Thulium laser treatment for bladder cancer

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 thuli...

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Main Authors: Wei Wang, Haitao Liu, Shujie Xia
Format: Article
Language:English
Published: Elsevier 2016-07-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388216300200
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author Wei Wang
Haitao Liu
Shujie Xia
author_facet Wei Wang
Haitao Liu
Shujie Xia
author_sort Wei Wang
collection DOAJ
description 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. Keywords: Thulium laser, 2-μm continuous laser, Bladder cancer, En bloc resection, Transurethral resection of bladder tumor, Holmium laser
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spelling doaj.art-5394242fbf7b404db5e5081fa37c85692022-12-22T03:19:26ZengElsevierAsian Journal of Urology2214-38822016-07-0133130133Thulium laser treatment for bladder cancerWei Wang0Haitao Liu1Shujie Xia2Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCorresponding authors.; Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCorresponding authors.; Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaRecent 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. Keywords: Thulium laser, 2-μm continuous laser, Bladder cancer, En bloc resection, Transurethral resection of bladder tumor, Holmium laserhttp://www.sciencedirect.com/science/article/pii/S2214388216300200
spellingShingle Wei Wang
Haitao Liu
Shujie Xia
Thulium laser treatment for bladder cancer
Asian Journal of Urology
title Thulium laser treatment for bladder cancer
title_full Thulium laser treatment for bladder cancer
title_fullStr Thulium laser treatment for bladder cancer
title_full_unstemmed Thulium laser treatment for bladder cancer
title_short Thulium laser treatment for bladder cancer
title_sort thulium laser treatment for bladder cancer
url http://www.sciencedirect.com/science/article/pii/S2214388216300200
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AT haitaoliu thuliumlasertreatmentforbladdercancer
AT shujiexia thuliumlasertreatmentforbladdercancer