Recent innovations in thulium laser techniques have allowed application in the treatment of bladder cancer.Laser en bloc resection of bladder cancer is a transurethral procedure that may offer an alternative to the co...Recent innovations in thulium laser techniques have allowed application in the treatment of bladder cancer.Laser en bloc resection of bladder cancer is a transurethral procedure that may offer an alternative to the conventional transurethral resection procedure.We conducted a review of basic thulium laser physics and laser en bloc resection procedures and summarized the current clinical literature with a focus on complications and outcomes.Literature evidence suggests that thulium laser techniques including smooth incision,tissue vaporization,and en bloc resection represent feasible,safe,and effective procedures in the treatment of bladder cancer.Moreover,these techniques allow improved specimen orientation and accurate determination of invasion depth,facilitating correct diagnosis,restaging,and reevaluation of the need for a second resection.Nonetheless,large-scale multicentre studies with longer follow-up are warranted for a robust assessment.The present review is meant as a quick reference for urologists.展开更多
A high pulse repetition frequency（PRF）, high energy Ho：YAG laser directly pumped by a Tm-doped fiber laser and its application to a mid-infrared ZnGeP_2（ZGP） optical parametric oscillator（OPO） is demonstrated.T...A high pulse repetition frequency（PRF）, high energy Ho：YAG laser directly pumped by a Tm-doped fiber laser and its application to a mid-infrared ZnGeP_2（ZGP） optical parametric oscillator（OPO） is demonstrated.The maximum polarized 2.09 μm laser pulse energy is 13.46 mJ at a PRF of 1 k Hz. The corresponding peak power reaches 504 kW. In a double-resonant ZGP-OPO, a maximum mid-infrared laser pulse energy of 1.25 m J,corresponding to a peak power of 79 kW, is accomplished at a PRF of 3 kHz. The nonlinear conversion efficiency reaches 41.7%. The nonlinear slope efficiency reaches 53.3%.展开更多
文摘Recent innovations in thulium laser techniques have allowed application in the treatment of bladder cancer.Laser en bloc resection of bladder cancer is a transurethral procedure that may offer an alternative to the conventional transurethral resection procedure.We conducted a review of basic thulium laser physics and laser en bloc resection procedures and summarized the current clinical literature with a focus on complications and outcomes.Literature evidence suggests that thulium laser techniques including smooth incision,tissue vaporization,and en bloc resection represent feasible,safe,and effective procedures in the treatment of bladder cancer.Moreover,these techniques allow improved specimen orientation and accurate determination of invasion depth,facilitating correct diagnosis,restaging,and reevaluation of the need for a second resection.Nonetheless,large-scale multicentre studies with longer follow-up are warranted for a robust assessment.The present review is meant as a quick reference for urologists.
基金supported by the National Natural Science Foundation of China(No.61275146)the National Key Research and Development Program of China(No.2016YFB0402104)
文摘A high pulse repetition frequency（PRF）, high energy Ho：YAG laser directly pumped by a Tm-doped fiber laser and its application to a mid-infrared ZnGeP_2（ZGP） optical parametric oscillator（OPO） is demonstrated.The maximum polarized 2.09 μm laser pulse energy is 13.46 mJ at a PRF of 1 k Hz. The corresponding peak power reaches 504 kW. In a double-resonant ZGP-OPO, a maximum mid-infrared laser pulse energy of 1.25 m J,corresponding to a peak power of 79 kW, is accomplished at a PRF of 3 kHz. The nonlinear conversion efficiency reaches 41.7%. The nonlinear slope efficiency reaches 53.3%.
