Thulium laser treatment for bladder cancer

doi:10.1016/j.ajur.2016.05.002

Asian Journal of Urology, 2016, 3 (3): 130-133 doi: 10.1016/j.ajur.2016.05.002

Review

Current Issue | Archive | Adv Search

Thulium laser treatment for bladder cancer

Wei Wang, Haitao Liu, Shujie Xia

Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

Abstract
Related Citation (5)

Download:

HTML

PDF (394KB)
Export: BibTeX | EndNote (RIS)

Abstract Recent innovations in thulium laser techniques have allowed application in the treatment of bladder cancer. Laser en bloc resection of bladder cancer is a transurethral procedure that may offer an alternative to the conventional transurethral resection procedure. We conducted a review of basic thulium laser physics and laser en bloc resection procedures and summarized the current clinical literature with a focus on complications and outcomes. Literature evidence suggests that thulium laser techniques including smooth incision, tissue vaporization, and en bloc resection represent feasible, safe, and effective procedures in the treatment of bladder cancer. Moreover, these techniques allow improved specimen orientation and accurate determination of invasion depth, facilitating correct diagnosis, restaging, and reevaluation of the need for a second resection. Nonetheless, large-scale multicentre studies with longer follow-up are warranted for a robust assessment. The present review is meant as a quick reference for urologists.

Key words： Thulium laser 2-mm continuous laser Bladder cancer En bloc resection Transurethral resection of bladder tumor Holmium laser

Received: 27 February 2016 Published: 05 July 2016

Corresponding Authors: Haitao Liu, Shujie Xia E-mail: doctorlht69@163.com;xsjurologist@163.com

	Service
	E-mail this article
	Add to citation manager
	E-mail Alert
	Articles by authors
	Wei Wang
	Haitao Liu
	Shujie Xia

TRENDMD:

Cite this article:

Wei Wang,Haitao Liu,Shujie Xia. Thulium laser treatment for bladder cancer[J]. Asian Journal of Urology, 2016, 3(3): 130-133.

URL:

http://www.ajurology.com/EN/10.1016/j.ajur.2016.05.002 OR http://www.ajurology.com/EN/Y2016/V3/I3/130

[1]	Babjuk M, Burger M, Zigeuner R, Shariat SF, van Rhijn BW, Compérat E, et al. EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder: update 2013. Eur Urol 2013;64:639-53.
[2]	Brausi M, Collette L, Kurth K, van der Meijden AP, Oosterlinck W, Witjes JA, et al., EORTC Genito-Urinary Tract Cancer Collaborative Group. Variability in the recurrence rate at first follow-up cystoscopy after TUR in stage Ta T1 transitional cell carcinoma of the bladder: a combined analysis of seven EORTC studies. Eur Urol 2002;41:523-31.
[3]	Bai Y, Liu L, YuanH, Li J, Tang Y, Pu C, et al. Safety and efficacy of transurethral laser therapy for bladder cancer: a systematic review and meta-analysis. World J Surg Oncol 2014;12:301.
[4]	Kramer MW, Wolters M, Cash H, Jutzi S, Imkamp F, Kuczyk MA, et al. Current evidence of transurethral Ho:YAG and Tm:YAG treatment of bladder cancer: update 2014. World J Urol 2015; 33:571-9.
[5]	Bach T, Netsch C, Haecker A, Michel MS, Herrmann TR, Gross AJ. Thulium: YAG laser enucleation (VapoEnucleation) of the prostate: safety and durability during intermediateterm follow-up. World J Urol 2010;28:39-43.
[6]	Wolters M, Kramer MW, Becker JU, Christgen M, Nagele U, Imkamp F, et al. Tm:YAG laser en bloc mucosectomy for accurate staging of primary bladder cancer: early experience. World J Urol 2011;29:429-32.
[7]	DołowyŁ Krajewski W, Dembowski J, Zdrojowy R, Kołodziej A. The role of lasers in modern urology Cent European. J Urol 2015;68:175-82.
[8]	Liu H, Wu J, Xue S, Zhang Q, Ruan Y, Sun X, et al. Comparison of the safety and efficacy of conventional monopolar and 2-micron laser transurethral resection in the management of multiple nonmuscle-invasive bladder cancer. J Int Med Res 2013;41:984-92.
[9]	Gao X, Ren S, Xu C, Sun Y. Thulium laser resection via a flexible cystoscope for recurrent non-muscle-invasive bladder cancer: initial clinical experience. BJU Int 2008;102:1115-8.
[10]	Yang Y, Wei ZT, Zhang X, Hong BF, Guo G. Transurethral partial cystectomy with continuous wave laser for bladder carcinoma. J Urol 2009;182:66-9.
[11]	Zhang XR, Feng C, Zhu WD, Si JM, Gu BJ, Guo H, et al. Two micrometer continuous-wave thulium laser treating primary non-muscle-invasive bladder cancer: is it feasible? a randomized prospective study. Photomed Laser Surg 2015;33: 517-23.
[12]	Migliari R, Buffardi A, Ghabin H. Thulium laser endoscopic en bloc enucleation of nonmuscle-invasive bladder Cancer. J Endourol 2015;29:1258-62.
[13]	Chen X, Liao J, Chen L, Qiu S, Mo C, Mao X, et al. En bloc transurethral resection with 2-micron continuous-wave laser for primary non-muscle-invasive bladder cancer: a randomized controlled trial. World J Urol 2015;33:989-95.
[14]	Rink M, Dahlem R, Kluth L, Minner S, Ahyai SA, Eichelberg C, et al. Older patients suffer from adverse histopathological features after radical cystectomy. Int J Urol 2011;18: 576-84.
[15]	Kramer MW, Rassweiler JJ, Klein J, Martov A, Baykov N, Lusuardi L, et al. En bloc resection of urothelium carcinoma of the bladder (EBRUC): a European multicenter study to compare safety, efficacy, and outcome of laser and electrical en bloc transurethral resection of bladder tumor. World J Urol 2015;33:1937-43.
[16]	Liu H, Xue S, Ruan Y, Sun X, Han B, Xia S. 2-micrometer continuous wave laser treatment for multiple non-muscleinvasive bladder cancer with intravesical instillation of epirubicin. Lasers Surg Med 2011;43:15-20.
[17]	Zhong C, Guo S, Tang Y, Xia S. Clinical observation on 2 micron laser for non-muscle-invasive bladder tumor treatment: single-center experience. World J Urol 2010;28:157-61.

