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Андрология и генитальная хирургия. 2015; 16: 62-66

Гольмиевая лазерная энуклеация гиперплазии предстательной железы: технические аспекты

Глыбочко П. В., Аляев Ю. Г., Рапопорт Л. М., Еникеев М. Э., Еникеев Д. В., Сорокин Н. И., Суханов Р. Б., Дымов А. М., Хамраев О. Х., Давыдов Д. С., Тараткин М. С.

https://doi.org/10.17650/2070-9781-2015-16-4-62-66

Аннотация

В 1996 г. в Новой Зеландии доктор P.J. Gilling и его коллеги впервые описали технику гольмиевой лазерной энуклеации предстательной железы (holmium laser enucleation of the prostate, HoLEP), которая заключается в анатомически обоснованном иссечении долей предстательной железы до ее хирургической капсулы. После выделения и энуклеации доли смещают в ретроградном направлении в мочевой пузырь, где они в последующем подвергаются морцелляции. В статье представлены технические аспекты выполнения HoLEP.
Список литературы

1. Gilling P.J., Cass C.B., Cresswell M.D. et al. Holmium laser resection of the prostate: preliminary results of a new method for the treatment of benign prostatic hyperplasia. Urology 1996;47(1):48–51.

2. Gupta N. Comparison of standard transurethral resection, transurethral vapour resection and holmium laser enucleation of the prostate for managing benign prostate hyperplasia of > 40 g. Br J Urol Int 2006;97(1):85–9.

3. Tan A.H., Gilling P.J., Kennett K.M. et al. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40 to 200 grams). J Urol 2003;170(4): 1270–4.

4. Ahyai S.A., Gilling P.J., Kaplan S.A. et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. Eur Urol 2010;58(3):384–97.

5. Kuntz R.M., Lehrich K. Transurethral holmium laser enucleation versus transvesical open enucleation for prostate adenoma greater than 100 gm: a randomized prospective trial of 120 patients. J Urol 2002;168(4):1465–9.

6. FraundorferM.R., GillingP.J.,KennettK.M., Dunton N.G. Holmium laserresection of the prostate is more cost effective than transurethral resection of the prostate:results of a randomized prospective study. Urology 2001;57(3):454–8.

Andrology and Genital Surgery. 2015; 16: 62-66

Holmium laser enucleation of the prostate hyperplasia: technical aspects

Glybochko P. V., Alyaev Yu. G., Rapoport L. M., Enikeev M. E., Enikeev D. V., Sorokin N. I., Sukhanov R. B., Dymov A. M., Khamraev O. Kh., Davydov D. S., Taratkin M. S.

https://doi.org/10.17650/2070-9781-2015-16-4-62-66

Abstract

Holmium laser enucleation of the prostate (HoLEP) was first described by doctor P.J. Gilling et al. from New Zealand in 1996. The operation involves anatomical dissection of the prostatic tissue off the surgical capsule using a high-powered holmium laser followed by intravesical morsellation. The objective of this article is to explain the techniques for HoLEP.
References

1. Gilling P.J., Cass C.B., Cresswell M.D. et al. Holmium laser resection of the prostate: preliminary results of a new method for the treatment of benign prostatic hyperplasia. Urology 1996;47(1):48–51.

2. Gupta N. Comparison of standard transurethral resection, transurethral vapour resection and holmium laser enucleation of the prostate for managing benign prostate hyperplasia of > 40 g. Br J Urol Int 2006;97(1):85–9.

3. Tan A.H., Gilling P.J., Kennett K.M. et al. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40 to 200 grams). J Urol 2003;170(4): 1270–4.

4. Ahyai S.A., Gilling P.J., Kaplan S.A. et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. Eur Urol 2010;58(3):384–97.

5. Kuntz R.M., Lehrich K. Transurethral holmium laser enucleation versus transvesical open enucleation for prostate adenoma greater than 100 gm: a randomized prospective trial of 120 patients. J Urol 2002;168(4):1465–9.

6. FraundorferM.R., GillingP.J.,KennettK.M., Dunton N.G. Holmium laserresection of the prostate is more cost effective than transurethral resection of the prostate:results of a randomized prospective study. Urology 2001;57(3):454–8.