Eymen Gazel, Sercan Yılmaz, Engin Kaya, Serdar Yalçın, Mehmet Yılmaz, Lütfi Tunç, Halil Çağrı Aybal, Onur Açıkgöz

Hawk® JAWS ve Lumenis® VersaCut prostat morselasyon cihazları: Karşılaştırmalı bir çalışma ve kapsamlı literatür incelemesi

Amaç: Morselasyon, prostatın holmium lazer ile enükleasyonunun (HoLEP) standart bir prosedürü olmasına rağmen, kullanılan morselatorlerle ilgili çalışmalar sınırlı sayıdadır. HoLEP’de kullanılan, benzer amaçlara sahip ancak çalışma prensipleri farklılıkları olan iki farklı doku morselatörünü verimlilik ve güvenlik açısından karşılaştırmayı amaçladık.Gereç ve Yöntemler: Aralık 2018 ile Aralık 2019 arasında HoLEP uygulanan 130 hastanın verileri retrospektif olarak incelendi. Lumenis® Versacut (Lumenis Inc., Santa Clara, CA, ABD) morselatorün kullanıldığı 65 hasta, Hawk® JAWS (Hawk, Minitech Co., China) morselatorün kullanıldığı 65 hasta çalışmada yer aldı. Morselasyon etkinliği (g / dk), morselasyon süresi (dk), toplam operasyon süresi (dk), enükleasyon süresi (dk), enükle edilen doku ağırlığı (g), enükleasyon etkinliği, çıkarılan prostat dokusu yoğunluğu, perioperatif komplikasyonlar kaydedildi.Bulgular: İki grup arasında toplam operasyon süresi (dk), enükleasyon süresi (dk), enükleasyon etkinliği (g / dk) morselasyon etkinliği (g / dk), morselasyon süresi (dk) açısından anlamlı bir fark yoktu (p> 0.05). Versacut grubunda 3 hastada (%4) mesane mukoza hasarı meydana gelirken, Hawk® JAWS grubunda mesane mukozal hasarı hiçbir hastada gözlenmedi (p = 0.08).Sonuç: Hawk® JAWS ve Lumenis® VersaCut morselatorleri, verimlilikleri ve güvenlik profilleri açısından karşılaştırılabilir sonuçlara sahiptir.

Anahtar Kelimeler:

Hawk, HoLEP, morselasyon, morselator, Versacut

Hawk® JAWS versus Lumenis® VersaCut prostate morcellation devices: A comparative study and comprehensive literature review

Objective: Although morcellation is a standard procedure of Holmium Laser Enucleation of the Prostate (HoLEP), studies on the morcellators used are limited in number. We aimed to compare two different tissue morcellators used in HoLEP, which have similar objectives but differences in efficiency and safety in working principles.Material and Methods: The data of 130 patients who underwent HoLEP between December 2018 and December 2019 were retrospectively reviewed. Sixty-five patients received Lumenis® Versacut (Lumenis Inc., Santa Clara, CA, USA) morcellator and 65 patients received Hawk® JAWS (Hawk, Minitech Co., China) morcellator after enucleation were included in the study. The efficiency of morcellation (g/min), morcellation time (min), total operation time (min), enucleation time (min), enucleated tissue weight (g), the efficiency of enucleation, densities of the removed prostate tissues, perioperative complications associated with the use of a morcellator were recorded perioperatively.Results: There was no significant difference in total operation time (min), enucleation time (min), enucleated tissue weight (g), and efficiency of enucleation (g/min) efficiency of morcellation, morcellation time (min) between the two groups. Bladder mucosal damage occurred in 3 patients (4%) in the Versacut group, while mucosal bladder damage was not observed in any patient in the Hawk® JAWS group (p = 0.08).Conclusion: Hawk® JAWS and Lumenis® VersaCut morcellators were comparable in their efficiency and safety.

Keywords:

Hawk, HoLEP, morcellation, morcellator, Versacut,

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