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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...

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Autores principales: Kronenberg, Peter, Somani, Bhaskar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958148/
https://www.ncbi.nlm.nih.gov/pubmed/29774438
http://dx.doi.org/10.1007/s11934-018-0807-y
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author Kronenberg, Peter
Somani, Bhaskar
author_facet Kronenberg, Peter
Somani, Bhaskar
author_sort Kronenberg, Peter
collection PubMed
description 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.
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spelling pubmed-59581482018-05-18 Advances in Lasers for the Treatment of Stones—a Systematic Review Kronenberg, Peter Somani, Bhaskar Curr Urol Rep Endourology (P Mucksavage, Section Editor) 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. Springer US 2018-05-17 2018 /pmc/articles/PMC5958148/ /pubmed/29774438 http://dx.doi.org/10.1007/s11934-018-0807-y Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Endourology (P Mucksavage, Section Editor)
Kronenberg, Peter
Somani, Bhaskar
Advances in Lasers for the Treatment of Stones—a Systematic Review
title Advances in Lasers for the Treatment of Stones—a Systematic Review
title_full Advances in Lasers for the Treatment of Stones—a Systematic Review
title_fullStr Advances in Lasers for the Treatment of Stones—a Systematic Review
title_full_unstemmed Advances in Lasers for the Treatment of Stones—a Systematic Review
title_short Advances in Lasers for the Treatment of Stones—a Systematic Review
title_sort advances in lasers for the treatment of stones—a systematic review
topic Endourology (P Mucksavage, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958148/
https://www.ncbi.nlm.nih.gov/pubmed/29774438
http://dx.doi.org/10.1007/s11934-018-0807-y
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