Bolton D M, Costello A J
Department of Urology, St. Vincent's Hospital, Fitzroy, Victoria, Australia.
J Clin Laser Med Surg. 1993 Aug;11(4):197-8. doi: 10.1089/clm.1993.11.197.
Hormonal manipulation remains the main method of treatment in metastatic carcinoma of the prostate. Traditional techniques of surgical castration may result in complications due to bleeding within the scrotum. Because of its cutting and hemostatic properties the carbon dioxide laser has been used in performing subcapsular orchidectomy in an attempt to reduce such complications. Postoperative hormonal assays have demonstrated a response identical to orchidectomy, and no treatment complications were encountered in our series. Subcapsular orchidectomy using the carbon dioxide laser may offer an advantage over traditional methods of surgical castration by reducing the frequency of postoperative hematoma.
激素治疗仍然是前列腺转移性癌的主要治疗方法。传统的手术去势技术可能因阴囊内出血而导致并发症。由于二氧化碳激光具有切割和止血特性，已被用于进行包膜下睾丸切除术，以试图减少此类并发症。术后激素检测显示其反应与睾丸切除术相同，并且我们的系列研究中未遇到治疗并发症。使用二氧化碳激光进行包膜下睾丸切除术可能比传统的手术去势方法更具优势，因为它可以降低术后血肿的发生率。
