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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 46 - 55 (10page)
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Purpose: To describe our initial experience with a novel method of adenoma retrieval using a pneumovesicum (PNV) after Holmium laser enucleation of the prostate (HoLEP). Methods: From January 2016 to April 2018, a total of 93 consecutive patients treated with HoLEP were enrolled in this study. For tissue morcellation, we used the PNV morcellation technique for an initial series of 21 patients and the conventional technique (Lumenis VersaCut) for a consecutive series of 72 patients. We compared efficiency and safety between the novel technique and the traditional technique. Subgroup analysis was performed to assess the effectiveness of the current technique in the large prostate (>70 mL). Results: There were significant differences in mean age and prostate volume between the 2 groups. However, there were no significant differences in the baseline characteristics and preoperative parameters in the subgroup analysis of large prostates (>70 mL). The mean morcellation efficiency was higher (8.50±1.94 minutes vs. 1.76±0.45 minutes, P<0.05) and the time of morcellation (7.81±1.25 minutes vs. 34.04±11.14 minutes, P<0.05) was shorter in the PNV group. Moreover, there were no significant differences between groups in hospitalization period (2.62±1.10 days vs. 2.90±1.26 days, P=0.852) and any other postoperative events, including recatheterization, reoperation, clot retention, and urethral stricture (P-value range, 0.194– 0.447). In the PNV group, there were some cases of procedure-related complications, including postoperative extravesical leakage (5th case), clot retention (8th case), and recatheterization (9th case). Conclusions: This method has a higher tissue retrieval efficacy, with the advantage of excellent visibility compared to conventional morcellation. The current method can be applied when a transurethral morcellator is out of order or cannot be used.
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참고문헌 (20)
참고문헌 신청
Gilling PJ / 1995 / Combination holmium and Nd : YAG laser ablation of the prostate : initial clinical experience / J Endourol 9:151~153
Kuntz RM / 2008 / Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100grams : 5-year follow-up results of a randomised clinical trial / Eur Urol 53:160~166
배정범 / 2011 / Holmium Laser Enucleation of Prostate for Benign Prostatic Hyperplasia: Seoul National University Hospital Experience / International Neurourology Journal 15(1):29~34
Elshal AM / 2015 / Towards optimizing prostate tissue retrieval following holmium laser enucleation of the prostate(HoLEP) : assessment of two morcellators and review of literature / Can Urol Assoc J 9:E618~25
Shah HN / 2007 / Peri-operative complications of holmium laser enucleation of the prostate : experience in the first 280 patients, and a review of literature / BJU Int 100:94~101
Kuntz RM / 2008 / Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100grams : 5-year follow-up results of a randomised clinical trial / Eur Urol 53:160~166
배정범 / 2011 / Holmium Laser Enucleation of Prostate for Benign Prostatic Hyperplasia: Seoul National University Hospital Experience / International Neurourology Journal 15(1):29~34
Elshal AM / 2015 / Towards optimizing prostate tissue retrieval following holmium laser enucleation of the prostate(HoLEP) : assessment of two morcellators and review of literature / Can Urol Assoc J 9:E618~25
Shah HN / 2007 / Peri-operative complications of holmium laser enucleation of the prostate : experience in the first 280 patients, and a review of literature / BJU Int 100:94~101
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Comparison of Surgical Outcomes Between Holmium Laser Enucleation and Transurethral Resection of the Prostate in Patients With Detrusor Underactivity
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Efficacy of Holmium Laser Enucleation of the Prostate Based on Patient Preoperative Characteristics
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