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Enikeev DV, Alyaev YG, Rapoport LM, Taratkin MS, Laukhtina EA, Glybochko PV. [Multidisciplinary approach in urology. Laser technologies: faster, simpler, more efficient]. Urologiia 2019:7-11. [PMID: 31535791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Laser technology has taken a place among the methods of treatment of various urological diseases. The new laser devices are being developed in addition to commonly used. Physicists of the russian NTO "IRE Polus" in collaboration with doctors from Sechenov University have developed a new generation laser device - thulium fiber laser. It has been actively used since 2017 for laser enucleation of prostate. Later the laser was used for treatment of bladder tumor, lithotripsy. The device has already managed to prove its efficacy in in-vitro experiments and clinical practice surpassing foreign analogues.
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Affiliation(s)
- D V Enikeev
- Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia
| | - Yu G Alyaev
- Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia
| | - L M Rapoport
- Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia
| | - M S Taratkin
- Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia
| | - E A Laukhtina
- Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia
| | - P V Glybochko
- Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia
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Chuhrov DA, Korolev DO, Dymov AM, Lekarev VY, Laukhtina EA, Mynaev VP, Sorokin NI, Enikeev ME, Shpot EV, Vinarov AZ, Rapoport LM. [Laser in laparoscopic urology]. Urologiia 2018:94-99. [PMID: 30575358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Nowadays, various laparoscopic instruments for tissue dissection and vessel coagulation are available. However, there are ongoing studies dedicated to "ideal" type of energy suitable for this aim. Laser radiation has been used for many years in medical practice and it is established as reliable and effective method in surgical armamentarium. The ability to provide highly precision and well-controlled action on the tissues, improved hemostasis, easy adaptability to fiber-optic and minimally invasive delivery systems, as well as the possibility of facilitating complex dissection made lasers an important tool for surgeons. The mechanism and methods of laser energy using in urology have been studied since 1980s, but there is still no consensus on the optimal type of laser and its settings during urological surgeries, which determines the importance of further researches dedicated to this promising form of energy.
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Affiliation(s)
- D A Chuhrov
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - D O Korolev
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - A M Dymov
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - V Y Lekarev
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - E A Laukhtina
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - V P Mynaev
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - N I Sorokin
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - M E Enikeev
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - E V Shpot
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - A Z Vinarov
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
| | - L M Rapoport
- Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia
- Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia
- Scientific and Technical Association IRE-Polyus, Fryazino, Russia
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Enikeev DV, Glybochko PV, Alyaev YG, Rapoport LM, Sorokin NI, Sukhanov RB, Spivak LT, Khamraev OK, Taratkin MS, Laukhtina EA. [Comparative analysis of the effectiveness of various techniques of endoscopic prostate enucleation in a single center]. Khirurgiia (Mosk) 2017:4-14. [PMID: 29186090 DOI: 10.17116/hirurgia2017114-14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
AIM To compare electro- and laser enucleation (thulium, holmium) of prostate hyperplasia. MATERIAL AND METHODS 693 prostate hyperplasia patients were enrolled. 489 patients underwent holmium enucleation (HoLEP), 51 - monopolar enucleation, 153 - thulium enucleation (ThuLEP). Prostate volume was 91.7 (50-250) cm3. There were no significant differences in preoperative variables between both groups (I-PSS, QoL, Qmax, residual urine volume) (p>0.05). RESULTS Mean time of HoLEP was 97.0±42.2 min, monopolar enucleation - 112.9±36.3 min, ThuLEP duration was significantly less (77.4±36.3 min, p<0.01). An efficacy of all methods was confirmed in 6 months after surgery by significant (p<0.01) improvement of functional parameters (I-PSS, QoL, Qmax, residual urine volume). CONCLUSION High efficiency of thulium and holmium enucleation allows to consider them as 'gold standard' of prostate hyperplasia management. Despite higher incidence of complications an efficacy of monopolar enucleation is comparable to that in laser techniques.
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Affiliation(s)
- D V Enikeev
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - P V Glybochko
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - Yu G Alyaev
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - L M Rapoport
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - N I Sorokin
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - R B Sukhanov
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - L T Spivak
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - O Kh Khamraev
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - M S Taratkin
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
| | - E A Laukhtina
- Sechenov First Moscow State Medical University of the Russian Healthcare Ministry, Research Institute of Uronephrology and Human Reproductive Health, Moscow, Russia
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