nach oben

Erschienen in:

01.04.2015 | Topic Paper

Current evidence on lasers in laparoscopy: partial nephrectomy

verfasst von: Iason Kyriazis, Mehmet Ozsoy, Panagiotis Kallidonis, Vasilios Panagopoulos, Marinos Vasilas, Evangelos Liatsikos

Erschienen in: World Journal of Urology | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Laser-assisted partial nephrectomy (PN) can benefit from the excellent coagulative properties of lasers to provide a bloodless tumor excision without the necessity for renal artery clamping. In this review, we aim to determine the current clinical implementation of laser assistance during laparoscopic nephron-sparing surgery.

Materials and methods

An extensive literature evaluation on laser-assisted PN was performed. Experimental work on animals and review articles were excluded.

Results

Current literature regarding laser-assisted PN is scarce. Available data consist mostly of small cohorts providing low level of evidence. Even though initial studies with currently available laser modalities demonstrated promising results, several drawbacks in each technique need to be addressed before being widely accepted as a standard care.

Conclusions

Experience with laser-assisted laparoscopic PN is steadily increasing and uniformly documenting favorable results. As urologist became more familiar with laser technology by its implementation in other clinical entities and with the increasing interest in nephron-sparing management of renal tumors, the use of laser assistance during PN should be expected to play a major role in future.

Faria EF, Caputo PA, Wood CG, Karam JA, Nogueras-Gonzalez GM, Matin SF (2014) Robotic partial nephrectomy shortens warm ischemia time, reducing suturing time kinetics even for an experienced laparoscopic surgeon: a comparative analysis. World J Urol 32:265–271CrossRefPubMedCentralPubMed

Minervini A, Siena G, Antonelli A et al (2014) Open versus laparoscopic partial nephrectomy for clinical T1a renal masses: a matched-pair comparison of 280 patients with TRIFECTA outcomes (Record Project). World J Urol 32:257–263CrossRefPubMed

Bessede T, Bigot P, Bernhard JC, et al. (2014 Apr 4) Are warm ischemia and ischemia time still predictive factors of poor renal function after partial nephrectomy in the setting of elective indication? World J Urol

Gill IS, Eisenberg MS, Aron M et al (2011) “Zero ischemia” partial nephrectomy: novel laparoscopic and robotic technique. Eur Urol 59:128–134CrossRefPubMed

Kutikov A, Vanarsdalen KN, Gershman B et al (2008) Enucleation of renal cell carcinoma with ablation of the tumour base. BJU Int 102:688–691CrossRefPubMed

Ng CK, Gill IS, Patil MB et al (2012) Anatomic renal artery branch microdissection to facilitate zero-ischemia partial nephrectomy. Eur Urol 61:67–74CrossRefPubMed

Barzilay B, Lijovetzky G, Shapiro A, Caine M (1982) The clinical use of CO2 laser beam in the surgery of kidney parenchyma. Lasers Surg Med 2:81–87CrossRefPubMed

Malloy TR, Schultz RE, Wein AJ, Carpiniello VL (1986) Renal preservation utilizing neodymium:YAG laser. Urology 27:99–103CrossRefPubMed

Rosemberg SK (1985) Clinical experience with carbon dioxide laser in renal surgery. Urology 25:115–118CrossRefPubMed

10.

Korhonen AK, Talja M, Karlsson H, Tuhkanen K (1993) Contact Nd:YAG laser and regional renal hypothermia in partial nephrectomy. Ann Chir Gynaecol Suppl 206:59–62PubMed

11.

Merguerian PA, Seremetis G (1994) Laser-assisted partial nephrectomy in children. J Pediatr Surg 29:934–936CrossRefPubMed

12.

Hodgson DKKR, et al. (2008) Appraisal of a novel procedure: potassium titanyl phosphate (ktp) laser laparoscopic partial nephrectomy. Abstracts of the Engineering and Urology Society, May 19, 2007, Anaheim, California. J Endourol, 22:159–212

13.

Lotan Y, Gettman MT, Ogan K, Baker LA, Cadeddu JA (2002) Clinical use of the holmium: YAG laser in laparoscopic partial nephrectomy. J Endourol Endourol Soc 16:289–292CrossRef

14.

Khoder WY, Sroka R, Hennig G et al (2011) The 1,318-nm diode laser supported partial nephrectomy in laparoscopic and open surgery: preliminary results of a prospective feasibility study. Lasers Med Sci 26:689–697CrossRefPubMed

15.

Khoder WY, Sroka R, Siegert S, Stief CG, Becker AJ (2012) Outcome of laser-assisted laparoscopic partial nephrectomy without ischaemia for peripheral renal tumours. World J Urol 30:633–638CrossRefPubMed

16.

