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Thulium fiber laser utilization in urological surgery: A narrative review
The thulium fiber laser (TFL) is a novel technology under active investigation as an conceivable alternative to the Holmium:yttrium-aluminum-garnet (Ho:YAG) laser, which is currently the gold standard for an array of urologic procedures. The purpose of this review is to discuss the existing literatu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Urological Association
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940849/ https://www.ncbi.nlm.nih.gov/pubmed/33660440 http://dx.doi.org/10.4111/icu.20200467 |
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author | Khusid, Johnathan A. Khargi, Raymond Seiden, Benjamin Sadiq, Areeba S. Atallah, William M. Gupta, Mantu |
author_facet | Khusid, Johnathan A. Khargi, Raymond Seiden, Benjamin Sadiq, Areeba S. Atallah, William M. Gupta, Mantu |
author_sort | Khusid, Johnathan A. |
collection | PubMed |
description | The thulium fiber laser (TFL) is a novel technology under active investigation as an conceivable alternative to the Holmium:yttrium-aluminum-garnet (Ho:YAG) laser, which is currently the gold standard for an array of urologic procedures. The purpose of this review is to discuss the existing literature on the functionality and effectiveness of TFL in urological practice. We conducted a search of the PubMed, Medline, Web of Science Core Collection, SCOPUS, Embase (OVID), and Cochrane Databases for all full articles and systematic reviews on the TFL. We found a total of 35 relevant pieces of literature. The early research findings pertaining to the TFL exhibit numerous potential advantages over the Ho:YAG laser. In vitro and ex vivo studies have highlighted the TFL's ability to utilize smaller laser fibers, obtain faster stone ablation rates, and achieve less retropulsion when tested against the Ho:YAG laser in lithotripsy. Currently, there is limited in vivo research that investigates the utilization of the TFL. The in vivo results that are available, however, look promising both for laser lithotripsy and soft tissue ablation. Indeed, the existing literature suggests that the TFL has great potential and may possess numerous technological advantages over the Ho:YAG laser, especially in laser lithotripsy. Although these early studies are promising, randomized control trials are needed to assess the full applicability of the TFL in urology. |
format | Online Article Text |
id | pubmed-7940849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Urological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-79408492021-03-15 Thulium fiber laser utilization in urological surgery: A narrative review Khusid, Johnathan A. Khargi, Raymond Seiden, Benjamin Sadiq, Areeba S. Atallah, William M. Gupta, Mantu Investig Clin Urol Review Article The thulium fiber laser (TFL) is a novel technology under active investigation as an conceivable alternative to the Holmium:yttrium-aluminum-garnet (Ho:YAG) laser, which is currently the gold standard for an array of urologic procedures. The purpose of this review is to discuss the existing literature on the functionality and effectiveness of TFL in urological practice. We conducted a search of the PubMed, Medline, Web of Science Core Collection, SCOPUS, Embase (OVID), and Cochrane Databases for all full articles and systematic reviews on the TFL. We found a total of 35 relevant pieces of literature. The early research findings pertaining to the TFL exhibit numerous potential advantages over the Ho:YAG laser. In vitro and ex vivo studies have highlighted the TFL's ability to utilize smaller laser fibers, obtain faster stone ablation rates, and achieve less retropulsion when tested against the Ho:YAG laser in lithotripsy. Currently, there is limited in vivo research that investigates the utilization of the TFL. The in vivo results that are available, however, look promising both for laser lithotripsy and soft tissue ablation. Indeed, the existing literature suggests that the TFL has great potential and may possess numerous technological advantages over the Ho:YAG laser, especially in laser lithotripsy. Although these early studies are promising, randomized control trials are needed to assess the full applicability of the TFL in urology. The Korean Urological Association 2021-03 2021-02-22 /pmc/articles/PMC7940849/ /pubmed/33660440 http://dx.doi.org/10.4111/icu.20200467 Text en © The Korean Urological Association, 2021 http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Khusid, Johnathan A. Khargi, Raymond Seiden, Benjamin Sadiq, Areeba S. Atallah, William M. Gupta, Mantu Thulium fiber laser utilization in urological surgery: A narrative review |
title | Thulium fiber laser utilization in urological surgery: A narrative review |
title_full | Thulium fiber laser utilization in urological surgery: A narrative review |
title_fullStr | Thulium fiber laser utilization in urological surgery: A narrative review |
title_full_unstemmed | Thulium fiber laser utilization in urological surgery: A narrative review |
title_short | Thulium fiber laser utilization in urological surgery: A narrative review |
title_sort | thulium fiber laser utilization in urological surgery: a narrative review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940849/ https://www.ncbi.nlm.nih.gov/pubmed/33660440 http://dx.doi.org/10.4111/icu.20200467 |
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