- Universidade Federal do Paraná, Departamento de Urologia - Curitiba - PR - Brasil.
- Universidade Federal do Paraná, Departamento de Cirurgia Geral - Curitiba - PR - Brasil.
Rev Col Bras Cir. 2023 Apr 14;50:e20233450. doi: 10.1590/0100-6991e-20233450-en. eCollection 2023.
the aim of this study was to compare the results of open and videolaparoscopic transvesical prostatectomy techniques in the treatment of benign prostatic hyperplasia (BPH) in a tertiary hospital.
we reviewed medical records of patients who underwent transvesical adenectomy due to BPH between March 2019 and March 2021 at the urology service of Hospital de Clínicas do Paraná (HCPR), 42 patients were included in the open transvesical prostatectomy group and 22 in the videolaparoscopic group. Then, a comparison was made between the techniques in terms of surgical time, bleeding, length of stay, need for intensive care, among others, in addition to postoperative outcome.
the mean surgical time was shorter in the open technique compared to the laparoscopic technique (141 min vs 274 min). The videolaparoscopic group had a shorter mean hospital stay (3.5 days vs 6.36 days). There was no statistical significance in the comparison regarding the need for an intensive care unit, as well as in the assessment of postoperative bleeding.
comparatively, the techniques demonstrated a similar outcome, with a low rate of complications and satisfactory results for the treatment of BPH. The laparoscopic technique is a surgery with a shorter hospital stay, but at the expense of a longer surgical time.
本研究旨在比较开放式和腹腔镜经膀胱前列腺切除术治疗良性前列腺增生（BPH）的效果，该研究在巴西南里奥格兰德州临床医院泌尿科进行。
我们回顾了 2019 年 3 月至 2021 年 3 月期间在南里奥格兰德州临床医院泌尿科因 BPH 接受经膀胱前列腺切除术的患者的病历，其中 42 例患者纳入开放式经膀胱前列腺切除术组，22 例患者纳入腹腔镜组。然后，我们比较了两种技术在手术时间、出血、住院时间、是否需要重症监护等方面的差异，此外还比较了术后结果。
与腹腔镜技术相比，开放式技术的平均手术时间更短（141 分钟 vs 274 分钟）。腹腔镜组的平均住院时间更短（3.5 天 vs 6.36 天）。在是否需要重症监护室以及术后出血评估方面，两种技术之间没有统计学意义。
两种技术的结果相似，并发症发生率低，治疗 BPH 的效果令人满意。腹腔镜技术具有住院时间短的优点，但手术时间较长。
