Применение лазерного излучения в урологии

Представлен обзор зарубежных публикаций за период 2010–2019 гг. о применении лазера в урологии, подтверждающих его высокую эффективность, безопасность и конкурентоспособность по сравнению с традиционными инструментами в хирургии урологических патологий. Наиболее эффективным применение лазера в урологии показало себя в комбинации с эндоскопией. Лазерные технологии используются в лечении пациентов с доброкачественной гиперплазией предстательной железы, уролитиазом, рубцовыми поражениями мочевых путей, уротелиальных опухолей. Отмечается тенденция к увеличению применения лазера в лапароскопической хирургии.

1. Maiman T.H. Stimulated optical radiation in ruby. Nature. 1960; 187: 493-494 [Google Scholar].

2. Korn S.M., Hübner N.A., Seitz C. et al. Role of lasers in urology. Photochemical & Photobiological Sciences. 2019. https://doi.org/10.1039/c8pp00409a.

3. Lodeizen O., de Bruin M., Eggener S. et al. Ablation energies for focal treatment of prostate cancer. World J. Urol. 2018 Jun 25. https://doi.org/10.1007/s00345-018-2364-x.

4. Gross A.J. and Herrmann T.R. History of lasers. World J. Urol. 2007; 25: 217-220.

5. Razzaghi M.R., Karkan M.F., Ghiasy S., Javanmard B. Laser Application in Iran Urology: A Narrative Review. Journal of Lasers in Medical Sciences, 2018; 9: 1-6.

6. McPhee M.S. Lasers in treatment of cancer of the prostate. BioMed Pharmacother. 1986; 40: 321-322.

7. Norris J.P., Norris D.M., Lee R.D., Rubenstein M.A. Visual Laser Ablation of the Prostate: Clinical Experience in 108 Patients. The Journal of Urology. 1993; 150 (5): 1612-1614. https://doi.org/10.1016/s0022-5347(17)35857-3.

8. EAU Guidelines. Лазеры и лазерные технологии. 2014. https://uroweb.org/wp-content/uploads/EAUGuidelines-Lasers-2014.

9. Zarrabi A., Gross A.J. The evolution of lasers in urology. Ther. Adv. Urol. 2011; 3: 81-89.

10. Chen S., Zhou L., Wei T. et al. Comparison of Holmium: YAG Laser and Pneumatic Lithotripsy in the Treatment of Ureteral Stones: An Update Meta-Analysis. Urol. Int. 2017; 98 (2): 125-133. https://doi.org/10.1159/000448692. Epub 2016 Aug 10.

11. Kronenberg P., Somani B. Curr Urol Rep. 2018 May 17; 19 (6): 45. https://doi.org/10.1007/s11934.018.0807-y. Advances in Lasers for the Treatment of Stones - a Systematic Review.

12. Aldoukhi A.H., Black K.M., Ghani K.R. Emerging Laser Techniques for the Management of Stones. Urol. Clin. North. Am. 2019 May; 46 (2): 193-205. https://doi.org/10.1016/j.ucl.2018.12.005. Epub 2019 Mar 4.

13. Jiang H., Zhou Y. Department of Urology, Chongqing Dongnan Hospital, Chongqing, China. Safety and Efficacy of Thulium Laser Prostatectomy Versus Transurethral Resection of Prostate for Treatment of Benign Prostate Hyperplasia: A Meta-Analysis. PMID: :27619781) [20 Feb 2015, 8 (3): 165-170].

14. Giacomo Maria Pirola, Giovanni Saredi, Ricardo Codas Duarte et al. Holmium laser versus thulium laser enucleation of the prostate: a matched-pair analysis from two centers Ther Adv. Urol. 2018 Aug; 10 (8): 223-233. Published online 2018 Jun 7. https://doi.org/10.1177/1756287218779784.

15. Herlemann A., Wegner K., Roosen A. et al. «Finding the needle in a haystack»: oncologic evaluation of patients treated for LUTS with holmium laser enucleation of the prostate (HoLEP) versus transurethral resection of the prostate (TURP). World J. Urol. 2017 Nov; 35 (11): 1777-1782. https://doi.org/10.1007/s00345-017-2048-y. Epub 2017 May 17.

16. Sachse H. Zur Behandlung der Harnröhrenstriktur: Die transurethrale Schlitzung unter Sicht mit scharfem Schnitt. Fortschr Med. 1974 Jan 10; 92 (1): 12-15.

17. Yenice M.G., Seker K.G., Sam E. et al. Comparison of cold-knife optical internal urethrotomy and holmium: YAG laser internal urethrotomy in bulbar urethral strictures J. Urol. 2018; 71 (1): 114-120. Published online 2017 Dec 6. https://doi.org/10.5173/ceju.2017.1391.

18. Torres Castellanos L., Moreno Bencardino M.C., Bravo-Balado A. et al. Department of Urology, Hospital Universitario San Ignacio and Pontificia Universidad Javeriana School of Medicine, Bogotá D.C., Colombia. Evaluation of the Efficacy and Safety of Laser versus Cold Knife Urethrotomy in the Management of Patients with Urethral Strictures: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Urol Int. 2017; 99 (4): 453-459. https://doi.org/10.1159/000478026. Epub 2017 Jul 12.

19. Holzhauer C., Roelofs AWTM, Kums A.C. et al. Is the laser mightier than the sword? A comparative study for the urethrotomy. World J. Urol. 2018 Apr; 36 (4): 663-666. https://doi.org/10.1007/s00345-018-2172-3. Epub 2018 Jan 13.

20. Aboulela W., ElSheemy M.S., Shoukry M. et al. Visual internal urethrotomy for management of urethral strictures in boys: a comparison of short-term outcome of holmium laser versus cold knife. Int. Urol. Nephrol. 2018 Apr; 50 (4): 605-609. https://doi.org/10.1007/s11255-018-1809-x. Epub 2018 Feb 3.

21. Yang H., Wang N., Han S., Male M. et al. Comparison of the efficacy and feasibility of laser enucleation of bladder tumor versus transurethral resection of bladder tumor: a meta-analysis. Lasers Med Sci. 2017 Dec; 32 (9): 2005-2012. https://doi.org/10.1007/s10103-017-2308-5. Epub 2017 Aug 23.

22. Wen J., Ji Z.G., Li H.Z. Treatment of upper tract urothelial carcinoma with ureteroscopy and thulium laser: a retrospective single center study. BMC Cancer. 2018 Feb 17; 18 (1):196. https://doi.org/10.1186/s12885-018-4118-y.

23. Rivero Guerra Á., Fernández Aparicio T., Barceló Bayonas I. et al. Outpatient Holmium laser fulguration: A safe procedure for treatment of recurrence of nonmuscle invasive bladder cancer. Actas Urol Esp. 2018 Jun; 42 (5): 309-315. https://doi.org/10.1016/j.acuro.2017.12.002.