GOLMIY LAZERLI PROSTATA BEZI ENKLEATSIYANING OPERATSIYADAN KEYINGI ASORATLARINI TIZIMLASHTIRISH – STANDARTLASHTIRILGAN YONDASHUV
##article.subject##:
PBXG, HoLEP, asoratlar, tizimlashtirish, Klavien-Dindo tasnifi##article.abstract##
Tadqiqot maqsadi. Prostata bezining xavfsiz giperplaziyasi (PBXG) bilan og'rigan bemorlarda prostata bezining holmiy lazerli enukleatsiyasining (HoLEP) samaradorligini va xavfsizligini operatsiyadan keyingi asoratlarni tizimlashtirish orqali baholash.Materiallar va usullar. PBXG bilan og'rigan 40 nafar bemorda HoLEP natijalari o'rganildi. Bemorlarning o'rtacha yoshi 65,0±1,1 yoshni tashkil etdi. HoLEPning operatsiyadan keyingi asoratlarini baholash uchun moslashtirilgan Klavien-Dindo tasnifi ishlatildi.Natijalar. Operatsiyadan keyingi davrning asoratlanmagan kechishi asoratlangan kechish bilan chegaralarini ajratib ko'rsatish uchun operatsiyadan keyingi asoratlanmagan kechishining mezonlari unifikatsiyalangan. Operatsiyadan keyingi asoratlar moslashtirilgan Klavien-Dindo tasnifi bo'yicha tizimlashtirildi va quyidagi ma'lumotlar olindi: jami 28 asorat kuzatildi, ulardan: I darajali asoratlar - 8 (28,6%), II daraja - 16 ( 57,1%, IIIa daraja - 3 (10,7%), IIIb daraja - 1 (3,6%), IVa daraja - 0, IVb daraja - 0, V daraja - 0.Xulosalar. Jarrohlik aralashuvlar sifatini ob'ektiv baholash va Klavien-Dindo tasnifidan foydalangan holda asoratlarni tizimlashtirish uchun ushbu tasnifni birinchi navbatda usulning o'ziga xosligini va operatsiyadan keyingi davrni hisobga olgan holda moslashtirish kerak. HoLEP - PBXG davolash uchun yuqori samarali va xavfsiz jarrohlik usuli deb topildi. Qo'shimcha rekonstruktiv-plastik aralashuvlarni talab qiladigan asoratlar, shuningdek, o'lim holatlari yo'qligi sababli davolash samaradorligi 100% ga yetdi.
Библиографические ссылки
Kim EH, Larson JA, Andriole GL (2016) Management of benign prostatic hyperplasia. Annu Rev Med 67:137–151.
Foster HE, Barry MJ, Dahm P, Gandhi MC, Kaplan SA, Kohler TS, et al. Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline. J Urol 2018;200:612–9.
Karavitakis M, Kyriazis I, Omar MI, Gravas S, Cornu JN, Drake MJ, et al. Management of Urinary Retention in Patients with Benign Prostatic Obstruction: A Systematic Review and Meta-analysis. Eur Urol 2019;75:788–98.
EAU Guidelines. Edn. presented at the EAU Annual Congress Milan 2021. ISBN 978-94-92671-13-4.
Serretta V, Morgia G, Fondacaro L, Curto G, Lo bianco A, Pirritano D, et al.; Members of the Sicilian-Calabrian Society of Urology. Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s: a contemporary series of 1800 interventions. Urology 2002;60:623–7.
Mearini E, Marzi M, Mearini L, Zucchi A, Porena M. Open prostatectomy in benign prostatic hyperplasia: 10-year experience in Italy. Eur Urol 1998;34:480–5. 5. Gratzke C, Schlenker B, Seitz M, Karl A, Hermanek P, Lack N, et al. Complications and early postoperative outcome after open prostatectomy in patients with benign prostatic enlargement: results of a prospective multicenter study. J Urol 2007;177:1419–22.
Varkarakis I, Kyriakakis Z, Delis A, Protogerou V, Deliveliotis C. Long-term results of open transvesical prostatectomy from a contemporary series of patients. Urology 2004;64:306–10.
Reich O, Gratzke C, Bachmann A, Seitz M, Schlenker B, Hermanek P, Lack N, Stief CG; Urology Section of the Bavarian Working Group for Quality Assurance. Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. J Urol. 2008 Jul;180(1):246-9.
Gilling PJ, Cass CB, Malcolm AR, Fraundorfer MR. Combination holmium and Nd:YAG laser ablation of the prostate: initial clinical experience. J Endourol. 1995;9(2):151–3.
Gilling PJ, Kennett KM, Fraundorfer MR. Holmium laser resection versus transurethral resection of the prostate: results of a randomized trial with 2 years of follow-up. J Endourol. 2000;14(9):757–60.
Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, de Santibañes E, Pekolj J, Slankamenac K, Bassi C, Graf R, Vonlanthen R, Padbury R, Cameron JL, Makuuchi M. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009 Aug;250(2):187-96.
Dindo D., Demartines N., Clavien P.A. Classification of surgical
complications: a new proposal with evaluation in a cohort of 6336
patients and results of a survey. Annals of Surgery. 2004; 240:205-13.
De Cassai A, Boscolo A, Tonetti T, Ban I, Ori C. Assignment of ASA-physical status relates to anesthesiologists' experience: a survey-based national-study. Korean J Anesthesiol. 2019 Feb;72(1):53-59.
Loppenberg B, Noldus J, Holz A, Palisaar RJ. Reporting complications after open radical retropubic prostatectomy using the Martin criteria. J Urol 2010;184:944-8.
Rabbani F, Yunis LH, Pinochet R, Nogueira L, Vora KC, Eastham JA, et al. Comprehensive standardized report of complications of retropubic and laparoscopic radical prostatectomy. Eur Urol 2010;57:371-86.
Jeong J, Choi EY, Kim IY. Clavien classification of complications after the initial series of robot-assisted radical prostatectomy: The cancer institute of Jersey/Robert Wood Johnson medical school experience. J Endourol 2010;24:1457-61.
Ng CK, Kauffman EC, Lee MM et al (2010) A comparison of postoperative complications in open versus robotic cystectomy. Eur Urol 57:274–282.
Гиясов Ш.И., Акилов Ф.А. Трудности в систематизации послеоперационных осложнений эндоскопического лечения уролитиаза и пути их решения. Вестник урологии. 2018;6(1):5-17.
Sagen E, Namnuan RO, Hedelin H, Nelzén O, Peeker R. The morbidity associated with a TURP procedure in routine clinical practice, as graded by the modified Clavien-Dindo system. Scand J Urol. 2019 Aug;53(4):240-245.
Mbaeri TU, Abiahu JA, Obiesie EA, Odo C, Oranusi KC, Nwofor AME, Orakwe JC. Assessment of Complications of Transurethral Resection of the Prostate Using Clavien-Dindo Classification in South Eastern Nigeria. Niger J Surg. 2020 Jul-Dec;26(2):142-146.
Yalçın S, Yılmaz S, Gazel E, Kaya E, Aydoğan TB, Aybal HÇ, Tunç L. Holmium laser enucleation of theMitr prostate for the treatment of size-independent BPH: A single-center experience of 600 cases. Turk J Urol. 2020 Jan 17;46(3):219-225.
