5
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: not found
      • Article: not found

      The True Ablation Effect of Holmium YAG Laser on Soft Tissue

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Related collections

          Most cited references17

          • Record: found
          • Abstract: found
          • Article: not found

          Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers.

          The purpose of the study was to review the existing literature on holmium:yttrium-aluminum-garnet laser lithotripsy regarding lithotripter settings and laser fibers.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Use of the holmium:YAG laser in urology

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Oncologic control obtained after exclusive flexible ureteroscopic management of upper urinary tract urothelial cell carcinoma.

              To assess oncological outcome after first-line management of upper urinary tract urothelial cell carcinomas (UUT-UCCs) by exclusive flexible ureteroscopy. A retrospective review was performed for 35 patients treated between 2003 and 2007. All patients underwent retrograde flexible ureteroscopy for diagnosis, treatment (i.e., holmium:YAG vaporisation), and follow-up. The following data were reviewed: sex, age, ASA score, presence of a solitary kidney, unifocal or multifocal tumour, history of bladder cancer, tumour localisation, tumour size, stage and grade, outcome, recurrence, and progression. The mean age was 67 + or - 13.1 years (range: 38-88). The tumour involved the renal pelvis and the caliceal system in 19 cases (54%), the ureter in 8 cases (23%), and both in 8 cases (23%). Twelve patients (34%) had a history of bladder carcinoma. Tumour stage was superficial in 63% (57% were pTa and 6% were pT1) and not available in 37%. Tumour grade was low, high, and unavailable in 49, 14, and 37%, respectively. The median follow-up was 30 months (range: 12-66), and 21 patients had a recurrence (60%). The median survival rate without recurrence was 10 months (95% CI [5-22]). Four patients underwent nephroureterectomy during follow-up. No patient died of disease progression. The main limitation was the limited length of follow-up. Flexible endoscopic management can be advocated in selected cases of non-muscle invasive UUT-UCCs as an alternative to nephroureterectomy. Because of a high recurrence rate, long-term and stringent surveillance is needed, including iterative ureteroscopies at least every 3 months for 2 years.
                Bookmark

                Author and article information

                Journal
                Journal of Endourology
                Journal of Endourology
                Mary Ann Liebert Inc
                0892-7790
                1557-900X
                March 2018
                March 2018
                : 32
                : 3
                : 230-235
                Affiliations
                [1 ]Sorbonne Université, GRC n°20 LITHIASE RENALE, AP-HP, Hôpital Tenon, F-75020 Paris, France.
                [2 ]Fundación Puigvert, Department of Urology, Universidad Autónoma de Barcelona, Barcelona, Spain.
                [3 ]Ospedale Policlinico di Milano-Universita' degli Studi di Milano, Milan, Italy.
                [4 ]Sorbonne Université, Department of Pathology, AP-HP, Hôpital Tenon, F-75020 Paris, France.
                [5 ]Process and Engineering in Mechanics and Materials Laboratory (PIMM), UMR CNRS/ENSAM, Paris VI, France.
                Article
                10.1089/end.2017.0835
                29357684
                d384300e-fc4c-4b7f-a4c9-b563b5ba0a2d
                © 2018

                http://www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/

                History

                Comments

                Comment on this article