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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....

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Detalles Bibliográficos
Autores principales: Papatsoris, Athanasios G., Skolarikos, Andreas, Buchholz, Noor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2012
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.
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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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