Zhonghua nan ke xue = National journal of andrology · 2020
[Clinical application value of the endoscopic surveillance system in transurethral bipolar plasmakinetic resection of the prostate].
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wang Lin-Jun, Wang Zhi-Ping, Bao Jun-Sheng, Mi Jun
Аннотация
OBJECTIVE: To evaluate the clinical application of the endoscopic surveillance system (ESS) in transurethral bipolar plasmakinetic resection of the prostate (TUPKRP).
METHODS: We retrospectively analyzed 136 cases of TUPKRP performed with the assistance of ESS from September 2018 to March 2019. According to the prostate volume (PV), we divided the patients into a PV ≥ 60 ml and a PV < 60 ml group, and compared the surgery-related parameters between the two groups of patients.
RESULTS: Operations were successfully completed in all the 136 cases. Statistically significant differences were observed between the PV ≥ 60 ml and a PV < 60 ml groups in the operation time (［78.93 ± 28.63］ vs ［51.77 ± 14.85］ min, P < 0.05), intraoperative blood loss (［261.61 ± 204.25］ vs ［69.26 ± 61.13］ ml, P < 0.05) and absorption of the rinse fluid (［948.20 ± 656.00］ vs ［347.39 ± 256.53］ ml, P < 0.05), but not in the postoperative red cell count, levels of hemoglobin, hematocrit and ions, hospital stay, incidence of prostatic perforation or blood transfusion (P > 0.05). The patients also showed statistically significant differences between the baseline and postoperative parameters in red cell count (［4.62 ± 0.63］ vs ［4.31 ± 0.74］ ×1012/L, P < 0.05) and levels of hemoglobin (［141.83 ± 18.30］ vs ［135.20 ± 19.91］ g/L, P < 0.05), K+ (［4.01 ± 0.43］ vs ［3.92 ± 0.54］ mmol/L, P < 0.05) and Na+ (［141.90 ± 3.11］ vs ［139.42 ± 3.81］ mmol/L, P < 0.05), but not in the levels of Cl－ (［103.74 ± 9.32］ vs ［103.70 ± 4.50］ mmol/L, P > 0.05) and Ca2+ (［2.21 ± 0.13］ vs ［2.19 ± 0.21］ mmol/L, P > 0.05).
CONCLUSIONS: Large-volume absorption of rinse fluid may overburden the circulatory system and induce left ventricular failure, pulmonary edema or massive bleeding during PKRP for patients with PV ≥ 60 ml due to long operation time and rich blood supply in the hyperplasia gland. The endoscopic surveillance system can provide real-time data on the absorption of rinse fluid and bleeding, reduce complications, and improve surgical safety.
METHODS: We retrospectively analyzed 136 cases of TUPKRP performed with the assistance of ESS from September 2018 to March 2019. According to the prostate volume (PV), we divided the patients into a PV ≥ 60 ml and a PV < 60 ml group, and compared the surgery-related parameters between the two groups of patients.
RESULTS: Operations were successfully completed in all the 136 cases. Statistically significant differences were observed between the PV ≥ 60 ml and a PV < 60 ml groups in the operation time (［78.93 ± 28.63］ vs ［51.77 ± 14.85］ min, P < 0.05), intraoperative blood loss (［261.61 ± 204.25］ vs ［69.26 ± 61.13］ ml, P < 0.05) and absorption of the rinse fluid (［948.20 ± 656.00］ vs ［347.39 ± 256.53］ ml, P < 0.05), but not in the postoperative red cell count, levels of hemoglobin, hematocrit and ions, hospital stay, incidence of prostatic perforation or blood transfusion (P > 0.05). The patients also showed statistically significant differences between the baseline and postoperative parameters in red cell count (［4.62 ± 0.63］ vs ［4.31 ± 0.74］ ×1012/L, P < 0.05) and levels of hemoglobin (［141.83 ± 18.30］ vs ［135.20 ± 19.91］ g/L, P < 0.05), K+ (［4.01 ± 0.43］ vs ［3.92 ± 0.54］ mmol/L, P < 0.05) and Na+ (［141.90 ± 3.11］ vs ［139.42 ± 3.81］ mmol/L, P < 0.05), but not in the levels of Cl－ (［103.74 ± 9.32］ vs ［103.70 ± 4.50］ mmol/L, P > 0.05) and Ca2+ (［2.21 ± 0.13］ vs ［2.19 ± 0.21］ mmol/L, P > 0.05).
CONCLUSIONS: Large-volume absorption of rinse fluid may overburden the circulatory system and induce left ventricular failure, pulmonary edema or massive bleeding during PKRP for patients with PV ≥ 60 ml due to long operation time and rich blood supply in the hyperplasia gland. The endoscopic surveillance system can provide real-time data on the absorption of rinse fluid and bleeding, reduce complications, and improve surgical safety.