在上泌尿道癌症中进行脏节约手术的新技术
Andrea Gallioli1, Giuseppe Basile, Angelo Territo
1Department of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.
Current opinion in urology
|August 18, 2023
概括
激光和化疗的技术进步提高了上道泌尿道癌 (UTUC) 的脏节约手术 (NSS). 这些创新旨在改善癌症检测并减少NSS后的复发.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 手术技术 手术技术
背景情况:
- 脏节约性手术 (NSS) 是低风险上道泌尿道癌 (UTUC) 的标准.
- 优化诊断工具和局部化疗是改善NSS结果的关键.
- 技术进步对于推进保守的工会管理至关重要.
研究的目的:
- 审查最近在UTUC诊断和治疗方面的技术进步.
- 探索影响工会联合会NSS的创新.
- 总结关于UTUC新仪器和化疗方案的证据.
主要方法:
- 审查最近关于技术进步的文献UTUC诊断和治疗.
- 对新型诊断工具,激光器和化疗输送系统的分析.
- 在UTUC中对NSS新兴技术的评估.
主要成果:
- 光动力尿路透镜显示了改善癌症检测的前景,特别是在in situ瘤中.
- 有各种激光器 (Ho:YAG,Tm:YAG,图纤维激光器) 可用于UTUC切除,每个都有独特的特性.
- 基于凝的化疗输送系统是有效的,而药物释放支架仍在开发中.
结论:
- 技术创新正在优化NSS用于UTUC,增强诊断和治疗.
- 需要进一步完善光动力尿路透镜和激光技术.
- 新型化疗输送系统显示,在NSS后减少复发和进展的潜力.
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