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Transurethral Partial Cystectomy with 2 μm Thulium Continuous Wave Laser in the Treatment of Bladder Pheochromocytoma

Identifieur interne : 000151 ( Pascal/Corpus ); précédent : 000150; suivant : 000152

Transurethral Partial Cystectomy with 2 μm Thulium Continuous Wave Laser in the Treatment of Bladder Pheochromocytoma

Auteurs : YONG YANG ; Zhi-Tao Wei ; Jin-Shan Lu ; QIANG ZU ; HAIYI WANG ; XU ZHANG

Source :

RBID : Pascal:12-0249204

Descripteurs français

English descriptors

Abstract

Purpose: To introduce transurethal partial cystectomy with a 2013 nm thulium laser as a treatment for paraganglioma of the urinary bladder in adults. Patients and Methods: Three patients with pheochromocytomas were treated transurethrally with a 2013 nm thulium laser under general anesthesia. A 2013 nm thulium laser was used to incise the full-thickness bladder wall around the tumors. The entire bladder wall was peeled between the detrusor muscle layer and outer connective tissues. Tumors with full-thickness detrusor muscle layers at the base were removed together. Intraoperative fluctuation of blood pressure, preoperative values of 24-hour urine catecholamine (CA) and vanillylmandelic acid (VMA), and postoperative complications were observed, and postoperative followtwoups were performed. Results: All operations were successful. Operative time was 25 to 32 minutes. Perioperative blood pressure was stable in two cases while blood pressure fluctuated in the third case. When the entire tumor and the full-thickness bladder wall at the base were freed, blood pressure reverted to stability. All values of 24-hour urine CA and VMA were within normal limits postoperatively. Patients were followed for 7 to 9 months postoperatively with no recurrence. This series included highly selected patients who were treated by a single senior surgeon who is rich in experience in performing 2013 nm thulium laser procedures. Conclusions: To our knowledge, this is the first report of a 2013 nm thulium laser used to treat bladder pheochromocytoma. It can be applied to precisely vaporize and incise the full-thickness bladder wall and cut down the blood supply of the tumor, then peel it while blood pressure remains stable, thus completing partial cystectomy for bladder pheochromocytoma safely.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0892-7790
A03   1    @0 J. endourol.
A05       @2 26
A06       @2 6
A08 01  1  ENG  @1 Transurethral Partial Cystectomy with 2 μm Thulium Continuous Wave Laser in the Treatment of Bladder Pheochromocytoma
A11 01  1    @1 YONG YANG
A11 02  1    @1 WEI (Zhi-Tao)
A11 03  1    @1 LU (Jin-Shan)
A11 04  1    @1 QIANG ZU
A11 05  1    @1 HAIYI WANG
A11 06  1    @1 XU ZHANG
A14 01      @1 Department of Urology, PLA General Hospital @2 Beijing @3 CHN @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 6 aut.
A14 02      @1 Department of Radiology, PLA General Hospital @2 Beijing @3 CHN @Z 5 aut.
A20       @1 686-690
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 21584 @5 354000507774330190
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 12-0249204
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of endourology
A66 01      @0 USA
C01 01    ENG  @0 Purpose: To introduce transurethal partial cystectomy with a 2013 nm thulium laser as a treatment for paraganglioma of the urinary bladder in adults. Patients and Methods: Three patients with pheochromocytomas were treated transurethrally with a 2013 nm thulium laser under general anesthesia. A 2013 nm thulium laser was used to incise the full-thickness bladder wall around the tumors. The entire bladder wall was peeled between the detrusor muscle layer and outer connective tissues. Tumors with full-thickness detrusor muscle layers at the base were removed together. Intraoperative fluctuation of blood pressure, preoperative values of 24-hour urine catecholamine (CA) and vanillylmandelic acid (VMA), and postoperative complications were observed, and postoperative followtwoups were performed. Results: All operations were successful. Operative time was 25 to 32 minutes. Perioperative blood pressure was stable in two cases while blood pressure fluctuated in the third case. When the entire tumor and the full-thickness bladder wall at the base were freed, blood pressure reverted to stability. All values of 24-hour urine CA and VMA were within normal limits postoperatively. Patients were followed for 7 to 9 months postoperatively with no recurrence. This series included highly selected patients who were treated by a single senior surgeon who is rich in experience in performing 2013 nm thulium laser procedures. Conclusions: To our knowledge, this is the first report of a 2013 nm thulium laser used to treat bladder pheochromocytoma. It can be applied to precisely vaporize and incise the full-thickness bladder wall and cut down the blood supply of the tumor, then peel it while blood pressure remains stable, thus completing partial cystectomy for bladder pheochromocytoma safely.
