Manickam Ramalingam, Nachimuthu Sivasankaran, Kallappan Senthil, Pai Mizar G
Uro-Nephro Centre, Ganga Medical Centre & Hospitals, Ramnagar, Coimbatore, India.
Asian J Urol. 2018 Jan;5(1):37-41. doi: 10.1016/j.ajur.2017.11.008. Epub 2017 Dec 6.
Symptomatic benign prostatic hyperplasia (BPH) is managed medically worldwide, but transurethral resection of prostate (TURP) is the gold standard in refractory cases. Holmium laser enucleation of prostate (HoLEP), laser vaporization are other options which are widely practiced. However in larger glands which are more than 80 g, open adenomectomy is still practiced. Laparoscopic adenomectomy is a minimally invasive option in such circumstances. This article explains about different techniques in minimally invasive adenomectomy and the role for this procedure today. Laparoscopic simple prostatectomy (LSP) has a place in symptomatic, larger prostatic adenoma in the hands of experienced laparoscopic surgeons when open simple prostatectomy is needed.
有症状的良性前列腺增生（BPH）在全球范围内都采用药物治疗，但经尿道前列腺切除术（TURP）是难治性病例的金标准。钬激光前列腺剜除术（HoLEP）、激光汽化术是其他广泛应用的选择。然而，对于重量超过80克的较大腺体，仍采用开放性腺瘤切除术。在这种情况下，腹腔镜腺瘤切除术是一种微创选择。本文解释了微创腺瘤切除术中的不同技术以及该手术目前所起的作用。在需要进行开放性单纯前列腺切除术时，对于有症状的较大前列腺腺瘤，经验丰富的腹腔镜外科医生实施腹腔镜单纯前列腺切除术（LSP）是可行的。
