As the good functions of cutting, vaporization and hemostasis, the thulium laser has high safety and effectiveness in the enucleation of prostate. The surgery strategy of thulium laser also changes when enucleating different volumes of the prostate. In this paper, the prostate volume is divided into three types: small volume (<40 ml), moderate volume (40-80 ml), and large volume(>80 ml). The surgical strategies of thulium laser enucleation of the prostate in three different prostate volumes are discussed respectively. The operative techniques of thulium laser and preventive measures for complications are emphasized to cope with complex situations and provide reference for clinicians.
铥激光具备良好的切割、汽化和止血功能，在进行前列腺剜除术时具有较高的安全性和有效性。在剜除不同体积前列腺时，铥激光手术策略也随之有所改变。本文将前列腺体积分为小体积（<40 ml）、中体积（40~80 ml）和大体积（>80 ml）等3种，分别探讨了铥激光前列腺剜除术在这3种不同体积前列腺应用中的手术策略，强调铥激光的手术操作技巧和并发症的预防措施，以应对复杂的术中情况，为临床医师提供参考。.