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Thulium laser supported nephron sparing surgery for renal cell carcinoma.

Identifieur interne : 000309 ( PubMed/Corpus ); précédent : 000308; suivant : 000310

Thulium laser supported nephron sparing surgery for renal cell carcinoma.

Auteurs : Alessandro Sciarra ; Magnus Von Heland ; Francesco Minisola ; Stefano Salciccia ; Susanna Cattarino ; Vincenzo Gentile

Source :

RBID : pubmed:23376605

English descriptors

Abstract

We analyze the feasibility, advantages and results of the use of a thulium laser in nephron sparing surgery for renal cell carcinoma.

DOI: 10.1016/j.juro.2013.01.079
PubMed: 23376605

Links to Exploration step

pubmed:23376605

Le document en format XML

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<title xml:lang="en">Thulium laser supported nephron sparing surgery for renal cell carcinoma.</title>
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<name sortKey="Sciarra, Alessandro" sort="Sciarra, Alessandro" uniqKey="Sciarra A" first="Alessandro" last="Sciarra">Alessandro Sciarra</name>
<affiliation>
<nlm:affiliation>Department of Urology, University Sapienza, Rome, Italy. sciarra.md@libero.it</nlm:affiliation>
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</author>
<author>
<name sortKey="Von Heland, Magnus" sort="Von Heland, Magnus" uniqKey="Von Heland M" first="Magnus" last="Von Heland">Magnus Von Heland</name>
</author>
<author>
<name sortKey="Minisola, Francesco" sort="Minisola, Francesco" uniqKey="Minisola F" first="Francesco" last="Minisola">Francesco Minisola</name>
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<author>
<name sortKey="Salciccia, Stefano" sort="Salciccia, Stefano" uniqKey="Salciccia S" first="Stefano" last="Salciccia">Stefano Salciccia</name>
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<name sortKey="Cattarino, Susanna" sort="Cattarino, Susanna" uniqKey="Cattarino S" first="Susanna" last="Cattarino">Susanna Cattarino</name>
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<author>
<name sortKey="Gentile, Vincenzo" sort="Gentile, Vincenzo" uniqKey="Gentile V" first="Vincenzo" last="Gentile">Vincenzo Gentile</name>
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<name sortKey="Von Heland, Magnus" sort="Von Heland, Magnus" uniqKey="Von Heland M" first="Magnus" last="Von Heland">Magnus Von Heland</name>
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<name sortKey="Minisola, Francesco" sort="Minisola, Francesco" uniqKey="Minisola F" first="Francesco" last="Minisola">Francesco Minisola</name>
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<name sortKey="Salciccia, Stefano" sort="Salciccia, Stefano" uniqKey="Salciccia S" first="Stefano" last="Salciccia">Stefano Salciccia</name>
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<name sortKey="Cattarino, Susanna" sort="Cattarino, Susanna" uniqKey="Cattarino S" first="Susanna" last="Cattarino">Susanna Cattarino</name>
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<name sortKey="Gentile, Vincenzo" sort="Gentile, Vincenzo" uniqKey="Gentile V" first="Vincenzo" last="Gentile">Vincenzo Gentile</name>
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<title level="j">The Journal of urology</title>
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<term>Aged</term>
<term>Carcinoma, Renal Cell (surgery)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Kidney Neoplasms (surgery)</term>
<term>Laparoscopy</term>
<term>Laser Therapy (methods)</term>
<term>Lasers, Semiconductor</term>
<term>Male</term>
<term>Nephrons (surgery)</term>
<term>Prospective Studies</term>
<term>Thulium</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Carcinoma, Renal Cell</term>
<term>Kidney Neoplasms</term>
<term>Nephrons</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Laparoscopy</term>
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<div type="abstract" xml:lang="en">We analyze the feasibility, advantages and results of the use of a thulium laser in nephron sparing surgery for renal cell carcinoma.</div>
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<Year>2013</Year>
<Month>07</Month>
<Day>12</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>11</Month>
<Day>13</Day>
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<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1527-3792</ISSN>
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<Volume>190</Volume>
<Issue>2</Issue>
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<Year>2013</Year>
<Month>Aug</Month>
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<Title>The Journal of urology</Title>
<ISOAbbreviation>J. Urol.</ISOAbbreviation>
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<ArticleTitle>Thulium laser supported nephron sparing surgery for renal cell carcinoma.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.juro.2013.01.079</ELocationID>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">We analyze the feasibility, advantages and results of the use of a thulium laser in nephron sparing surgery for renal cell carcinoma.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In this single center prospective study 10 consecutive high risk patients underwent open or laparoscopic thulium laser assisted enucleation for small peripheral renal cell carcinoma at our department. We used a 2.0 μm continuous or pulsed thulium laser. This diode pumped solid state laser emits a wavelength of 2,013 nm in the infrared spectrum and penetrates tissue to a depth of 0.5 mm.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The entire tumor enucleation was performed using the frontal thulium laser fiber. In all cases the thulium laser produced a smooth incision of the renal parenchyma and a safe delineation of the plane between the tumor and the surrounding tissue. In addition, in the off clamp procedures bleeding was limited during the dissection and did not interfere with the definition of the surgical plane. Median surgical time from the beginning of the laser assisted tumor dissection to the end, after verification of bleeding control on the cut surface, was 15 minutes (range 12 to 20). No significant (less than 40 cc) blood loss occurred during the laser assisted tumor dissection. All cases were clear cell renal cell carcinoma and no positive surgical margins were found. In all cases postoperative management was uncomplicated without evidence of hemorrhage.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In our prospective preliminary experience, thulium laser assisted enucleation for renal cell carcinoma is a feasible, safe and effective procedure.</AbstractText>
<CopyrightInformation>Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Von Heland</LastName>
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<RefSource>J Urol. 2013 Aug;190(2):381-2</RefSource>
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<Keyword MajorTopicYN="N">RCC</Keyword>
<Keyword MajorTopicYN="N">kidney neoplasms</Keyword>
<Keyword MajorTopicYN="N">laser therapy</Keyword>
<Keyword MajorTopicYN="N">renal cell carcinoma</Keyword>
<Keyword MajorTopicYN="N">thulium</Keyword>
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