Yu Yang, Guan Sheng, Shen Chen, Yang Bo
a Department of Urology , The Second Hospital of Dalian Medical University , DaLian , LiaoNing Province , China.
Minim Invasive Ther Allied Technol. 2016 Aug;25(4):222-4. doi: 10.1080/13645706.2016.1181091. Epub 2016 Jun 1.
Transurethral endoscopic technique and standard laparoscopic technique are surgical options for the management of benign prostatic hyperplasia (BPH) associated with urinary bladder diverticuli (UBD). In this article, we report laparoscopic diverticulectomy (LD) and transurethral plasmakinetic enucleation of the prostate (TUEP) in the same patient sequentially. To the best of our knowledge, this is the first case report of LD combined with TUEP. An 82-year-old patient with benign prostatic hyperplasia and two secondary large bladder diverticuli underwent sequential TUEP and LD. After completion of the TUEP procedure, the detached adenoma was pushed into the bladder as a whole. Then laparoscopic transperitoneal extravesical diverticulectomy assisted by cystoscopic transillumination was performed immediately, and the enucleated prostate was removed via the neck of the diverticulum. The enucleation time and diverticulectomy time was 18 minutes and 108 minutes, respectively. The catheter was removed on the tenth postoperative day. Transurethral endoscopic surgery combined with LD is a good choice in treating BPH and UBD in one session. But the combined procedure is time-consuming, especially for fragmentation of the prostate. TUEP can greatly reduce the operative time of the combined procedure.
经尿道内镜技术和标准腹腔镜技术是治疗伴有膀胱憩室（UBD）的良性前列腺增生（BPH）的手术选择。在本文中，我们报告了同一患者先后进行腹腔镜憩室切除术（LD）和经尿道前列腺等离子剜除术（TUEP）的情况。据我们所知，这是首例LD联合TUEP的病例报告。一名患有良性前列腺增生和两个继发性大膀胱憩室的82岁患者先后接受了TUEP和LD。在完成TUEP手术后，将分离的腺瘤整体推入膀胱。然后立即在膀胱镜透照辅助下进行腹腔镜经腹膜外膀胱憩室切除术，并通过憩室颈部切除剜除的前列腺。剜除时间和憩室切除时间分别为18分钟和108分钟。术后第10天拔除导尿管。经尿道内镜手术联合LD是一次性治疗BPH和UBD的良好选择。但联合手术耗时较长，尤其是前列腺的碎解过程。TUEP可大大缩短联合手术的时间。
