术不太受欢迎。结果，开放式米林前列腺切除术的经验减少了，大多数手术都是通过微创方法完成的。虽然激光前列腺摘除是一种标准的治疗选择，但其局限性是学习曲线陡峭，设备的可用性有限，以及长期的压力性尿失禁。5

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Robotic Millin's Prostatectomy: Revisiting an age-old technique for treating benign prostate hyperplasia in large glands

The surgical management of large benign prostates above 100 ml remains a challenge. Various guidelines recommend Holmium laser enucleation of the prostate (HOLEP), Bipolar TURP, Thulium laser VapoEnucleation Prostate (ThuVEP), and open prostatectomy for gland size more than 80ml. 1 – 3 Open prostatectomy is less favoured due to increased transfusion rates, complications, and prolonged hospital stay. 4 As a result, the experience in open Millin ’ s prostatectomy has dwindled with most of the procedures being done by minimally invasive methods. Although laser enucleation of the prostate is established as a standard treatment option, the limitations are the steep learning curve, limited availability of the equipment, and prolonged stress urinary incontinence. 5

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来源期刊

Scottish Medical Journal 医学-医学：内科

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

>12 weeks

期刊介绍： A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).