Wang Wei, Liu Haitao, Xia Shujie
Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Asian J Urol. 2016 Jul;3(3):130-133. doi: 10.1016/j.ajur.2016.05.002. Epub 2016 May 25.
Recent innovations in thulium laser techniques have allowed application in the treatment of bladder cancer. Laser en bloc resection of bladder cancer is a transurethral procedure that may offer an alternative to the conventional transurethral resection procedure. We conducted a review of basic thulium laser physics and laser en bloc resection procedures and summarized the current clinical literature with a focus on complications and outcomes. Literature evidence suggests that thulium laser techniques including smooth incision, tissue vaporization, and en bloc resection represent feasible, safe, and effective procedures in the treatment of bladder cancer. Moreover, these techniques allow improved specimen orientation and accurate determination of invasion depth, facilitating correct diagnosis, restaging, and re-evaluation of the need for a second resection. Nonetheless, large-scale multicentre studies with longer follow-up are warranted for a robust assessment. The present review is meant as a quick reference for urologists.
近年来，铥激光技术的创新使其可应用于膀胱癌的治疗。膀胱癌整块激光切除术是一种经尿道手术，可能为传统经尿道切除术提供替代方案。我们回顾了铥激光的基本物理原理和整块激光切除手术，并总结了当前的临床文献，重点关注并发症和治疗结果。文献证据表明，铥激光技术，包括平滑切割、组织汽化和整块切除，是治疗膀胱癌可行、安全且有效的方法。此外，这些技术有助于改善标本定位并准确确定浸润深度，便于进行正确的诊断、重新分期以及重新评估是否需要二次切除。尽管如此，仍需要开展大规模、多中心且随访时间更长的研究，以进行全面评估。本综述旨在为泌尿外科医生提供快速参考。
