Iselin C E, Winfield H N, Rohner S, Graber P
Clinique d'Urologie, Département de Chirurgie, Hôpital Cantonal Universitaire, Geneva, Switzerland.
J Endourol. 1996 Dec;10(6):545-9. doi: 10.1089/end.1996.10.545.
The surgical treatment of prostatic obstruction associated with a clinically significant bladder diverticulum has classically combined open diverticulectomy with relief of the bladder outlet obstruction. This report demonstrates that this result may be efficiently achieved by performing transurethral surgery followed immediately by laparoscopic excision of the diverticulum. As assessed by a retrospective comparison with four open bladder diverticulectomies combined with transurethral resection of the prostate, laparoscopic diverticulectomy markedly reduces the postoperative and convalescence period. The overall financial saving that ensues may benefit both the patient and the healthcare system. Sequential laparoscopic bladder diverticulectomy and transurethral resection of the prostate illustrates the increasing possibilities of minimally invasive surgery.
与具有临床意义的膀胱憩室相关的前列腺梗阻的外科治疗传统上是将开放性憩室切除术与膀胱出口梗阻解除术相结合。本报告表明，通过先进行经尿道手术，然后立即进行腹腔镜憩室切除术，可以有效地达到这一效果。通过与四例开放性膀胱憩室切除术联合经尿道前列腺切除术进行回顾性比较评估，腹腔镜憩室切除术显著缩短了术后恢复时间。由此带来的总体费用节省可能使患者和医疗系统都受益。序贯性腹腔镜膀胱憩室切除术和经尿道前列腺切除术体现了微创手术日益增加的可能性。
