First collaborative experience with thulium laser ablation of localized upper urinary tract urothelial tumors using retrograde intra-renal surgery.
Identifieur interne : 000430 ( PubMed/Checkpoint ); précédent : 000429; suivant : 000431First collaborative experience with thulium laser ablation of localized upper urinary tract urothelial tumors using retrograde intra-renal surgery.
Auteurs : Lorenzo Defidio [Italie] ; Mauro De Dominicis ; Luca Di Gianfrancesco ; Gerhard Fuchs ; Anup PatelSource :
- Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica / Associazione ricerche in urologia [ 1124-3562 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de survie, Femelle, Holmium, Humains, Mâle, Procédures de chirurgie urologique (), Résultat thérapeutique, Sujet âgé, Thulium, Thérapie laser (), Tumeurs de l'uretère (), Tumeurs de l'uretère (anatomopathologie), Tumeurs du rein (), Tumeurs du rein (anatomopathologie), Tumeurs urologiques (), Tumeurs urologiques (anatomopathologie), Tumeurs urologiques (mortalité), Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs de l'uretère, Tumeurs du rein, Tumeurs urologiques.
- mortalité : Tumeurs urologiques.
- Adulte d'âge moyen, Analyse de survie, Femelle, Holmium, Humains, Mâle, Procédures de chirurgie urologique, Résultat thérapeutique, Sujet âgé, Thulium, Thérapie laser, Tumeurs de l'uretère, Tumeurs du rein, Tumeurs urologiques, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Female, Holmium, Humans, Kidney Neoplasms (pathology), Kidney Neoplasms (surgery), Laser Therapy (methods), Male, Middle Aged, Retrospective Studies, Survival Analysis, Thulium, Treatment Outcome, Ureteral Neoplasms (pathology), Ureteral Neoplasms (surgery), Urologic Neoplasms (mortality), Urologic Neoplasms (pathology), Urologic Neoplasms (surgery), Urologic Surgical Procedures (methods).
- MESH :
- chemical : Holmium, Thulium.
- methods : Laser Therapy, Urologic Surgical Procedures.
- mortality : Urologic Neoplasms.
- pathology : Kidney Neoplasms, Ureteral Neoplasms, Urologic Neoplasms.
- surgery : Kidney Neoplasms, Ureteral Neoplasms, Urologic Neoplasms.
- Aged, Female, Humans, Male, Middle Aged, Retrospective Studies, Survival Analysis, Treatment Outcome.
Abstract
Thulium laser ablation (TLA) outcomes with blinded performance evaluation after retrograde intra-renal surgical (RIRS) treatment of upper urinary tract transitional cell carcinomas (UUT-TCC).
PubMed: 22184839
Affiliations:
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pubmed:22184839Le document en format XML
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Gianfrancesco L" first="Luca" last="Di Gianfrancesco">Luca Di Gianfrancesco</name></author><author><name sortKey="Fuchs, Gerhard" sort="Fuchs, Gerhard" uniqKey="Fuchs G" first="Gerhard" last="Fuchs">Gerhard Fuchs</name></author><author><name sortKey="Patel, Anup" sort="Patel, Anup" uniqKey="Patel A" first="Anup" last="Patel">Anup Patel</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:22184839</idno><idno type="pmid">22184839</idno><idno type="wicri:Area/PubMed/Corpus">000396</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000396</idno><idno type="wicri:Area/PubMed/Curation">000396</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000396</idno><idno type="wicri:Area/PubMed/Checkpoint">000396</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000396</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">First collaborative experience with thulium laser ablation of localized upper urinary tract urothelial tumors using retrograde intra-renal surgery.</title><author><name sortKey="Defidio, Lorenzo" sort="Defidio, Lorenzo" uniqKey="Defidio L" first="Lorenzo" last="Defidio">Lorenzo Defidio</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Cristo Re Hospital, Rome, Italy. defidio@tin.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Urology, Cristo Re Hospital, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="De Dominicis, Mauro" sort="De Dominicis, Mauro" uniqKey="De Dominicis M" first="Mauro" last="De Dominicis">Mauro De Dominicis</name></author><author><name sortKey="Di Gianfrancesco, Luca" sort="Di Gianfrancesco, Luca" uniqKey="Di Gianfrancesco L" first="Luca" last="Di Gianfrancesco">Luca Di Gianfrancesco</name></author><author><name sortKey="Fuchs, Gerhard" sort="Fuchs, Gerhard" uniqKey="Fuchs G" first="Gerhard" last="Fuchs">Gerhard Fuchs</name></author><author><name sortKey="Patel, Anup" sort="Patel, Anup" uniqKey="Patel A" first="Anup" last="Patel">Anup Patel</name></author></analytic><series><title level="j">Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica / Associazione ricerche in urologia</title><idno type="ISSN">1124-3562</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Holmium</term><term>Humans</term><term>Kidney Neoplasms (pathology)</term><term>Kidney Neoplasms (surgery)</term><term>Laser Therapy (methods)</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Survival Analysis</term><term>Thulium</term><term>Treatment Outcome</term><term>Ureteral Neoplasms (pathology)</term><term>Ureteral Neoplasms (surgery)</term><term>Urologic Neoplasms (mortality)</term><term>Urologic Neoplasms (pathology)</term><term>Urologic Neoplasms (surgery)</term><term>Urologic Surgical Procedures (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Holmium</term><term>Humains</term><term>Mâle</term><term>Procédures de chirurgie urologique ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Thulium</term><term>Thérapie laser ()</term><term>Tumeurs de l'uretère ()</term><term>Tumeurs de l'uretère (anatomopathologie)</term><term>Tumeurs du rein ()</term><term>Tumeurs du rein (anatomopathologie)</term><term>Tumeurs urologiques ()</term><term>Tumeurs urologiques (anatomopathologie)</term><term>Tumeurs urologiques (mortalité)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Holmium</term><term>Thulium</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de l'uretère</term><term>Tumeurs du rein</term><term>Tumeurs urologiques</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term><term>Urologic Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Urologic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs