Preliminary study on application of wireless intelligent high-definition endoscope in transurethral bipolar plasma anatomical enucleation of prostate

doi:10.3877/cma.j.issn.1674-3253.2023.01.009

Abstract

Abstract:

Objective

To investigate the safety and feasibility of a wireless intelligent high-definition endoscopic system (WHES) in transurethral bipolar plasmakinetic enucleation of the prostate (BEEP).

Methods

The clinical data of 78 patients with benign prostatic hyperplasia (BPH) treated with BEEP in our hospital from June to September 2021 were collected and divided into observation group (n=42) (WHES group) and control group (n=36) according to different types of endoscopy used during operation. Preoperative preparation time, endoscopic operation comfort score, surgical video clarity score and, number of delays and some perioperative results before discharge were compared between the two groups.

Results

All operations were successfully completed in both groups. In the WHES group, the preoperative preparation time [(3.05±0.75) min vs (5.21±1.05) min, P<0.001] and endoscopic comfort score [(4.8±0.6) vs (4.2±0.5), P<0.001] were superior to the STORZ group; both groups scored better in surgical video clarity [(4.4 ±0.5) vs (4.5±0.5), P=0.381] and operative time [(41.4±18.1) min vs (38.3±16.8) min, P=0.438] showed comparable results, and no video delay occurred. There was also no statistically significant difference in perioperative results such as hemoglobin decrease, enucleated tissue weight, postoperative bladder irrigation and indwelling urinary catheter time, and postoperative hospital stay between the two groups (P>0.05).

Conclusion

BEEP under WHES is safe and feasible in the treatment of BPH. WHES simplifies the instrument connection of conventional endoscopes, reduces preoperative preparation time, and improves operator comfort.

Key words: Prostatic hyperplasia, Wireless intelligent high-definition endoscopy, Bipolar plasma, Transurethral enucleation of the prostate, Tissue morcellation

Zhihui Zou, Ligang Zhang, Yongtao Hu, Di Niu, Jia Chen, Qintao Ge, Shuiping Yin, Cheng Yang, Haoqiang Shi, Sheng Tai, Jun Zhou, Zongyao Hao, Chaozhao Liang. Preliminary study on application of wireless intelligent high-definition endoscope in transurethral bipolar plasma anatomical enucleation of prostate[J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(01): 39-43.

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References 16

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组别	例数	年龄(岁)	体质量指数(kg/m²)	PSA(ng/ml)	前列腺体积(ml)
WHES组	42	67.3±7.7	22.8±3.3	6.8±5.4	69.5±28.8
STORZ组	36	69.4±7.5	22.6±3.1	7.7±5.5	68.4±26.4
t值		1.215	0.274	0.728	0.175
P值		0.228	0.784	0.469	0.862

组别	例数	年龄(岁)	体质量指数(kg/m²)	PSA(ng/ml)	前列腺体积(ml)
WHES组	42	67.3±7.7	22.8±3.3	6.8±5.4	69.5±28.8
STORZ组	36	69.4±7.5	22.6±3.1	7.7±5.5	68.4±26.4
t值		1.215	0.274	0.728	0.175
P值		0.228	0.784	0.469	0.862

组别	例数	清晰度评分(±s)	握持舒适度评分(±s)	延迟数量(次)	内镜重量(g)	术前准备时间[min，(±s)]	手术时间[min，(±s)]	剜除时间[min，(±s)]
WHES组	42	4.4±0.5	4.8±0.6	0	120	3.05±0.75	41.4 ±18.1	37.8±16.9
STORZ组	36	4.5±0.5	4.2± 0.5	0	270	5.21±1.05	38.3±16.8	35.1±15.6
P值		0.381	<0.001	/	/	<0.001	0.438	0.468
组别	组织粉碎时间[min，M(Q₁，Q₃)]	剜除前列腺重量[g，M(Q₁，Q₃)]	血红蛋白下降[g/dl，(±s)]ª	血钠下降[mmol/L，(±s)]ª	术后膀胱冲洗时间[h，(±s)]	留置导尿时间[h，(±s)]	术后住院天数[d，(±s)]
WHES组	3.2(2.3，4.4)	45.7(25.7，59.6)	0.46±0.23	2.7±1.0	10.3±2.1	44.3±21.8	2.9±0.4
STORZ组	3.2(2.4，4.5)	47.2(23.7，67.2)	0.55±0.26	2.9±0.3	10.5±2.1	43.3±25.4	3.0±0.3
P值	0.770	0.838	0.981	0.252	0.676	0.852	0.222

组别	例数	清晰度评分(±s)	握持舒适度评分(±s)	延迟数量(次)	内镜重量(g)	术前准备时间[min，(±s)]	手术时间[min，(±s)]	剜除时间[min，(±s)]
WHES组	42	4.4±0.5	4.8±0.6	0	120	3.05±0.75	41.4 ±18.1	37.8±16.9
STORZ组	36	4.5±0.5	4.2± 0.5	0	270	5.21±1.05	38.3±16.8	35.1±15.6
P值		0.381	<0.001	/	/	<0.001	0.438	0.468
组别	组织粉碎时间[min，M(Q₁，Q₃)]	剜除前列腺重量[g，M(Q₁，Q₃)]	血红蛋白下降[g/dl，(±s)]ª	血钠下降[mmol/L，(±s)]ª	术后膀胱冲洗时间[h，(±s)]	留置导尿时间[h，(±s)]	术后住院天数[d，(±s)]
WHES组	3.2(2.3，4.4)	45.7(25.7，59.6)	0.46±0.23	2.7±1.0	10.3±2.1	44.3±21.8	2.9±0.4
STORZ组	3.2(2.4，4.5)	47.2(23.7，67.2)	0.55±0.26	2.9±0.3	10.5±2.1	43.3±25.4	3.0±0.3
P值	0.770	0.838	0.981	0.252	0.676	0.852	0.222

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