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Intracorporeal laser lithotripsy
OBJECTIVES: To review the current literature on intracorporeal laser lithotripsy. METHODS: We searched PubMed for relevant reports up to January 2012, using the keywords ‘laser’, ‘lithotripsy’ and ‘intracorporeal’. RESULTS: We studied 125 relevant reports of studies with various levels of evidence....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442925/ https://www.ncbi.nlm.nih.gov/pubmed/26558041 http://dx.doi.org/10.1016/j.aju.2012.02.006 |
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author | Papatsoris, Athanasios G. Skolarikos, Andreas Buchholz, Noor |
author_facet | Papatsoris, Athanasios G. Skolarikos, Andreas Buchholz, Noor |
author_sort | Papatsoris, Athanasios G. |
collection | PubMed |
description | OBJECTIVES: To review the current literature on intracorporeal laser lithotripsy. METHODS: We searched PubMed for relevant reports up to January 2012, using the keywords ‘laser’, ‘lithotripsy’ and ‘intracorporeal’. RESULTS: We studied 125 relevant reports of studies with various levels of evidence. Efficient lithotripsy depends on the laser variables (wavelength, pulse duration and pulse energy) and the physical properties of the stones (optical, mechanical and chemical). The most efficient laser for stones in all locations and of all mineral compositions is the holmium yttrium–aluminium–garnet laser (Ho:YAG). The frequency-doubled double-pulse Nd:YAG laser functions through the generation of a plasma bubble. New laser systems, such as the erbium:YAG and the thulium laser, are under evaluation. Laser protection systems have also been developed for the novel digital flexible ureteroscopes. Although complications are rare, a high relevant clinical suspicion is necessary. CONCLUSIONS: Laser lithotripsy technology is continuously developing, while the Ho:YAG laser remains the reference standard for intracorporeal lithotripsy. |
format | Online Article Text |
id | pubmed-4442925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-44429252015-11-10 Intracorporeal laser lithotripsy Papatsoris, Athanasios G. Skolarikos, Andreas Buchholz, Noor Arab J Urol Review OBJECTIVES: To review the current literature on intracorporeal laser lithotripsy. METHODS: We searched PubMed for relevant reports up to January 2012, using the keywords ‘laser’, ‘lithotripsy’ and ‘intracorporeal’. RESULTS: We studied 125 relevant reports of studies with various levels of evidence. Efficient lithotripsy depends on the laser variables (wavelength, pulse duration and pulse energy) and the physical properties of the stones (optical, mechanical and chemical). The most efficient laser for stones in all locations and of all mineral compositions is the holmium yttrium–aluminium–garnet laser (Ho:YAG). The frequency-doubled double-pulse Nd:YAG laser functions through the generation of a plasma bubble. New laser systems, such as the erbium:YAG and the thulium laser, are under evaluation. Laser protection systems have also been developed for the novel digital flexible ureteroscopes. Although complications are rare, a high relevant clinical suspicion is necessary. CONCLUSIONS: Laser lithotripsy technology is continuously developing, while the Ho:YAG laser remains the reference standard for intracorporeal lithotripsy. Elsevier 2012-09 2012-03-26 /pmc/articles/PMC4442925/ /pubmed/26558041 http://dx.doi.org/10.1016/j.aju.2012.02.006 Text en © 2012 Arab Association of Urology. Production and hosting by Elsevier B.V. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Review Papatsoris, Athanasios G. Skolarikos, Andreas Buchholz, Noor Intracorporeal laser lithotripsy |
title | Intracorporeal laser lithotripsy |
title_full | Intracorporeal laser lithotripsy |
title_fullStr | Intracorporeal laser lithotripsy |
title_full_unstemmed | Intracorporeal laser lithotripsy |
title_short | Intracorporeal laser lithotripsy |
title_sort | intracorporeal laser lithotripsy |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442925/ https://www.ncbi.nlm.nih.gov/pubmed/26558041 http://dx.doi.org/10.1016/j.aju.2012.02.006 |
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