Seki Narihito, Naito Seiji
Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Curr Opin Urol. 2008 Jan;18(1):41-5. doi: 10.1097/MOU.0b013e3282f128ce.
The following review provides an overview of the current status, while focusing on the surgical techniques associated with the holmium laser for the treatment of benign prostatic hyperplasia.
A systematic Medline database search, with a focus on articles about surgical treatment with holmium laser for benign prostatic hyperplasia, provided some new data concerning holmium laser enucleation of the prostate. On the other hand, new interesting data concerning both resection and ablation techniques using the holmium laser have only been sparsely reported during this review period.
Holmium laser enucleation of the prostate is a safe procedure for treating not only patients without co-morbidities but also patients with urinary retention or who are on anticoagulants. Holmium laser enucleation of the prostate can be performed on prostates of all sizes with significantly less morbidity. Although holmium laser enucleation of the prostate represents a state-of-the-art procedure, a prolonged learning curve has still prevented the widespread adoption of this device in the urological community.
以下综述概述了当前状况，同时重点关注与钬激光治疗良性前列腺增生相关的手术技术。
通过对Medline数据库进行系统检索，重点关注有关钬激光手术治疗良性前列腺增生的文章，获得了一些关于钬激光前列腺剜除术的新数据。另一方面，在本综述期间，关于使用钬激光的切除和消融技术的新的有趣数据仅有少量报道。
钬激光前列腺剜除术不仅对于无合并症的患者，而且对于有尿潴留或正在接受抗凝治疗的患者而言，都是一种安全的手术。钬激光前列腺剜除术可用于各种大小的前列腺，发病率显著更低。尽管钬激光前列腺剜除术是一种先进的手术，但较长的学习曲线仍阻碍了该设备在泌尿外科领域的广泛应用。
