Kyriazis Iason, Ozsoy Mehmet, Kallidonis Panagiotis, Panagopoulos Vasilios, Vasilas Marinos, Liatsikos Evangelos
Department of Urology, University of Patras, Patras, Greece.
World J Urol. 2015 Apr;33(4):589-94. doi: 10.1007/s00345-014-1343-0. Epub 2014 Jul 3.
Laser-assisted partial nephrectomy (PN) can benefit from the excellent coagulative properties of lasers to provide a bloodless tumor excision without the necessity for renal artery clamping. In this review, we aim to determine the current clinical implementation of laser assistance during laparoscopic nephron-sparing surgery.
An extensive literature evaluation on laser-assisted PN was performed. Experimental work on animals and review articles were excluded.
Current literature regarding laser-assisted PN is scarce. Available data consist mostly of small cohorts providing low level of evidence. Even though initial studies with currently available laser modalities demonstrated promising results, several drawbacks in each technique need to be addressed before being widely accepted as a standard care.
Experience with laser-assisted laparoscopic PN is steadily increasing and uniformly documenting favorable results. As urologist became more familiar with laser technology by its implementation in other clinical entities and with the increasing interest in nephron-sparing management of renal tumors, the use of laser assistance during PN should be expected to play a major role in future.
激光辅助部分肾切除术（PN）可受益于激光出色的凝血特性，无需夹闭肾动脉即可实现无血肿瘤切除。在本综述中，我们旨在确定激光辅助在腹腔镜肾单位保留手术中的当前临床应用情况。
对激光辅助PN进行了广泛的文献评估。排除了动物实验研究和综述文章。
目前关于激光辅助PN的文献较少。现有数据大多来自小样本队列，证据水平较低。尽管目前使用的激光模式的初步研究显示出有前景的结果，但在被广泛接受为标准治疗方法之前，每种技术的几个缺点都需要解决。
激光辅助腹腔镜PN的经验正在稳步增加，且一致记录了良好的结果。随着泌尿外科医生通过在其他临床实体中应用激光技术而对其更加熟悉，以及对肾肿瘤肾单位保留管理的兴趣日益增加，预计PN期间使用激光辅助在未来将发挥重要作用。
