Laser in laparoscopic urology
DOI: https://dx.doi.org/10.18565/urology.2018.5.94-99
D.A. Chuhrov, D.O. Korolev, A.M. Dymov, V.Y. Lekarev, E.A. Laukhtina, V.P. Mynaev, N.I. Sorokin, M.E. Enikeev, E.V. Shpot, A.Z. Vinarov, L.M. Rapoport
1 Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia; 2 Urologic Clinic of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow, Russia; 3 Scientific and Technical Association IRE-Polyus, Fryazino, Russia
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.
Keywords: laparoscopic laser partial nephrectomy, laparoscopic nephrectomy, KTP-laser, Nd:YAG laser, Ho:YAG laser, diode laser, laparoscopic nerve-sparing radical prostatectomy
About the Autors
Corresponding author: A. Z. Vinarov – Dr.Med.Sci, professor at the Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia, Moscow, Russia; e-mail: avinarov@mail.ru