Serveur d'exploration sur le thulium

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Zero ischemia laparoscopic partial thulium laser nephrectomy.

Identifieur interne : 000317 ( PubMed/Corpus ); précédent : 000316; suivant : 000318

Zero ischemia laparoscopic partial thulium laser nephrectomy.

Auteurs : Arun Z. Thomas ; Lisa Smyth ; Derek Hennessey ; Fardod O'Kelly ; Diarmaid Moran ; Thomas H. Lynch

Source :

RBID : pubmed:23301557

English descriptors

Abstract

Laser technology presents a promising alternative to achieve tumor excision and renal hemostasis with or without hilar occlusion, yet its use in partial nephrectomy has not been significantly evaluated. We prospectively evaluated the thulium:yttrium-aluminum-garnet laser in laparoscopic partial nephrectomy (LPN) in our institution over a 1-year period.

DOI: 10.1089/end.2012.0527
PubMed: 23301557

Links to Exploration step

pubmed:23301557

Le document en format XML

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<title xml:lang="en">Zero ischemia laparoscopic partial thulium laser nephrectomy.</title>
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<name sortKey="Thomas, Arun Z" sort="Thomas, Arun Z" uniqKey="Thomas A" first="Arun Z" last="Thomas">Arun Z. Thomas</name>
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<nlm:affiliation>Department of Urology, St James Hospital , Dublin, Ireland .</nlm:affiliation>
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<name sortKey="Smyth, Lisa" sort="Smyth, Lisa" uniqKey="Smyth L" first="Lisa" last="Smyth">Lisa Smyth</name>
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<name sortKey="Hennessey, Derek" sort="Hennessey, Derek" uniqKey="Hennessey D" first="Derek" last="Hennessey">Derek Hennessey</name>
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<name sortKey="O Kelly, Fardod" sort="O Kelly, Fardod" uniqKey="O Kelly F" first="Fardod" last="O'Kelly">Fardod O'Kelly</name>
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<name sortKey="Moran, Diarmaid" sort="Moran, Diarmaid" uniqKey="Moran D" first="Diarmaid" last="Moran">Diarmaid Moran</name>
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<name sortKey="Lynch, Thomas H" sort="Lynch, Thomas H" uniqKey="Lynch T" first="Thomas H" last="Lynch">Thomas H. Lynch</name>
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<name sortKey="Lynch, Thomas H" sort="Lynch, Thomas H" uniqKey="Lynch T" first="Thomas H" last="Lynch">Thomas H. Lynch</name>
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<title level="j">Journal of endourology / Endourological Society</title>
<idno type="eISSN">1557-900X</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Carcinoma, Renal Cell (diagnosis)</term>
<term>Carcinoma, Renal Cell (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Glomerular Filtration Rate</term>
<term>Humans</term>
<term>Ischemia (physiopathology)</term>
<term>Ischemia (prevention & control)</term>
<term>Kidney (blood supply)</term>
<term>Kidney (physiopathology)</term>
<term>Kidney Neoplasms (diagnosis)</term>
<term>Kidney Neoplasms (surgery)</term>
<term>Laparoscopy (methods)</term>
<term>Laser Therapy (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nephrectomy (methods)</term>
<term>Operative Time</term>
<term>Prospective Studies</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Kidney</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Carcinoma, Renal Cell</term>
<term>Kidney Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Laparoscopy</term>
<term>Laser Therapy</term>
<term>Nephrectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Ischemia</term>
<term>Kidney</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Ischemia</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Carcinoma, Renal Cell</term>
<term>Kidney Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Glomerular Filtration Rate</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Operative Time</term>
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<front>
<div type="abstract" xml:lang="en">Laser technology presents a promising alternative to achieve tumor excision and renal hemostasis with or without hilar occlusion, yet its use in partial nephrectomy has not been significantly evaluated. We prospectively evaluated the thulium:yttrium-aluminum-garnet laser in laparoscopic partial nephrectomy (LPN) in our institution over a 1-year period.</div>
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<DateCreated>
<Year>2013</Year>
<Month>11</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>05</Month>
<Day>26</Day>
</DateCompleted>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1557-900X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>27</Volume>
<Issue>11</Issue>
<PubDate>
<Year>2013</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Journal of endourology / Endourological Society</Title>
<ISOAbbreviation>J. Endourol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Zero ischemia laparoscopic partial thulium laser nephrectomy.</ArticleTitle>
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<MedlinePgn>1366-70</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Laser technology presents a promising alternative to achieve tumor excision and renal hemostasis with or without hilar occlusion, yet its use in partial nephrectomy has not been significantly evaluated. We prospectively evaluated the thulium:yttrium-aluminum-garnet laser in laparoscopic partial nephrectomy (LPN) in our institution over a 1-year period.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">We used the thulium laser with a wavelength of 2013 nm in the infrared spectrum. Data were recorded prospectively. Tumor size, preoperative aspects and dimensions used for an anatomical classification (PADUA) score, operative time, warm ischemia time (WIT), and perioperative and postoperative morbidity were recorded. Blood loss, preoperative and postoperative creatinine level, and estimated glomerular filtration rate (eGFR) were also collected.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 15 patients underwent consecutive LPN. The mean tumour diameter was 2.85 (1.5-4). The mean PADUA score was 6.8 (6-9). The mean total operative time was 168 minutes (128-306 min). Mean blood loss was 341 mL (0-800 mL). Date of discharge was 3.2 days postoperatively (2-8 days). The renal vessels were not clamped, resulting in a WIT of 0 minutes in all cases. There was no statistical significant increase in serum creatinine level or decrease in eGFR postoperatively. Histologically, the majority of lesions (13/15 patients) were renal-cell carcinoma stage pT1a. In all cases, base margins had negative results for tumor.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The 2013-nm thulium laser system offers excellent hemostasis and precise resection capability of the renal cortex during LPN of small partially exophytic renal tumors. Our series showed excellent perioperative functional and pathologic outcomes, including minimal blood loss, zero ischemia, negative tumor margins, and preservation of renal function.</AbstractText>
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