[1]	Ka Wing Wong, Terence Chun-ting Lai, Ada Tsui-lin Ng, Brian Sze-ho Ho, James Hok-leung Tsu, Chiu Fung Tsang, W. K. Ma, Ming Kwong Yiu. Anterior perineal hernia after anterior exenteration[J]. Asian Journal of Urology, 2017, 4(4): 253-255.
[2]	Yu Guang Tan, Ernest Eu, Weber Lau Kam On, Hong Hong Huang. Pretreatment neutrophil-to-lymphocyte ratio predicts worse survival outcomes and advanced tumor staging in patients undergoing radical cystectomy for bladder cancer[J]. Asian Journal of Urology, 2017, 4(4): 239-246.
[3]	David J. McConkey, Woonyoung Choi, Andrea Ochoa, Colin P. N. Dinney. Intrinsic subtypes and bladder cancer metastasis[J]. Asian Journal of Urology, 2016, 3(4): 260-267.
[4]	Thomas Y. Hsueh, Allen W. Chiu. Narrow band imaging for bladder cancer[J]. Asian Journal of Urology, 2016, 3(3): 126-129.
[5]	Kaiwen Li, Tianxin Lin, Chinese Bladder Cancer Consortium, Wei Xue, Xin Mu, Enci Xu, Xu Yang, Fubao Chen, Guangyong Li, Lulin Ma, Guoliang Wang, Chaozhao Liang, Haoqiang Shi, Ming Li, Mao Tang, Xueyi Xue, Yisong Lv, Yaoliang Deng, Chengyang Li, Zhiwen Chen, Xiaozhou Zhou, Fengshuo Jin, Xudong Liu, Jinxin Wei, Lei Shi, Xin Gou, Weiyang He, Liqun Zhou, Lin Cai, Liping Xie, Guanghou Fu, Xiangbo Kong, Hongyan Sun, Ye Tian, Lang Feng, Tiejun Pan, Yiyi Wu, Dongwen Wang, Hailong Hao, Benkang Shi, Yaofeng Zhu, Qiang Wei, Ping Han, Changli Wu, Dawei Tian, Zhangqun Ye, Zheng Liu, Zhiping Wang, Junqiang Tian, Lin Qi, Minfeng Chen, Wei Li, Jinchun Qi, Gongxian Wang, Longlong Fu, Zhaolin Sun, Guangheng Luo, Zhoujun Shen, Zhaowei Zhu, Jinchun Xing, Zhun Wu, Dong Wei, Xin Chen, Yanqun Na, Hongfeng Guo, Chunxi Wang, Zhihua Lu, Chuize Kong, Yang Liu, Jin Yang, Jianyun Hu, Xin Gao, Jielin Li, Changjun Yin, Pu Li, Shan Chen, Zhen Du, Jiongming Li, Yongji Yan, Xu Zhang, Shuang Huang, Fangjian Zhou, Zhiling Zhang, Yinghao Sun, Shuxiong Zeng, Song Cen, Jiaquan Zhou, Hanzhong Li, Jin Wen, Jian Huang. Current status of diagnosis and treatment of bladder cancer in China-Analyses of Chinese Bladder Cancer Consortium Database[J]. Asian Journal of Urology, 2015, 2(2): 63-69.