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The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience

BACKGROUND: Transurethral resection of the bladder tumor (TURBT) is one of the most established urological procedures for the treatment of the primary non-muscle-invasive bladder cancer (NMIBC). The aim of the study is to evaluate the efficacy and safety of 980 nm diode laser as a treatment for prim...

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Autores principales: Mao, Tianci, Zhang, Hongyi, Cui, Jie, Zhao, Zhiguang, Jiao, Dian, Zhang, Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9520848/
https://www.ncbi.nlm.nih.gov/pubmed/36175920
http://dx.doi.org/10.1186/s12957-022-02786-w
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author Mao, Tianci
Zhang, Hongyi
Cui, Jie
Zhao, Zhiguang
Jiao, Dian
Zhang, Wei
author_facet Mao, Tianci
Zhang, Hongyi
Cui, Jie
Zhao, Zhiguang
Jiao, Dian
Zhang, Wei
author_sort Mao, Tianci
collection PubMed
description BACKGROUND: Transurethral resection of the bladder tumor (TURBT) is one of the most established urological procedures for the treatment of the primary non-muscle-invasive bladder cancer (NMIBC). The aim of the study is to evaluate the efficacy and safety of 980 nm diode laser as a treatment for primary NMIBC. METHODS: Eighty-eight patients with NMIBC were treated by en bloc transurethral resection with 980 nm diode laser, and 76 patients were treated by plasmakinetic transurethral resection from May 2016 to July 2019 at the Department of Urology, Tangdu Hospital, Air Force Medical University. The clinical data were collected and compared between the two groups. RESULTS: The bladder irrigation time was shortened in 980 nm diode laser group compared to that of plasmakinetic transurethral resection group (4.1 ± 0.6 vs 13.1 ± 3.1 h, p < 0.001). A total of 13.2% (10/76) patients experienced obturator nerve reflex, and 5.3% (4/76) experienced delayed bleeding in plasmakinetic transurethral resection group, while no obturator nerve reflex and delayed bleeding cases were observed in 980 nm diode laser group (p < 0.05). The postoperative catheterization and hospitalization time showed no significant difference between the two groups. The median follow-up time was 27 months (13–38 months). No significant difference in the recurrence rate was observed between the two groups. CONCLUSIONS: The 980 nm diode laser is an effective and safe tool in transurethral resection of NMIBC using en bloc technique. It has less perioperative complications and shortened bladder irrigation time.
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spelling pubmed-95208482022-09-30 The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience Mao, Tianci Zhang, Hongyi Cui, Jie Zhao, Zhiguang Jiao, Dian Zhang, Wei World J Surg Oncol Research BACKGROUND: Transurethral resection of the bladder tumor (TURBT) is one of the most established urological procedures for the treatment of the primary non-muscle-invasive bladder cancer (NMIBC). The aim of the study is to evaluate the efficacy and safety of 980 nm diode laser as a treatment for primary NMIBC. METHODS: Eighty-eight patients with NMIBC were treated by en bloc transurethral resection with 980 nm diode laser, and 76 patients were treated by plasmakinetic transurethral resection from May 2016 to July 2019 at the Department of Urology, Tangdu Hospital, Air Force Medical University. The clinical data were collected and compared between the two groups. RESULTS: The bladder irrigation time was shortened in 980 nm diode laser group compared to that of plasmakinetic transurethral resection group (4.1 ± 0.6 vs 13.1 ± 3.1 h, p < 0.001). A total of 13.2% (10/76) patients experienced obturator nerve reflex, and 5.3% (4/76) experienced delayed bleeding in plasmakinetic transurethral resection group, while no obturator nerve reflex and delayed bleeding cases were observed in 980 nm diode laser group (p < 0.05). The postoperative catheterization and hospitalization time showed no significant difference between the two groups. The median follow-up time was 27 months (13–38 months). No significant difference in the recurrence rate was observed between the two groups. CONCLUSIONS: The 980 nm diode laser is an effective and safe tool in transurethral resection of NMIBC using en bloc technique. It has less perioperative complications and shortened bladder irrigation time. BioMed Central 2022-09-29 /pmc/articles/PMC9520848/ /pubmed/36175920 http://dx.doi.org/10.1186/s12957-022-02786-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mao, Tianci
Zhang, Hongyi
Cui, Jie
Zhao, Zhiguang
Jiao, Dian
Zhang, Wei
The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
title The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
title_full The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
title_fullStr The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
title_full_unstemmed The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
title_short The 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
title_sort 980 nm diode laser treatment for non-muscle-invasive bladder tumor with en bloc technique: single-center experience
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9520848/
https://www.ncbi.nlm.nih.gov/pubmed/36175920
http://dx.doi.org/10.1186/s12957-022-02786-w
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