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绿光:从钛酸钾磷到三硼酸锂,是更好还是更好?

Greenlight: from potassium-titanyl-phosphate to lithium triborate or from good to better?

机构信息

Department of Urology, Munich-Harlaching Hospital, Munich, Germany.

出版信息

Curr Opin Urol. 2011 Jan;21(1):27-30. doi: 10.1097/MOU.0b013e3283410105.

DOI:10.1097/MOU.0b013e3283410105
PMID:21045703
Abstract

PURPOSE OF REVIEW

To report on the latest data in the recent literature regarding the so-called 'Greenlight laser vaporization of the prostate'. Specifically to comment on the evolution of the 80-W KTP (potassium-titanyl-phosphate) system to the more recent 120-W LBO (lithium triborate) system.

RECENT FINDINGS

In general, in spite of the broad clinical acceptance of this innovative technique, high-quality studies on the more recent 120-W LBO device are scarce. However, one randomized mid-term trial comparing the 120-W LBO version with conventional transurethral resection of the prostate has very currently been published. Moreover, experimental data on the updated system are now available.

SUMMARY

Even though no direct comparison of the 80-W KTP and the 120-W LBO system is accessible, the very recent data promise a further enhancement of Greenlight laser vaporization. This especially applies to improved tissue ablation leading to shorter operation times. However, time is not standing still, as we await data on the 180-W LBO system, which has just been launched. Hopefully, we can expect sound clinical and experimental data in the very near future.

摘要

目的综述

报告有关所谓“绿激光前列腺汽化术”的最新文献数据。具体来说,评论一下从最初的 80-W KTP(掺钛钾 磷酸 )系统到最近的 120-W LBO(硼酸锂)系统的演变。

最近的发现

总的来说,尽管这项创新技术得到了广泛的临床认可,但关于最近的 120-W LBO 设备的高质量研究却很少。然而,目前已经发表了一项比较 120-W LBO 版本与传统经尿道前列腺切除术的随机中期试验。此外,现在也有关于更新系统的实验数据。

总结

尽管无法进行 80-W KTP 和 120-W LBO 系统的直接比较,但最新数据有望进一步提高绿激光汽化术的效果。这尤其适用于缩短手术时间的改进组织消融。然而,随着刚刚推出的 180-W LBO 系统的数据,时间并没有停止不前。希望我们能在不久的将来获得可靠的临床和实验数据。

相似文献

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Greenlight: from potassium-titanyl-phosphate to lithium triborate or from good to better?绿光:从钛酸钾磷到三硼酸锂,是更好还是更好?
Curr Opin Urol. 2011 Jan;21(1):27-30. doi: 10.1097/MOU.0b013e3283410105.
2
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引用本文的文献

1
Optimising patient outcomes with photoselective vaporization of the prostate (PVP): a review.通过前列腺光选择性汽化术(PVP)优化患者治疗效果:综述
Transl Androl Urol. 2017 Jul;6(Suppl 2):S133-S141. doi: 10.21037/tau.2017.05.14.
2
Durability and complications of photoselective vaporisation of the prostate with the 120W high performance system GreenLight™ lithium triborate laser.120W高性能系统GreenLight™硼酸锂激光前列腺选择性汽化术的耐用性及并发症
Ann R Coll Surg Engl. 2014 Jul;96(5):359-63. doi: 10.1308/003588414X13946184901047.
3
A rare but serious complication of GreenLight HPS photoselective vaporization of the prostate: Prostatic capsular perforation with bilateral thigh urinomas and osteitis pubis.
绿激光前列腺选择性汽化术一种罕见但严重的并发症:前列腺包膜穿孔伴双侧大腿尿瘤和耻骨炎。
Can Urol Assoc J. 2013 Jan-Feb;7(1-2):E105-7. doi: 10.5489/cuaj.230.