Tm:YAG laser en bloc mucosectomy for accurate staging of primary bladder cancer: early experience

Wolters, M.; Kramer, Mario W.; Becker, Jan U.; Christgen, Matthias; Nagele, Udo; Imkamp, Florian; Burchardt, Martin; Merseburger, Axel S.; Kuczyk, Markus A.; Bach, Thorsten; Gross, Andreas J.; Herrmann, Thomas

doi:10.1007/s00345-011-0686-z

Cited by 66 publications

(51 citation statements)

References 17 publications

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“…16,28,29 To the authors' knowledge, this is the first study to provide a detailed head-to-head comparison between 2-mm (thulium) continuous-wave laser and TURBT.…”

Section: Discussionmentioning

confidence: 97%

Comparison of the safety and efficacy of conventional monopolar and 2-micron laser transurethral resection in the management of multiple nonmuscle-invasive bladder cancer

Liu

Xue

et al. 2013

J Int Med Res

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“…16,28,29 To the authors' knowledge, this is the first study to provide a detailed head-to-head comparison between 2-mm (thulium) continuous-wave laser and TURBT.…”

Section: Discussionmentioning

confidence: 97%

Comparison of the safety and efficacy of conventional monopolar and 2-micron laser transurethral resection in the management of multiple nonmuscle-invasive bladder cancer

Liu

Xue

et al. 2013

J Int Med Res

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“…Laserunterstützende Anwendungen bei der En-bloc-Resektion von Harnblasentumoren sind ebenfalls beschrieben. Jeweils 4 Publikationen beziehen sich auf den Gebrauch des Holmium:YAG-Lasers (Ho:YAG, HoLRBT; [14,19,20,21]) sowie auf den des Thulium:YAG-Lasers (Tm:YAG, TmLRBT; [19,22,23,24];…”

Section: Studienlageunclassified

“…1, 2). Um eine R0-Resektion sicherzustellen, biopsierten einige Arbeitsgruppen den Tumorgrund [14,18,19,22,23]. Eine chinesische Arbeitsgruppe erweiterte den Eingriff zu einer partiellen Zystektomie [24].…”

Section: Technische Aspekteunclassified

“…Daten zum Rezidivverhalten nach TmLRBT liefert eine Arbeit von Wolters et al [23]. Der Nachbeobachtungszeitraum ist mit 6 Wochen vergleichsweise kurz, allerdings zeigte sich bei keinem der behandelten Patienten ein Rezidiv nach Re-TURB.…”

Section: Abb 2 8 Chronologischer Ablauf Einer En-bloc-resektion Eineunclassified

“…Die in theoretischen Überlegungen verbesserte Hämostase unter Einsatz von Lasern [25] bestätigte sich in mehreren Fallberichten [19,20,21,23,24]. Haben Xishuang et al [21] dies in der reinen Gegenüberstellung der verwendeten Methoden empirisch beschrieben, jedoch keine messbaren Daten publiziert, so verzeichneten Zhong et al [19] …”

Section: Introductionunclassified

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Transurethrale En-bloc-Resektion nicht muskelinvasiver Harnblasenkarzinome

Kramer

Wolters

Abdelkawi

et al. 2012

Urologe

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Bladder cancer of the urothelium is the second most common malignancy among urological tumors. In view of a worldwide aging population and the fact that increased incidence rates are associated with higher age, new socioeconomic challenges will appear. Even nowadays the treatment of bladder cancer bears the highest lifetime treatment costs per patient among all forms of cancer. In conjunction with higher comorbidity rates among older patients urologists are facing new challenges in the treatment and care of patients with bladder cancer. The standard treatment for non-muscle invasive bladder cancer (NMIBC) is monopolar transurethral resection using resection loops (TURB). Based on experience in the surgical treatment of benign prostatic hyperplasia, different concepts of en bloc resection of bladder tumors using alternative energy resources (e.g. holmium laser, thulium laser and the water-jet HybridKnife) have been developed. Goals of new treatment modalities are reduction of perioperative and postoperative comorbidities, better pathological work-up of the specimens and increased recurrence-free survival. Postulated advantages using laser devices are a more precise cutting line as well as better hemostasis. The evidential value of this review is limited due to the lack of randomized, prospective studies. However, there is a tendency towards a limitation of perioperative and postoperative morbidities as well as higher chance of well-preserved tissues for better pathohistological evaluation using en bloc resection methods. More studies with long-term follow-up periods and better randomization are needed to clarify whether en bloc strategies provide better long-term oncological survival.

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Transurethral resection of bladder tumors

Liu¹,

Schoenberg

2015

Bladder Cancer

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Tm:YAG laser en bloc mucosectomy for accurate staging of primary bladder cancer: early experience

Cited by 66 publications

References 17 publications

Comparison of the safety and efficacy of conventional monopolar and 2-micron laser transurethral resection in the management of multiple nonmuscle-invasive bladder cancer

Comparison of the safety and efficacy of conventional monopolar and 2-micron laser transurethral resection in the management of multiple nonmuscle-invasive bladder cancer

Transurethrale En-bloc-Resektion nicht muskelinvasiver Harnblasenkarzinome

Transurethral resection of bladder tumors

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