An Z Y, Fu W J
Senior Department of Urology, PLA General Hospital/Department of Urology, Third Medical Center of PLA General Hospital, Beijing 100039, China.
Zhonghua Yi Xue Za Zhi. 2023 Apr 11;103(14):1022-1026. doi: 10.3760/cma.j.cn112137-20221123-02471.
As the good functions of cutting, vaporization and hemostasis, the thulium laser has high safety and effectiveness in the enucleation of prostate. The surgery strategy of thulium laser also changes when enucleating different volumes of the prostate. In this paper, the prostate volume is divided into three types: small volume (<40 ml), moderate volume (40-80 ml), and large volume(>80 ml). The surgical strategies of thulium laser enucleation of the prostate in three different prostate volumes are discussed respectively. The operative techniques of thulium laser and preventive measures for complications are emphasized to cope with complex situations and provide reference for clinicians.
由于具有切割、汽化和止血等良好功能，铥激光在前列腺剜除术中具有较高的安全性和有效性。在剜除不同体积的前列腺时，铥激光的手术策略也会发生变化。本文将前列腺体积分为三种类型：小体积（<40 ml）、中体积（40 - 80 ml）和大体积（>80 ml）。分别探讨了铥激光前列腺剜除术在三种不同前列腺体积情况下的手术策略。着重介绍了铥激光的手术技巧及并发症的预防措施，以应对复杂情况，为临床医生提供参考。
