Thulium-laser retrograde intra renal ablation of upper urinary tract transitional cell carcinoma: an ESUT Study
| العنوان: | Thulium-laser retrograde intra renal ablation of upper urinary tract transitional cell carcinoma: an ESUT Study |
|---|---|
| المؤلفون: | Giorgio, Bozzini, Christian, Gastaldi, Umberto, Besana, Alberto, Calori, Stefano, Casellato, Paolo, Parma, Antonio, Pastore, Alberto, Macchi, Alberto, Breda, Ali, Gozen, Andreas, Skolarikos, Thomas, Herrmann, Cesare, Scoffone, Ahmed, Eissa, Maria C, Sighinolfi, Bernardo, Rocco, Carlo, Buizza, Evangelos, Liatsikos |
| المصدر: | Minerva Urology and Nephrology. 73 |
| بيانات النشر: | Edizioni Minerva Medica, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Aged, 80 and over, Male, Carcinoma, Transitional Cell, Urologic Neoplasms, Biopsy, Urology, 030232 urology & nephrology, Lasers, Solid-State, Middle Aged, Conservative Treatment, 03 medical and health sciences, Treatment Outcome, 0302 clinical medicine, Nephrology, Thulium, 030220 oncology & carcinogenesis, Ureteroscopy, Humans, Urologic Surgical Procedures, Female, Laser Therapy, Aged, Follow-Up Studies, Retrospective Studies |
| الوصف: | Radical nephroureterectomy (RNU) is the gold standard treatment for upper urinary tract urothelial carcinoma (UTUC); however, patients presenting with small low-grade UTUC have been treated by flexible ureteroscopic laser ablation with good outcomes. Different types of laser have been discussed in the literature including Holmium and Neodymium lasers. We aimed to assess the safety and efficacy of Thulium laser (Tm:YAG) in the ureteroscopic ablation of UTUC.A retrospective observational multicentre study of patients diagnosed with papillary UTUC between January 2015 and December 2016 was carried out. All patients underwent ureteroscopic biopsy of the UTUC followed by Tm:YAG ablation. Based on the histopathological grade of the tumor, patients were counseled to undergo either RNU (high- grade tumors) or conservative management and follow-up (low-grade tumor).RNU was performed in 31 patients, while the remaining 47 patients (undergone Tm:YAG ablation only) were followed up for a mean of 11.7 months with only 19.2% of patients showing upper tract recurrence and no patients showed postoperative ureteral strictures. Limitations include the short follow-up and retrospective nature of the study.On the short term, thulium Laser ablation of UTUC is safe and feasible especially in low-grade UTUC. |
| تدمد: | 2724-6442 2724-6051 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d0fd23c8f29e395d1d464202392e5487Test https://doi.org/10.23736/s2724-6051.20.03689-9Test |
| رقم الانضمام: | edsair.doi.dedup.....d0fd23c8f29e395d1d464202392e5487 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 27246442 27246051 |
|---|