ThuliumV1, Main, Exploration, bibRecord, 000F15

Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment

Identifieur interne : 000F15 ( Main/Exploration ); précédent : 000F14; suivant : 000F16

Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment

Auteurs : Shu-Jie Xia [République populaire de Chine]

Source :

Asian Journal of Andrology [ 1008-682X ] ; 2009.

RBID : PMC:3752550

Descripteurs français

KwdFr :
- Enregistrement sur bande vidéo, Humains, Hyperplasie de la prostate (), Lasers, Mâle, Prostatectomie (), Prostatectomie (instrumentation), Soins postopératoires (), Thulium, Thérapie laser (), Thérapie laser (instrumentation), Études de suivi.
MESH :
- Enregistrement sur bande vidéo, Humains, Hyperplasie de la prostate, Lasers, Mâle, Prostatectomie, Soins postopératoires, Thulium, Thérapie laser, Études de suivi.

English descriptors

KwdEn :
- Follow-Up Studies, Humans, Laser Therapy (instrumentation), Laser Therapy (methods), Lasers, Male, Postoperative Care (methods), Prostatectomy (instrumentation), Prostatectomy (methods), Prostatic Hyperplasia (surgery), Thulium, Videotape Recording.
MESH :
- chemical : Thulium.
- instrumentation : Laser Therapy, Prostatectomy.
- methods : Laser Therapy, Postoperative Care, Prostatectomy.
- surgery : Prostatic Hyperplasia.
- Follow-Up Studies, Humans, Lasers, Male, Videotape Recording.

Abstract

Two-micron (thulium) laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses a thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. We recently reported the primary results. Here we introduce this procedure in detail. A 70-W, 2-μm (thulium) laser was used in continuous-wave mode. We joined the incision by making a transverse cut from the level of the verumontanum to the bladder neck, making the resection sufficiently deep to reach the surgical capsule, and resected the prostate into small pieces, just like peeling a tangerine. As we resected the prostate, the pieces were vaporized, sufficiently small to be evacuated through the resectoscope sheath, and the use of the mechanical tissue morcellator was not required. The excellent hemostasis of the thulium laser ensured the safety of TmLRP-TT. No patient required blood transfusion. Saline irrigation was used intraoperatively, and no case of transurethral resection syndrome was observed. The bladder outlet obstruction had clearly resolved after catheter removal in all cases. We designed the tangerine technique and proved it to be the most suitable procedure for the use of thulium laser in the treatment of benign prostatic hyperplasia (BPH). This procedure, which takes less operative time than standard techniques, is safe and combines efficient cutting and rapid organic vaporization, thereby showing the great superiority of the thulium fiber laser in the treatment of BPH. It has been proven to be as safe and efficient as transurethral resection of the prostate (TURP) during the 1-year follow-up.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3752550

DOI: 10.1038/aja.2009.17
PubMed: 19398957
PubMed Central: 3752550

Affiliations:

République populaire de Chine

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<front><div type="abstract" xml:lang="en"><p>Two-micron (thulium) laser resection of the prostate-tangerine technique (TmLRP-TT) is a transurethral procedure that uses a thulium laser fiber to dissect whole prostatic lobes off the surgical capsule, similar to peeling a tangerine. We recently reported the primary results. Here we introduce this procedure in detail. A 70-W, 2-μm (thulium) laser was used in continuous-wave mode. We joined the incision by making a transverse cut from the level of the verumontanum to the bladder neck, making the resection sufficiently deep to reach the surgical capsule, and resected the prostate into small pieces, just like peeling a tangerine. As we resected the prostate, the pieces were vaporized, sufficiently small to be evacuated through the resectoscope sheath, and the use of the mechanical tissue morcellator was not required. The excellent hemostasis of the thulium laser ensured the safety of TmLRP-TT. No patient required blood transfusion. Saline irrigation was used intraoperatively, and no case of transurethral resection syndrome was observed. The bladder outlet obstruction had clearly resolved after catheter removal in all cases. We designed the tangerine technique and proved it to be the most suitable procedure for the use of thulium laser in the treatment of benign prostatic hyperplasia (BPH). This procedure, which takes less operative time than standard techniques, is safe and combines efficient cutting and rapid organic vaporization, thereby showing the great superiority of the thulium fiber laser in the treatment of BPH. It has been proven to be as safe and efficient as transurethral resection of the prostate (TURP) during the 1-year follow-up.</p>
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Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment

Two-micron (thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le thulium
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