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首页> 外文期刊>World journal of urology >Thulium laser enucleation of the prostate (ThuLEP): transurethral anatomical prostatectomy with laser support. Introduction of a novel technique for the treatment of benign prostatic obstruction.
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Thulium laser enucleation of the prostate (ThuLEP): transurethral anatomical prostatectomy with laser support. Introduction of a novel technique for the treatment of benign prostatic obstruction.

机译：前列腺laser激光摘除术（ThuLEP）：经激光支持的经尿道解剖前列腺切除术。介绍一种治疗前列腺良性梗阻的新技术。

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BACKGROUND: Transurethral removal of prostatic tissue is the treatment choice for benign prostatic enlargement and benign prostatic obstruction. Urodynamic results are directly linked to the amount of removed tissue which, however, is directly associated with intra- and postoperative morbidity. Transurethral laser operations of the prostate offer the advantage of decreased bleeding complications and the possibility to treat patients with bleeding disorders or anticoagulative treatment. The aim of the article is to present a novel technique of complete transurethral removal of the transition zone (enucleation) with the support of the Thulium laser to combine complete anatomical enucleation and maximum urodynamic efficacy with minimal side-effects. MATERIALS AND METHODS: We present five distinct surgical steps for transurethral complete removal of the transition zone of the prostate (Thulium laser enucleation of the prostate, ThuLEP). Surgical steps are presented in chronological order with the help of intraoperative pictures. Laser energy of 70-90 W is only used for the incision at the verumontanum and bladder neck for removal of the middle lobe, whereas laser energy of 30 W was only used for coagulation of small vessel crossing the surgical capsule towards the transition zone and bladder neck for dissection of the lateral lobes. The lobes themselves are liberated by blunt dissection. CONCLUSIONS: ThuLEP offers complete removal of the transition zone no matter what prostatic size. The techniques combine maximum efficacy with minimal side-effects. Clinical results comparing ThuLEP with open prostatectomy or transurethral resection are awaited.
机译：背景：经尿道前列腺组织切除术是良性前列腺肿大和良性前列腺梗阻的治疗选择。尿动力学结果直接与切除组织的数量有关，但是，与切除术中和术后的发病率直接相关。前列腺的经尿道激光手术具有减少出血并发症的优势，并有可能治疗出血性疾病或抗凝治疗的患者。本文的目的是介绍一种在the激光的支持下彻底经尿道去除过渡区（摘除术）的新技术，以结合完整的摘除术和最大的尿动力学功效以及最小的副作用。材料与方法：我们介绍了五个不同的外科手术步骤，用于经尿道完全切除前列腺的过渡区（前列腺的hu激光摘除术，ThuLEP）。术中图片帮助您按时间顺序显示手术步骤。 70-90 W的激光能量仅用于在腓骨和膀胱颈处的切口，以切除中叶，而30 W的激光能量仅用于凝结穿过手术囊朝向过渡区和膀胱的小血管的凝结颈部用于解剖侧叶。钝性解剖使肺叶本身得以释放。结论：无论前列腺大小如何，ThuLEP均可完全去除过渡区。该技术结合了最大的功效和最小的副作用。等待将ThuLEP与开放式前列腺切除术或经尿道切除术进行比较的临床结果。

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