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En bloc resection for nonmuscle-invasive bladder cancer: selecting a proper laser.
Enikeev, Dmitry; Babjuk, Marek; Shpikina, Anastasia; Shariat, Shahrokh; Glybochko, Petr.
Afiliación
  • Enikeev D; Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
  • Babjuk M; Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
  • Shpikina A; Department of Urology, Second Faculty of Medicine and Hospital Motol, Charles University, Prague, Czech Republic.
  • Shariat S; Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
  • Glybochko P; Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Curr Opin Urol ; 32(2): 173-178, 2022 Mar 01.
Article en En | MEDLINE | ID: mdl-34954702
PURPOSE OF REVIEW: To discuss the most recent surgical lasers that have been made available to us and to evaluate their potential in performing en bloc resection of nonmuscle invasive bladder cancer. RECENT FINDINGS: Laser en bloc resection of bladder tumors (ERBT) can be performed with a number of laser systems including Ho:YAG, GreenLight, diode, Tm:YAG and thulium fiber lasers (TFL). The data that is currently available suggests that the water-targeting devices (utilizing water as a primary chromophore - Ho:YAG, Tm:YAG, TFL) may have a number of advantages over hemoglobin-targeting systems (potassium titanyl phosphate:YAG, lithium triborate:YAG). One recent addition to the surgical armamentarium Moses effect enhanced Ho:YAG and the TFL (being able to work both in quasi-continuous and SuperPulsed modes) necessitates careful discussion and comparison with the other available devices. SUMMARY: The majority of available lasers have proven to be safe to use and compared to electrocautery allow for lower rates of obturator nerve reflex and result in fewer bleeding complications. The minimal penetration depth and decreased peak power of Tm:YAG and TFLs render them the devices of choice when it comes to ERBT. Unfortunately, more studies on ERBT with TFL are needed in order for us to make a sound assessment of the respective pros and cons.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Vejiga Urinaria / Litotripsia por Láser / Láseres de Estado Sólido Límite: Female / Humans / Male Idioma: En Revista: Curr Opin Urol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Vejiga Urinaria / Litotripsia por Láser / Láseres de Estado Sólido Límite: Female / Humans / Male Idioma: En Revista: Curr Opin Urol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Estados Unidos