Advances in lasers for the treatment of stones: a systematic review
Advances in lasers for the treatment of stones: a systematic review
PURPOSE OF REVIEW: Laser lithotripsy is increasingly used worldwide and is a continuously evolving field with new and extensive research being published every year.
RECENT FINDINGS: Variable pulse length Ho:YAG lithotripters allow new lithotripsy parameters to be manipulated, and there is an effort to integrate new technologies into lithotripters. Pulsed thulium lasers seem to be a viable alternative to holmium lasers. The performance of similar laser fibers varies from manufacturer to manufacturer. Special laser fibers and "cleaving only" fiber tip preparation can be beneficial for the lithotripsy procedure. Different laser settings and the surgical technique employed can have significant impact on the success of laser lithotripsy. When safely done, complications of laser lithotripsy are rare and concern the endoscopic nature of procedure, not the technology itself, making laser lithotripsy one of the safest tools in urology.
SUMMARY. Laser lithotripsy has had several new developments and more insight has been gained in recent years with many more advances expected in the future.
Humans, Lasers, Solid-State/therapeutic use, Lithotripsy, Laser/methods, Urinary Calculi/therapy
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Kronenberg, Peter
4cf827ff-ee03-4e00-bdc4-b2911713d325
Somani, Bhaskar
7ed77b4e-3ffc-43ef-bc61-bd1c1544518c
Kronenberg, Peter
4cf827ff-ee03-4e00-bdc4-b2911713d325
Somani, Bhaskar
7ed77b4e-3ffc-43ef-bc61-bd1c1544518c
Kronenberg, Peter and Somani, Bhaskar
(2018)
Advances in lasers for the treatment of stones: a systematic review.
Current Urology Reports, 19 (6), .
(doi:10.1007/s11934-018-0807-y).
Abstract
PURPOSE OF REVIEW: Laser lithotripsy is increasingly used worldwide and is a continuously evolving field with new and extensive research being published every year.
RECENT FINDINGS: Variable pulse length Ho:YAG lithotripters allow new lithotripsy parameters to be manipulated, and there is an effort to integrate new technologies into lithotripters. Pulsed thulium lasers seem to be a viable alternative to holmium lasers. The performance of similar laser fibers varies from manufacturer to manufacturer. Special laser fibers and "cleaving only" fiber tip preparation can be beneficial for the lithotripsy procedure. Different laser settings and the surgical technique employed can have significant impact on the success of laser lithotripsy. When safely done, complications of laser lithotripsy are rare and concern the endoscopic nature of procedure, not the technology itself, making laser lithotripsy one of the safest tools in urology.
SUMMARY. Laser lithotripsy has had several new developments and more insight has been gained in recent years with many more advances expected in the future.
Text
Kronenberg-Somani2018_Article_AdvancesInLasersForTheTreatmen
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e-pub ahead of print date: 17 May 2018
Keywords:
Humans, Lasers, Solid-State/therapeutic use, Lithotripsy, Laser/methods, Urinary Calculi/therapy
Identifiers
Local EPrints ID: 433425
URI: http://eprints.soton.ac.uk/id/eprint/433425
ISSN: 1534-6285
PURE UUID: c811cf95-1e72-44fe-ab26-cc8ae37077a8
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Date deposited: 21 Aug 2019 16:30
Last modified: 16 Mar 2024 03:24
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Author:
Peter Kronenberg
Author:
Bhaskar Somani
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