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.
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.
Authors: Casey K Ng; Inderbir S Gill; Mukul B Patil; Andrew J Hung; Andre K Berger; Andre Luis de Castro Abreu; Masahiko Nakamoto; Manuel S Eisenberg; Osamu Ukimura; Duraiyah Thangathurai; Monish Aron; Mihir M Desai Journal: Eur Urol Date: 2011-08-31 Impact factor: 20.096
Authors: Eliney F Faria; Peter A Caputo; Christopher G Wood; Jose A Karam; Graciela M Nogueras-González; Surena F Matin Journal: World J Urol Date: 2013-06-20 Impact factor: 4.226
Authors: Maciej Janeczek; Jacek Świderski; Albert Czerski; Bogusława Żywicka; Jolanta Bujok; Maria Szymonowicz; Ewa Bilewicz; Maciej Dobrzyński; Mariusz Korczyński; Aleksander Chrószcz; Zbigniew Rybak Journal: Biomed Res Int Date: 2018-10-15 Impact factor: 3.411
Authors: Martin Drerup; Ahmed Magdy; Martina Hager; Daniela Colleselli; Thomas Kunit; Lukas Lusuardi; Günter Janetschek; Michael Mitterberger Journal: BMC Urol Date: 2018-11-09 Impact factor: 2.264