作者用闭合性前列腺连合部切开术治疗了27例良性前列腺增生患者。患者年龄为62～83岁,其中侧叶增生17例,中叶增生10例。手术技术:静脉给予镇静剂及阿托品。仰卧位,切口处局麻。插尿管排空膀胱。于耻骨联合上主切1 cm小口,将Veress针经切口插入耻骨后间隙,注入气体(CO_2或笑气)。于右腹直肌外缘、腹股沟韧带上方5 cm处另切开1 cm小口,穿刺后将腹腔镜插至耻骨后间隙。经正中小口插入电凝器。助手以手指在直肠内将前列腺向前推,并保持这一位置。用腹腔镜找到前列腺的前连合部。用电凝器抓住连合部的中部组纵,并将其电凝。在连合 The authors treated 27 patients with benign prostatic hyperplasia by closed prostatectomy. Patients aged 62 to 83 years, 17 cases of side lobe hyperplasia, middle lobe hyperplasia in 10 cases. Surgical techniques: intravenous sedatives and atropine. Supine position, incision at the local anesthesia. Insert the bladder to empty the bladder. On the pubic symphysis cut 1 cm small incision, the Veress needle incision into the retropubic space, injection of gas (CO_2 or laughing gas). At the outer edge of the right rectus abdominis, inguinal ligament above 5 cm at the other open 1 cm small mouth, laparoscopic insertion puncture after pubis after the gap. The median port into the condenser. Assistant with the fingers in the rectum to push the prostate forward, and maintain this position. Use laparoscopy to find the anterior commissure of the prostate. Use the coagulator to grasp the middle part of the commissure, and coagulate it. In conjunction