C02 01  X    @0 002B14
C02 02  X    @0 002B21B01
C03 01  X  FRE  @0 Voie transurétrale @5 01
C03 01  X  ENG  @0 Transurethral route @5 01
C03 01  X  SPA  @0 Via transuretral @5 01
C03 02  X  FRE  @0 Voie abord @5 02
C03 02  X  ENG  @0 Surgical approach @5 02
C03 02  X  SPA  @0 Vía abordaje @5 02
C03 03  X  FRE  @0 Partiel @5 03
C03 03  X  ENG  @0 Partial @5 03
C03 03  X  SPA  @0 Parcial @5 03
C03 04  X  FRE  @0 Cystectomie @5 05
C03 04  X  ENG  @0 Cystectomy @5 05
C03 04  X  SPA  @0 Cistectomía @5 05
C03 05  X  FRE  @0 Thulium @2 NC @5 06
C03 05  X  ENG  @0 Thulium @2 NC @5 06
C03 05  X  SPA  @0 Tulio @2 NC @5 06
C03 06  X  FRE  @0 Onde entretenue @5 08
C03 06  X  ENG  @0 Continuous wave @5 08
C03 06  X  SPA  @0 Onda continua @5 08
C03 07  X  FRE  @0 Vessie urinaire @5 09
C03 07  X  ENG  @0 Urinary bladder @5 09
C03 07  X  SPA  @0 Vejiga @5 09
C03 08  X  FRE  @0 Phéochromocytome @5 11
C03 08  X  ENG  @0 Pheochromocytoma @5 11
C03 08  X  SPA  @0 Feocromocitoma @5 11
C03 09  X  FRE  @0 Néphrologie @5 12
C03 09  X  ENG  @0 Nephrology @5 12
C03 09  X  SPA  @0 Nefrología @5 12
C03 10  X  FRE  @0 Urologie @5 17
C03 10  X  ENG  @0 Urology @5 17
C03 10  X  SPA  @0 Urología @5 17
C03 11  X  FRE  @0 Traitement laser @4 INC @5 86
C07 01  X  FRE  @0 Chirurgie @5 37
C07 01  X  ENG  @0 Surgery @5 37
C07 01  X  SPA  @0 Cirugía @5 37
C07 02  X  FRE  @0 Appareil urinaire @5 38
C07 02  X  ENG  @0 Urinary system @5 38
C07 02  X  SPA  @0 Aparato urinario @5 38
C07 03  X  FRE  @0 Endocrinopathie @5 39
C07 03  X  ENG  @0 Endocrinopathy @5 39
C07 03  X  SPA  @0 Endocrinopatía @5 39
C07 04  X  FRE  @0 Tumeur sécrétante @5 40
C07 04  X  ENG  @0 Secretory tumor @5 40
C07 04  X  SPA  @0 Tumor secretante @5 40
N21       @1 191
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0249204 INIST
ET : Transurethral Partial Cystectomy with 2 μm Thulium Continuous Wave Laser in the Treatment of Bladder Pheochromocytoma
AU : YONG YANG; WEI (Zhi-Tao); LU (Jin-Shan); QIANG ZU; HAIYI WANG; XU ZHANG
AF : Department of Urology, PLA General Hospital/Beijing/Chine (1 aut., 2 aut., 3 aut., 4 aut., 6 aut.); Department of Radiology, PLA General Hospital/Beijing/Chine (5 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of endourology; ISSN 0892-7790; Etats-Unis; Da. 2012; Vol. 26; No. 6; Pp. 686-690; Bibl. 13 ref.
LA : Anglais
EA : Purpose: To introduce transurethal partial cystectomy with a 2013 nm thulium laser as a treatment for paraganglioma of the urinary bladder in adults. Patients and Methods: Three patients with pheochromocytomas were treated transurethrally with a 2013 nm thulium laser under general anesthesia. A 2013 nm thulium laser was used to incise the full-thickness bladder wall around the tumors. The entire bladder wall was peeled between the detrusor muscle layer and outer connective tissues. Tumors with full-thickness detrusor muscle layers at the base were removed together. Intraoperative fluctuation of blood pressure, preoperative values of 24-hour urine catecholamine (CA) and vanillylmandelic acid (VMA), and postoperative complications were observed, and postoperative followtwoups were performed. Results: All operations were successful. Operative time was 25 to 32 minutes. Perioperative blood pressure was stable in two cases while blood pressure fluctuated in the third case. When the entire tumor and the full-thickness bladder wall at the base were freed, blood pressure reverted to stability. All values of 24-hour urine CA and VMA were within normal limits postoperatively. Patients were followed for 7 to 9 months postoperatively with no recurrence. This series included highly selected patients who were treated by a single senior surgeon who is rich in experience in performing 2013 nm thulium laser procedures. Conclusions: To our knowledge, this is the first report of a 2013 nm thulium laser used to treat bladder pheochromocytoma. It can be applied to precisely vaporize and incise the full-thickness bladder wall and cut down the blood supply of the tumor, then peel it while blood pressure remains stable, thus completing partial cystectomy for bladder pheochromocytoma safely.
CC : 002B14; 002B21B01
FD : Voie transurétrale; Voie abord; Partiel; Cystectomie; Thulium; Onde entretenue; Vessie urinaire; Phéochromocytome; Néphrologie; Urologie; Traitement laser
FG : Chirurgie; Appareil urinaire; Endocrinopathie; Tumeur sécrétante
ED : Transurethral route; Surgical approach; Partial; Cystectomy; Thulium; Continuous wave; Urinary bladder; Pheochromocytoma; Nephrology; Urology
EG : Surgery; Urinary system; Endocrinopathy; Secretory tumor
SD : Via transuretral; Vía abordaje; Parcial; Cistectomía; Tulio; Onda continua; Vejiga; Feocromocitoma; Nefrología; Urología
LO : INIST-21584.354000507774330190
ID : 12-0249204

