Transurethral endoscopic treatment of upper urinary tract tumors using a holmium:YAG laser
| Autor: | Shinshi Noda, Katsuro Tomiyasu, Kei Matsuoka, Shizuka lida, Michiro Inoue |
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| Rok vydání: | 2003 |
| Předmět: |
Carcinoma
Transitional Cell medicine.medical_specialty medicine.diagnostic_test Ureteral Neoplasms business.industry Urinary system Endoscopy Dermatology Cystoscopy Kidney Neoplasms Surgery Treatment Outcome Cytology Humans Medicine Laser Therapy business Endoscopic treatment Renal pelvic carcinoma Upper urinary tract Pyelogram |
| Zdroj: | Lasers in Surgery and Medicine. 32:336-340 |
| ISSN: | 1096-9101 0196-8092 |
| DOI: | 10.1002/lsm.10184 |
| Popis: | Background and Objectives The feasibility of treating upper urinary tract tumors with a holmium:YAG (Ho:YAG) laser in transurethral endoscopy was examined. Study Design/Materials and Methods Thirty-three treatments were performed on 30 patients with renal pelvic and ureteral carcinomas. After vaporization and coagulation eliminated the tumors, the surrounding mucosa was fully coagulated. Postoperative follow-up consisted of urinary cytology once a month, cystoscopy every 3 months, excretory pyelography every 6 months, and uretero-pyeloscopy every 6–12 months. Results The recurrence rate after the first treatment was 86% in the imperative indication group. The tumor-free rate (median follow-up, 37 months) in the imperative indication group was 57%. In the elective indication group, those values were 20 and 95% (median follow-up, 33 months), respectively. Conclusions Transurethral endoscopic treatment of upper urinary tract tumors using Ho:YAG laser can be a useful method on limited cases identified into specific treatments groups combined with a strict follow-up. Lasers Surg. Med. 32:336–340, 2003. © 2003 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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