臨床泌尿器科76巻9号

2022年08月発行

特集 前立腺肥大症（BPH）の手術療法―臨床現場の本心

〈術式の本心〉

HoLEPは難しいのか？

著者： 遠藤文康¹

所属機関： ¹聖路加国際病院泌尿器科

ページ範囲：P.616 - P.620

文献概要

▶ポイント

・ホルミウムレーザー前立腺核出術（HoLEP）の習得の現実を，ラーニングカーブに関する文献を基に解説する．また，各国の状況を紹介し，日本におけるHoLEPの問題点を展望する．

参考文献

1） Van Rijs, et al : In 2013, Holmium Laser Enucleation of the Prostate （HoLEP） May Be the New ‘Gold Standard’. Curr Urol Rep 13 : 427-432, 2012

2） Robert G, et al : Multicentre Prospective Evaluation of the Learning Curve of Holmium Laser Enucleation of the Prostate （Ho LEP）. BJU Int 3 : 495-499, 2016

3） Shigemura K, et al : Does Surgeon Experience Affect Operative Time, Adverse Events and Continence Outcomes in Holmium Laser Enucleation of the Prostate? A Review of More Than 1,000 Cases. J Urol 198 : 663-670, 2017

4） Elshal AM, et al : Prospective Assessment of Learning Curve of Holmium Laser Enucleation of the Prostate for Treatment of Benign Prostatic Hyperplasia Using a Multidimensional Approach. J Urol 197 : 1099-1107, 2017

5） Bae J, et al : The Learning Curve for Holmium Laser Enucleation of the Prostate : A Single-Center Experience. Korean J Urol 51 : 688-693, 2010

6） 新保正貴, 他 : Anteroposterior HoLEP法に基づいた教育によるHoLEP習得のラーニングカーブの検討. Jpn J Endourol 3 : 142-146, 2015

7） Brunckhorst O, et al : Evaluation of the Learning Curve for Holmium Laser Enucleation of the Prostate Using Multiple Outcome Measures. Urology 86 : 824-829, 2015

8） Placer J, et al : Holmium Laser Enucleation of Prostate : Outcome and Complications of Self-Taught Learning Curve. Urology 3 : 1042-1048, 2009

9） Jeong CW, et al : Enucleation Ratio Efficacy Might Be a Better Predictor to Assess Learning Curve of Holmium Laser Enucleation of the Prostate. Int Braz J Urol 38 : 362-372, 2012

10） Kim KH, et al : Enucleated Weight/Enucleation Time, Is It Appropriate for Estimating Enucleation Skills for Holmium Laser Enucleation of the Prostate? A Consideration of Energy Consumption. World J Mens Health 36 : 79-86, 2018

11） Haraguchi T, et al : The Relationship Between the Reproducibility of Holmium Laser Enucleation of the Prostate and Prostate Size over the Learning Curve. Prostate Cancer Prostatic Dis 12 : 281-284, 2009

12） Seki N, et al : Holmium Laser Enucleation for Prostatic Adenoma : Analysis of Learning Curve over the Course of 70 Consecutive Cases. J Urol 170 : 1847-1850, 2003

13） Shah HN, et al : Prospective Evaluation of the Learning Curve for Holmium Laser Enucleation of the Prostate. J Urol 177 : 1468-1474, 2007

14） 平山貴博, 他 : morcellationにおけるhand-piece反転法の有用性の実証. Jpn J Endourol ESWL 23 : 133-137, 2010

15） Lerner LB, et al : Stress Incontinence During the Learning Curve of Holmium Laser Enucleation of the Prostate. J Endourol 24 : 1655-1658, 2010

16） 遠藤文康 : HoLEPの進歩と課題. Jpn J Endourol 33 : 29-33, 2020

17） Peyronnet B, et al : Learning Curves and Perioperative Outcomes After Endoscopic Enucleation of the Prostate : A Comparison Between GreenLight 532-nm and Holmium Lasers. World J Urol 35 : 973-983, 2017

18） Anderson BB, et al : Trends and Perioperative Outcomes Across Major Benign Prostatic Hyperplasia Procedures from the ACS-NSQIP 2011-2015. J Endourol 33 : 62-68, 2019

19） Merheb S, et al : Online Interest in Surgical Treatment for Benign Prostatic Hyperplasia Using Google Trends. World J Urol 39 : 2655-2659, 2021

20） Jeon BJ, et al : Analysis of Present Status for Surgery of Benign Prostatic Hyperplasia in Korea Using Nationwide Healthcare System Data. Int Neurourol J 23 : 22-29, 2019

21） Aho T, et al : Description of a Modular Mentorship Programme for Holmium Laser Enucleation of the Prostate. World J Urol 33 : 497-502, 2015

22） Gauhar V, et al : Does MOSES Technology Enhance the Efficiency and Outcomes of Standard Holmium Laser Enucleation of the Prostate? Results of a Systematic Review and Meta-analysis of Comparative Studies. Eur Urol Focus, 2022 ［Online ahead of print］