Common trend: move to enucleation-Is there a case for GreenLight enucleation? Development and description of the technique.
Identifieur interne : 000167 ( PubMed/Curation ); précédent : 000166; suivant : 000168Common trend: move to enucleation-Is there a case for GreenLight enucleation? Development and description of the technique.
Auteurs : Fernando Gomez Sancha [Oman] ; Vanesa Cuadros Rivera ; Georgi Georgiev ; Alexander Botsevski ; Julian Kotsev ; Thomas HerrmannSource :
- World journal of urology [ 1433-8726 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Borates, Lithium Compounds.
- methods : Laser Therapy, Prostatectomy.
- surgery : Prostatic Hyperplasia.
- Humans, Male, Treatment Outcome.
Abstract
Transurethral laser prostatectomy has evolved as a viable alternative for the management of benign prostate enlargement. Since the renaissance of laser prostatectomy with the advent of the holmium:yttrium-aluminum-garnet laser in the 1990s, various lasers and subsequent procedures have been introduced. These techniques can be categorized as vaporizing, resecting, and enucleating approaches. Photoselective vaporization of the prostate (PVP) is dominated by high-power lithium triborate (LBO) crystal lasers (GreenLight XPS). The mainstay of this technique is for the treatment of small to medium prostate volumes whereas enucleating techniques, such as holmium laser enucleation of the prostate and thulium enucleation of the prostate, focus on large-volume glands. In order to perspectively "delimit" LBO into the field of large-volume prostates, we developed LBO en bloc enucleation to render it as a competing transurethral enucleating approach.
DOI: 10.1007/s00345-014-1339-9
PubMed: 24929643
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<author><name sortKey="Gomez Sancha, Fernando" sort="Gomez Sancha, Fernando" uniqKey="Gomez Sancha F" first="Fernando" last="Gomez Sancha">Fernando Gomez Sancha</name>
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<author><name sortKey="Rivera, Vanesa Cuadros" sort="Rivera, Vanesa Cuadros" uniqKey="Rivera V" first="Vanesa Cuadros" last="Rivera">Vanesa Cuadros Rivera</name>
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<author><name sortKey="Georgiev, Georgi" sort="Georgiev, Georgi" uniqKey="Georgiev G" first="Georgi" last="Georgiev">Georgi Georgiev</name>
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<author><name sortKey="Botsevski, Alexander" sort="Botsevski, Alexander" uniqKey="Botsevski A" first="Alexander" last="Botsevski">Alexander Botsevski</name>
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<author><name sortKey="Georgiev, Georgi" sort="Georgiev, Georgi" uniqKey="Georgiev G" first="Georgi" last="Georgiev">Georgi Georgiev</name>
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<author><name sortKey="Botsevski, Alexander" sort="Botsevski, Alexander" uniqKey="Botsevski A" first="Alexander" last="Botsevski">Alexander Botsevski</name>
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<term>Humans</term>
<term>Laser Therapy (methods)</term>
<term>Lithium Compounds</term>
<term>Male</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Borates</term>
<term>Composés du lithium</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Mâle</term>
<term>Prostatectomie ()</term>
<term>Résultat thérapeutique</term>
<term>Thérapie laser ()</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Borates</term>
<term>Lithium Compounds</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term>
<term>Prostatectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Male</term>
<term>Treatment Outcome</term>
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<term>Composés du lithium</term>
<term>Humains</term>
<term>Hyperplasie de la prostate</term>
<term>Mâle</term>
<term>Prostatectomie</term>
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<front><div type="abstract" xml:lang="en">Transurethral laser prostatectomy has evolved as a viable alternative for the management of benign prostate enlargement. Since the renaissance of laser prostatectomy with the advent of the holmium:yttrium-aluminum-garnet laser in the 1990s, various lasers and subsequent procedures have been introduced. These techniques can be categorized as vaporizing, resecting, and enucleating approaches. Photoselective vaporization of the prostate (PVP) is dominated by high-power lithium triborate (LBO) crystal lasers (GreenLight XPS). The mainstay of this technique is for the treatment of small to medium prostate volumes whereas enucleating techniques, such as holmium laser enucleation of the prostate and thulium enucleation of the prostate, focus on large-volume glands. In order to perspectively "delimit" LBO into the field of large-volume prostates, we developed LBO en bloc enucleation to render it as a competing transurethral enucleating approach.</div>
</front>
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<Title>World journal of urology</Title>
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<ArticleTitle>Common trend: move to enucleation-Is there a case for GreenLight enucleation? Development and description of the technique.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Transurethral laser prostatectomy has evolved as a viable alternative for the management of benign prostate enlargement. Since the renaissance of laser prostatectomy with the advent of the holmium:yttrium-aluminum-garnet laser in the 1990s, various lasers and subsequent procedures have been introduced. These techniques can be categorized as vaporizing, resecting, and enucleating approaches. Photoselective vaporization of the prostate (PVP) is dominated by high-power lithium triborate (LBO) crystal lasers (GreenLight XPS). The mainstay of this technique is for the treatment of small to medium prostate volumes whereas enucleating techniques, such as holmium laser enucleation of the prostate and thulium enucleation of the prostate, focus on large-volume glands. In order to perspectively "delimit" LBO into the field of large-volume prostates, we developed LBO en bloc enucleation to render it as a competing transurethral enucleating approach.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We present a detailed stepwise progressive technique developed in Madrid, Spain, for the complete removal of the transitional zone by vapoenucleation. The steps include exposition of the prostatic capsule by PVP toward the peripheral zone, thereby identifying the anatomical limits of enucleation. Subsequently, the transitional zone is excised in a single bloc and morcellated after its placement into the bladder.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This new GreenLight en bloc enucleation technique allows to treat larger prostates than those previously treated with the PVP technique.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gomez Sancha</LastName>
<ForeName>Fernando</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>ICUA, Clínica CEMTRO, Ventisquero de la Condesa 42, 28035, Madrid, Spain, fgomsan@gmail.com.</Affiliation>
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<Author ValidYN="Y"><LastName>Rivera</LastName>
<ForeName>Vanesa Cuadros</ForeName>
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<Author ValidYN="Y"><LastName>Georgiev</LastName>
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<Author ValidYN="Y"><LastName>Botsevski</LastName>
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<Author ValidYN="Y"><LastName>Kotsev</LastName>
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<Author ValidYN="Y"><LastName>Herrmann</LastName>
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<Language>eng</Language>
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