Links to Exploration step

Pascal:12-0249204

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: To introduce transurethal partial cystectomy with a 2013 nm thulium laser as a treatment for paraganglioma of the urinary bladder in adults. Patients and Methods: Three patients with pheochromocytomas were treated transurethrally with a 2013 nm thulium laser under general anesthesia. A 2013 nm thulium laser was used to incise the full-thickness bladder wall around the tumors. The entire bladder wall was peeled between the detrusor muscle layer and outer connective tissues. Tumors with full-thickness detrusor muscle layers at the base were removed together. Intraoperative fluctuation of blood pressure, preoperative values of 24-hour urine catecholamine (CA) and vanillylmandelic acid (VMA), and postoperative complications were observed, and postoperative followtwoups were performed. Results: All operations were successful. Operative time was 25 to 32 minutes. Perioperative blood pressure was stable in two cases while blood pressure fluctuated in the third case. When the entire tumor and the full-thickness bladder wall at the base were freed, blood pressure reverted to stability. All values of 24-hour urine CA and VMA were within normal limits postoperatively. Patients were followed for 7 to 9 months postoperatively with no recurrence. This series included highly selected patients who were treated by a single senior surgeon who is rich in experience in performing 2013 nm thulium laser procedures. Conclusions: To our knowledge, this is the first report of a 2013 nm thulium laser used to treat bladder pheochromocytoma. It can be applied to precisely vaporize and incise the full-thickness bladder wall and cut down the blood supply of the tumor, then peel it while blood pressure remains stable, thus completing partial cystectomy for bladder pheochromocytoma safely.</div>
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<s0>Purpose: To introduce transurethal partial cystectomy with a 2013 nm thulium laser as a treatment for paraganglioma of the urinary bladder in adults. Patients and Methods: Three patients with pheochromocytomas were treated transurethrally with a 2013 nm thulium laser under general anesthesia. A 2013 nm thulium laser was used to incise the full-thickness bladder wall around the tumors. The entire bladder wall was peeled between the detrusor muscle layer and outer connective tissues. Tumors with full-thickness detrusor muscle layers at the base were removed together. Intraoperative fluctuation of blood pressure, preoperative values of 24-hour urine catecholamine (CA) and vanillylmandelic acid (VMA), and postoperative complications were observed, and postoperative followtwoups were performed. Results: All operations were successful. Operative time was 25 to 32 minutes. Perioperative blood pressure was stable in two cases while blood pressure fluctuated in the third case. When the entire tumor and the full-thickness bladder wall at the base were freed, blood pressure reverted to stability. All values of 24-hour urine CA and VMA were within normal limits postoperatively. Patients were followed for 7 to 9 months postoperatively with no recurrence. This series included highly selected patients who were treated by a single senior surgeon who is rich in experience in performing 2013 nm thulium laser procedures. Conclusions: To our knowledge, this is the first report of a 2013 nm thulium laser used to treat bladder pheochromocytoma. It can be applied to precisely vaporize and incise the full-thickness bladder wall and cut down the blood supply of the tumor, then peel it while blood pressure remains stable, thus completing partial cystectomy for bladder pheochromocytoma safely.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B14</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B21B01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Voie transurétrale</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Transurethral route</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Via transuretral</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Voie abord</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Surgical approach</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Vía abordaje</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Partiel</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Partial</s0>
<s5>03</s5>
</fC03>
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<s0>Parcial</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Cystectomie</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Cystectomy</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Cistectomía</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Thulium</s0>
<s2>NC</s2>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Thulium</s0>
<s2>NC</s2>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Tulio</s0>
