Dymov A M, Glybochko P V, Alyaev Yu G, Vinarov A Z, Shpot E V, Sorokin N I, Enikeev D V, Koshkarev A V, Shmeleva E A, Yurova M V
Research Institute of Uronephrology and Human Reproductive Health, Department and Clinic of Urology, I.M. Sechenov First MSMU.
Urologiia. 2016 Dec(6):142-148.
In recent years, the number of organ-sparing operations for renal tumors has been increasing steadily due to comparable oncological outcomes and the desire to preserve functioning renal parenchyma. Another technique, which is becoming increasingly popular, is so-called zero ischemia partial nephrectomy, which allows bleeding to be controlled during the operation without clamping the renal artery, thus avoiding renal ischemic injury. One of the most interesting and promising instruments for partial nephrectomy is a laser radiation. It combines good cutting and coagulating properties, thus enabling partial nephrectomy to be carried out without vascular clamping. This literature review presents the physical basis of laser technology and evidence from published clinical studies on using of various types of laser radiation for partial nephrectomy. The prospects for further development of the technique are discussed.
近年来，由于肿瘤学效果相当且有保留有功能肾实质的需求，肾肿瘤保留肾单位手术的数量一直在稳步增加。另一种越来越受欢迎的技术是所谓的零缺血性部分肾切除术，它允许在手术过程中不夹闭肾动脉来控制出血，从而避免肾缺血性损伤。部分肾切除术最有趣且最有前景的器械之一是激光辐射。它兼具良好的切割和凝血性能，从而能够在不进行血管夹闭的情况下实施部分肾切除术。这篇文献综述介绍了激光技术的物理基础以及已发表的关于使用各种类型激光辐射进行部分肾切除术的临床研究证据。还讨论了该技术进一步发展的前景。
