Ureterorenoscopic Lithotripsy for Pediatric Kidney Stones Using Holmium:Yttrium–Aluminum–Garnet Laser Devices: 15 W <i>vs</i> 30 W

Kaygısız, Onur; Yeni, Sezgin; TURAN, Levent; Çiçek, Mehmet Çağatay; Çoşkun, Burhan; Kılıçarslan, Hakan

doi:10.1089/end.2021.0922

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…Ho:YAG has proved to be safe during lithotripsy pediatric population using low and HP for all surgical approaches [30][31][32]. As for the future, the possibility to apply artificial intelligence could decease lesions to surrounding tissues keeping adequate speed and precision [33].…”

Section: Key Pointsmentioning

confidence: 99%

Lasers for stone lithotripsy: advantages/disadvantages of each laser source

Emiliani

Kanashiro

Angerri

2023

Current Opinion in Urology

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The purpose of this article was to make a narrative review of the literature in search of all articles regarding thulium:yttrium-aluminium-garnet (YAG), thulium laser fiber (TFL) and holmium:YAG (Ho:YAG) for lithotripsy from 2020 to 2023. A selection of articles of special interest and best evidence was made in order to give a better perspective on their advantages and disadvantages. Recent findingsNew Ho:YAG technologies of as high power, high frequency and pulsed modulations have shown promising results for lithotripsy by reducing retropulsion with good ablation efficiency. High peak power makes it particularly good for percutaneous nephrolithotomy. High intrarenal temperatures and correct setting are still concerning points. TFL has arrived to be one of the main players in flexible ureteroscopy. Being highly efficient and quick, and by producing micro-dusting the laser is quickly heading to become a gold standard. The new pulsed Thulium YAG is the newest laser. For now, only in-vitro studies show promising results with efficient lithotripsy. As the peak power lies between Ho:YAG and TFL it may be able to adequately perform when needing and low power lithotripsy. SummarySeveral new technologies have been developed in the last years for stone lithotripsy. All being efficient and safe if well used. Different advantages and disadvantages of each laser must be taken into consideration to give each laser the proper indication.

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