Transurethral Partial Cystectomy with 2 μm Thulium Continuous Wave Laser in the Treatment of Bladder Pheochromocytoma
Identifieur interne : 000151 ( Pascal/Corpus ); précédent : 000150; suivant : 000152Transurethral 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 ZHANGSource :
- Journal of endourology [ 0892-7790 ] ; 2012.
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- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 12-0249204 INIST |
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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 |
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Pascal:12-0249204Le document en format XML
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<front><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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<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>
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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>
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