<s2>NC</s2>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Onde entretenue</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Continuous wave</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Onda continua</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Vessie urinaire</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Urinary bladder</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Vejiga</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Phéochromocytome</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Pheochromocytoma</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Feocromocitoma</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Néphrologie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Nephrology</s0>
<s5>12</s5>
</fC03>
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<s0>Nefrología</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Urologie</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Urology</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Urología</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Traitement laser</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>37</s5>
</fC07>
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<s0>Cirugía</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Appareil urinaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Urinary system</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Aparato urinario</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Endocrinopathie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Endocrinopathy</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Endocrinopatía</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Tumeur sécrétante</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Secretory tumor</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Tumor secretante</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>191</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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<server>
<NO>PASCAL 12-0249204 INIST</NO>
<ET>Transurethral Partial Cystectomy with 2 μm Thulium Continuous Wave Laser in the Treatment of Bladder Pheochromocytoma</ET>
<AU>YONG YANG; WEI (Zhi-Tao); LU (Jin-Shan); QIANG ZU; HAIYI WANG; XU ZHANG</AU>
<AF>Department of Urology, PLA General Hospital/Beijing/Chine (1 aut., 2 aut., 3 aut., 4 aut., 6 aut.); Department of Radiology, PLA General Hospital/Beijing/Chine (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of endourology; ISSN 0892-7790; Etats-Unis; Da. 2012; Vol. 26; No. 6; Pp. 686-690; Bibl. 13 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To introduce transurethal partial cystectomy with a 2013 nm thulium laser as a treatment for paraganglioma of the urinary bladder in adults. Patients and Methods: Three patients with pheochromocytomas were treated transurethrally with a 2013 nm thulium laser under general anesthesia. A 2013 nm thulium laser was used to incise the full-thickness bladder wall around the tumors. The entire bladder wall was peeled between the detrusor muscle layer and outer connective tissues. Tumors with full-thickness detrusor muscle layers at the base were removed together. Intraoperative fluctuation of blood pressure, preoperative values of 24-hour urine catecholamine (CA) and vanillylmandelic acid (VMA), and postoperative complications were observed, and postoperative followtwoups were performed. Results: All operations were successful. Operative time was 25 to 32 minutes. Perioperative blood pressure was stable in two cases while blood pressure fluctuated in the third case. When the entire tumor and the full-thickness bladder wall at the base were freed, blood pressure reverted to stability. All values of 24-hour urine CA and VMA were within normal limits postoperatively. Patients were followed for 7 to 9 months postoperatively with no recurrence. This series included highly selected patients who were treated by a single senior surgeon who is rich in experience in performing 2013 nm thulium laser procedures. Conclusions: To our knowledge, this is the first report of a 2013 nm thulium laser used to treat bladder pheochromocytoma. It can be applied to precisely vaporize and incise the full-thickness bladder wall and cut down the blood supply of the tumor, then peel it while blood pressure remains stable, thus completing partial cystectomy for bladder pheochromocytoma safely.</EA>
<CC>002B14; 002B21B01</CC>
<FD>Voie transurétrale; Voie abord; Partiel; Cystectomie; Thulium; Onde entretenue; Vessie urinaire; Phéochromocytome; Néphrologie; Urologie; Traitement laser</FD>
<FG>Chirurgie; Appareil urinaire; Endocrinopathie; Tumeur sécrétante</FG>
<ED>Transurethral route; Surgical approach; Partial; Cystectomy; Thulium; Continuous wave; Urinary bladder; Pheochromocytoma; Nephrology; Urology</ED>
<EG>Surgery; Urinary system; Endocrinopathy; Secretory tumor</EG>
<SD>Via transuretral; Vía abordaje; Parcial; Cistectomía; Tulio; Onda continua; Vejiga; Feocromocitoma; Nefrología; Urología</SD>
<LO>INIST-21584.354000507774330190</LO>
<ID>12-0249204</ID>
</server>
</inist>
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