Knezevic N, Kulis T, Maric M, Grkovic MT, Krhen I, Kastelan Z (2014) Laparoscopic partial nephrectomy with diode laser: a promising technique. Photomed Laser Surg 32:101–105CrossRefPubMedCentralPubMed

17.

Gruschwitz T, Stein R, Schubert J, Wunderlich H (2008) Laser-supported partial nephrectomy for renal cell carcinoma. Urology 71:334–336CrossRefPubMed

18.

Mattioli S, Munoz R, Recasens R, Berbegal C, Teichmann H (2008) What does Revolix laser contribute to partial nephrectomy? Arch Esp Urol 61:1126–1129PubMed

19.

Sciarra A, Von Heland M, Minisola F, Salciccia S, Cattarino S, Gentile V (2013) Thulium laser supported nephron sparing surgery for renal cell carcinoma. J Urol 190:698–701CrossRefPubMed

20.

Loertzer H, Strauss A, Ringert RH, Schneider P (2013) Laser-supported partial laparoscopic nephrectomy for renal cell carcinoma without ischaemia time. BMC Urology 13:31CrossRefPubMedCentralPubMed

21.

Thomas AZ, Smyth L, Hennessey D, O’Kelly F, Moran D, Lynch TH (2013) Zero ischemia laparoscopic partial thulium laser nephrectomy. J Endourol Endourol Soc 27:1366–1370CrossRef

22.

Colli J. MG, Lee BR (2012) Zero Ischemia Robotic Laser Partial Nephrectomy: Use of the Thulium laser in Renal Cell Carcinoma. BJU int Case Reports. BJUIw-2011-064-web

23.

Tobert CM, Riedinger CB, Lane BR (2014) Do we know (or just believe) that partial nephrectomy leads to better survival than radical nephrectomy for renal cancer? World J Urol 32:573–579CrossRefPubMed

24.

Ghavamian R, Cheville JC, Lohse CM, Weaver AL, Zincke H, Blute ML (2002) Renal cell carcinoma in the solitary kidney: an analysis of complications and outcome after nephron sparing surgery. J Urol 168:454–459CrossRefPubMed

25.

McKiernan J, Simmons R, Katz J, Russo P (2002) Natural history of chronic renal insufficiency after partial and radical nephrectomy. Urology 59:816–820CrossRefPubMed

26.

Choi JD, Park JW, Choi JY et al (2010) Renal damage caused by warm ischaemia during laparoscopic and robot-assisted partial nephrectomy: an assessment using Tc 99 m-DTPA glomerular filtration rate. Eur Urol 58:900–905CrossRefPubMed

27.

Porpiglia F, Fiori C, Bertolo R et al (2012) The effects of warm ischaemia time on renal function after laparoscopic partial nephrectomy in patients with normal contralateral kidney. World J Urol 30:257–263CrossRefPubMed

28.

Klingler CH, Remzi M, Marberger M, Janetschek G. (2006 Nov) Haemostasis in laparoscopy. European Urol, 50:948–56; discussion 56–7

29.

Ogan K, Cadeddu JA (2002) Minimally invasive management of the small renal tumor: review of laparoscopic partial nephrectomy and ablative techniques. J Endourol Endourol Soc 16:635–643CrossRef

30.

Janda P, Sroka R, Mundweil B, Betz CS, Baumgartner R, Leunig A (2003) Comparison of thermal tissue effects induced by contact application of fiber guided laser systems. Lasers Surg Med 33:93–101CrossRefPubMed

31.

Bui MH, Breda A, Gui D, Said J, Schulam P (2007) Less smoke and minimal tissue carbonization using a thulium laser for laparoscopic partial nephrectomy without hilar clamping in a porcine model. J Endourol Endourol Soc 21:1107–1111CrossRef

Titel: Current evidence on lasers in laparoscopy: partial nephrectomy
verfasst von: Iason Kyriazis
Mehmet Ozsoy
Panagiotis Kallidonis
Vasilios Panagopoulos
Marinos Vasilas
Evangelos Liatsikos
Publikationsdatum: 01.04.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 4/2015
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-014-1343-0

Neu im Fachgebiet Urologie

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2015

Thulium laser for the treatment of upper urinary tract carcinoma (UTUC)? Are we there, yet?

Common trend: move to enucleation—Is there a case for GreenLight enucleation? Development and description of the technique

T. R. W. Herrmann and T. Bach (eds.): Editorial comment on “What is relevant for Lasers in Urology?”

Update on the use of diode laser in the management of benign prostate obstruction in 2014