Transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision for senior and high-risk benign prostatic hyperplasia complicated with bladder stones / 中国内镜杂志

Objective To investigate the clinical safety and effect of transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision in the treatment of senior and high-risk benign prostatic hyperplasia (BPH) with bladder stones. Methods Clinical data of 42 patients of senior and high-risk benign prostatic hyperplasia (BPH) with bladder stones was analyzed. All patients were treated with transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision cystofithotomy. Results All operations were successfully performed without deaths. The operative time was 52~86 min, mean (63.90 ± 16.60) min. The blood loss was 45.0~136.0 ml, mean (73.90 ± 21.10) ml. There were no significant differences in the immediate life characteristics, serum K+, serum brain natriuretic peptide and other internal environmental indexes before and after operation. There were no serious complications in perioperation. 3 months after operation, international prostate symptomscore (IPSS), quality of life score (QOL), the maximum flow rate (Qmax) improved significantly compared with preoperation, significantly reduced the post void residual volume (PVR). Conclusion Transurethral plasmakinetic enucleation and resection of prostate combined with mini-incision can be particularly applied to elderly patients with high risk BPH complicated with bladder stones with efficaciously and more safety.

Huge retroperitoneal liposarcoma:A case report and literature review / 实用肿瘤学杂志

Objective To improve the diagnosis and treatment of retroperitoneal liposarcoma .Methods We reported one case of huge retroperitoneal liposarcoma in our hospital .The clinical characteristics ,diagnosis and treatment were discussed ,and the literatures were reviewed .Results The patient received the left retroper-itoneal tumor resection and partial resection of the left kidney after the imaging diagnosis .Postoperative pathologi-cal results indicated retroperitoneal liposarcoma .No tumor recurrence and metastasis ocurred in the follow -up of 20 months.Conclusion Retroperitoneal liposarcoma is rare ,with no specific clinical manifestations .The applica-tion of CT is helpful to the diagnosis of this rare disease .Surgery is the preferred method for the treatment .