urologiques</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Kidney Neoplasms</term><term>Ureteral Neoplasms</term><term>Urologic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Kidney Neoplasms</term><term>Ureteral Neoplasms</term><term>Urologic Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Survival Analysis</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Holmium</term><term>Humains</term><term>Mâle</term><term>Procédures de chirurgie urologique</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Thulium</term><term>Thérapie laser</term><term>Tumeurs de l'uretère</term><term>Tumeurs du rein</term><term>Tumeurs urologiques</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Thulium laser ablation (TLA) outcomes with blinded performance evaluation after retrograde intra-renal surgical (RIRS) treatment of upper urinary tract transitional cell carcinomas (UUT-TCC).</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22184839</PMID><DateCreated><Year>2011</Year><Month>12</Month><Day>21</Day></DateCreated><DateCompleted><Year>2012</Year><Month>01</Month><Day>27</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1124-3562</ISSN><JournalIssue CitedMedium="Print"><Volume>83</Volume><Issue>3</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica / Associazione ricerche in urologia</Title><ISOAbbreviation>Arch Ital Urol Androl</ISOAbbreviation></Journal><ArticleTitle>First collaborative experience with thulium laser ablation of localized upper urinary tract urothelial tumors using retrograde intra-renal surgery.</ArticleTitle><Pagination><MedlinePgn>147-53</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Thulium laser ablation (TLA) outcomes with blinded performance evaluation after retrograde intra-renal surgical (RIRS) treatment of upper urinary tract transitional cell carcinomas (UUT-TCC).</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A UUT-TCC patient cohort undergoing RIRS-TLA by an international endoscopic surgical collaboration in a European center (April 2005-July 2009), underwent outcomes evaluation. All 4 surgeons were blinded and independently scored both TLA and Holmium:YAG laser ablation performance aspects annually using a Likert scoring system (0-10).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients (n = 59, median age 66 years, 9 with solitary kidney) had complete UUT inspection. Presenting lesion(s) were intra-renal (n = 30, 51%), ureteral (n = 13, 22%), and combined (n = 16, 27%). Single-stage TLA sufficed in 81.4% (tumors < 1.5 cm). Significant recurrence free survival differences occurred according to primary tumor size >/< 1.5 cm and multi-focality, but location made no difference. Median Likert scores were i) fiber-tip stability --5.5/8.75, p = 0.016; ii) reduced bleeding--5/8.5, p = 0.004; iii)fiber-tip precision--5.5/8.5, p = 0.003; iv) mucosal perforation reduction--3.5/7.5, p = 0.001; v) ablation efficiency tumors < 1.5 cm--6/9, p = 0.017; tumors > 1.5 cm--6.75/6.75, p = 1, and vi) overall efficiency--6/7.5, p = 0.09, for Holmium:YAG and TLA, respectively.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The Thulium laser delivered non-inferior recurrence free survival to RIRS-UUT-TCC Holmium:YAG laser ablation, but better median parameter performance scores in fiber-tip stability, precision, reduced bleeding and mucosal perforation reduction in expert ratings. Despite improved photothermal coagulation, and endo-visualization for tumors < 1.5 cm, both ablation and overall efficiency remained challenging for larger tumors with both existing laser technologies.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Defidio</LastName><ForeName>Lorenzo</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Urology, Cristo Re Hospital, Rome, Italy. defidio@tin.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Dominicis</LastName><ForeName>Mauro</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Di Gianfrancesco</LastName><ForeName>Luca</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Fuchs</LastName><ForeName>Gerhard</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Anup</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Arch Ital Urol Androl</MedlineTA><NlmUniqueID>9308247</NlmUniqueID><ISSNLinking>1124-3562</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber><NameOfSubstance UI="D013932">Thulium</NameOfSubstance></Chemical><Chemical><RegistryNumber>W1XX32SQN1</RegistryNumber><NameOfSubstance UI="D006695">Holmium</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006695">Holmium</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007680">Kidney Neoplasms</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D053685">Laser Therapy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016019">Survival Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013932">Thulium</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014516">Ureteral Neoplasms</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014571">Urologic Neoplasms</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013520">Urologic Surgical Procedures</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22184839</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="De Dominicis, Mauro" sort="De Dominicis, Mauro" uniqKey="De Dominicis M" first="Mauro" last="De Dominicis">Mauro De Dominicis</name><name sortKey="Di Gianfrancesco, Luca" sort="Di Gianfrancesco, Luca" uniqKey="Di Gianfrancesco L" first="Luca" last="Di Gianfrancesco">Luca Di Gianfrancesco</name><name sortKey="Fuchs, Gerhard" sort="Fuchs, Gerhard" uniqKey="Fuchs G" first="Gerhard" last="Fuchs">Gerhard Fuchs</name><name sortKey="Patel, Anup" sort="Patel, Anup" uniqKey="Patel A" first="Anup" last="Patel">Anup Patel</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Defidio, Lorenzo" sort="Defidio, Lorenzo" uniqKey="Defidio L" first="Lorenzo" last="Defidio">Lorenzo Defidio</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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