Retrograde intrarenal surgery: laser showdown (Ho:YAG vs thulium fiber laser)

被引：20

作者：

Corrales, Mariela ^{[1
]}

Traxer, Olivier ^{[1
]}

机构：

[1] Sorbonne Univ, GRC Urolithiasis 20, Tenon Hosp, F-75020 Paris, France

来源：

CURRENT OPINION IN UROLOGY | 2022年 / 32卷 / 02期

关键词：

fiber; Ho; YAG; laser; retrograde intrarenal surgery; thulium; PERCUTANEOUS NEPHROLITHOTOMY; UROLITHIASIS; HOLMIUM; STONES;

D O I：

10.1097/MOU.0000000000000971

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of review Retrograde intrarenal surgery (RIRS) has always been recommended for large stones > 20 mm, using the Ho:YAG laser. The introduction of a new technology in the urological market, the thulium fiber laser (TFL) has revolutionized the endourology world because of its characteristics and significantly shorter laser-on time (LOT) and operative time, without scarifying the champ vision. The aim of this review is to evaluate the most relevant findings of the last 2 years of each laser technology, confronting Ho:YAG vs TFL, analyzing who is more suitable for performing an efficient RIRS. Recent findings Five full clinical trials using TFL for RIRS were found. Median LOT was between 2.8 and 34 min. All stones were similar in terms of stone volume, >500 mm(3), and stone density, > 800 HU. Low complication rate, mostly Clavien-Dindo grade I and II and not related to the laser itself. One clinical trial only analyzed the efficacy of TFL for > 20 mm renal stones. Based on this review, TFL performs a more efficient RIRS than the Ho:YAG laser with similar safety.

引用

页码：179 / 184

页数：6

共 45 条

[1] Frequency Threshold for Ablation During Holmium Laser Lithotripsy: How High Can You Go? [J].

Aldoukhi, Ali H. ;

Black, Kristian M. ;

Hall, Timothy L. ;

Roberts, William W. ;

Ghani, Khurshid R. .

JOURNAL OF ENDOUROLOGY, 2020, 34 (10) :1075-1081

[2] Emerging Laser Techniques for the Management of Stones [J].

Aldoukhi, Ali H. ;

Black, Kristian M. ;

Ghani, Khurshid R. .

UROLOGIC CLINICS OF NORTH AMERICA, 2019, 46 (02) :193-+

[3] Holmium Laser Lithotripsy in the New Stone Age: Dust or Bust? [J].

Aldoukhi, Ali H. ;

Roberts, William W. ;

Hall, Timothy L. ;

Ghani, Khurshid R. .

FRONTIERS IN SURGERY, 2017, 4

[4] Influence of the laser pulse shape in the treatment of stones in the upper urinary tract [J].

Alghamdi, Abdulmajeed ;

Kretschmer, Alexander ;

Stief, Christian G. ;

Strittmatter, Frank .

INVESTIGATIVE AND CLINICAL UROLOGY, 2020, 61 (06) :594-599

[5] Preclinical comparison of superpulse thulium fiber laser and a holmium:YAG laser for lithotripsy [J].

Andreeva, Viktoria ;

Vinarov, Andrey ;

Yaroslavsky, Ilya ;

Kovalenko, Anastasia ;

Vybornov, Alexander ;

Rapoport, Leonid ;

Enikeev, Dmitry ;

Sorokin, Nikolay ;

Dymov, Alim ;

Tsarichenko, Dmitry ;

Glybochko, Petr ;

Fried, Nathaniel ;

Traxer, Olivier ;

Altshuler, Gregory ;

Gapontsev, Valentin .

WORLD JOURNAL OF UROLOGY, 2020, 38 (02) :497-503

[6]

[Anonymous], OL LAUNCH SOLT SUPER

[7] Laser Treatment of Benign Prostatic Obstruction: Basics and Physical Differences [J].

Bach, Thorsten ;

Muschter, Rolf ;

Sroka, Roland ;

Gravas, Stavros ;

Skolarikos, Andreas ;

Herrmann, Thomas R. W. ;

Bayer, Thomas ;

Knoll, Thomas ;

Abbou, Claude-Clement ;

Janetschek, Guenter ;

Bachmann, Alexander ;

Rassweiler, Jens J. .

EUROPEAN UROLOGY, 2012, 61 (02) :317-325

[8] Ureteroscopic Performance of High Power Super Pulse Thulium Fiber Laser for the Treatment of Urolithiasis: Results of the First Case Series in North America [J].

Carrera, Raphael, V ;

Randall, J. Hogan ;

Garcia-Gil, Maurilio ;

Knudsen, Bodo E. ;

Chew, Ben H. ;

Thompson, Jeffrey A. ;

Humphreys, Mitchell R. ;

Molina, Wilson R. .

UROLOGY, 2021, 153 :87-92

[9]

Chan KF, 1999, LASER SURG MED, V25, P22, DOI 10.1002/(SICI)1096-9101(1999)25:1<22::AID-LSM4>3.3.CO

[10]

2-Y

← 1 2 3 4 5 →