Wong Carson, Araki Motoo, Tonkin Jeremy B
Department of Urology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA.
J Endourol. 2007 Oct;21(10):1141-4. doi: 10.1089/end.2007.9927.
We describe a safe and reproducible technique for potassium-titanyl-phosphate (KTP) and lithium triboride (LBO) laser photoselective vaporization prostatectomy (PVP).
With the patient under anesthesia in the dorsal lithotomy position, cystoscopy is performed. Using a high-power KTP/LBO laser system, a groove is created along the lateral-median lobe junction from the bladder neck to the verumontanum to delineate the margins of vaporization. The remainder of the ipsilateral lobe is vaporized using a series of overlapping passes along the length of the groove. The contralateral lobe is vaporized in a similar manner. Finally, the median lobe is vaporized from lateral to medial. A 20F urethral catheter is placed at the conclusion of the procedure.
This technique has been successful in 240 consecutive patients over an 18-month period.
This systematic approach has been safe, effective, and reproducible for KTP/LBO laser PVP. It has become our standard technique for this procedure.
我们描述了一种用于磷酸钛氧钾（KTP）和三硼酸锂（LBO）激光选择性汽化前列腺切除术（PVP）的安全且可重复的技术。
患者在麻醉下取膀胱截石位，进行膀胱镜检查。使用高功率KTP/LBO激光系统，从膀胱颈至精阜沿着侧叶与中叶交界处创建一条沟，以划定汽化边界。同侧叶的其余部分沿着沟的长度进行一系列重叠汽化。对侧叶以类似方式汽化。最后，从中叶外侧向内侧汽化。手术结束时放置一根20F尿道导管。
在18个月期间，该技术已成功应用于240例连续患者。
这种系统方法对于KTP/LBO激光PVP而言安全、有效且可重复。它已成为我们进行该手术的标准技术。
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