激光技术已广泛运用于治疗良性前列腺增生,其安全性已被大量文献证实。该项技术应用于膀胱肿瘤时具有可以消除闭孔神经反射,减少术中出血,缩短留置尿管时间,减少住院天数的优势。目前开展的应用激光的整块切除技术更加符合无瘤原则,术后病理标本可以准确地分期分级,有望成为替代传统经尿道膀胱肿瘤电切术而成为新的手术标准,但目前亟待证实激光整块切除技术是否有显著的生存获益。未来的激光技术可能会在门诊直接局麻下运用在低级别和非浸润性的患者,在确保了与传统电切术相当的疗效的同时,降低了患者的经济负担。 Laser technology has been widely used in the treatment of benign prostatic hyperplasia, its safety has been confirmed by a large number of documents. This technique has the advantage of eliminating obturator nerve reflex, reducing intraoperative bleeding, shortening the time of indwelling catheter and reducing the number of days of hospitalization in bladder cancer. Currently carried out the application of laser lump resection more in line with the principle of tumor-free, postoperative pathological specimens can be accurately staged grading, is expected to become an alternative to traditional transurethral resection of bladder tumor and become a new surgical standard, but it is urgent to confirm the whole laser Block excision technique has significant survival benefit. Future laser technology may be used in patients undergoing outpatient direct anesthesia in low-grade and non-invasive patients, reducing the patient’s financial burden while ensuring comparable efficacy to traditional electrosurgical procedures.