Intracorporeal laser lithotripsy
Identifieur interne : 000731 ( Main/Exploration ); précédent : 000730; suivant : 000732Intracorporeal laser lithotripsy
Auteurs : Athanasios G. Papatsoris [Grèce, Royaume-Uni] ; Andreas Skolarikos [Grèce] ; Noor Buchholz [Royaume-Uni]Source :
- Arab Journal of Urology [ 2090-598X ] ; 2012.
Abstract
To review the current literature on intracorporeal laser lithotripsy.
We searched PubMed for relevant reports up to January 2012, using the keywords ‘laser’, ‘lithotripsy’ and ‘intracorporeal’.
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.
Laser lithotripsy technology is continuously developing, while the Ho:YAG laser remains the reference standard for intracorporeal lithotripsy.
Url:
DOI: 10.1016/j.aju.2012.02.006
PubMed: 26558041
PubMed Central: 4442925
Affiliations:
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Papatsoris</name><affiliation wicri:level="3"><nlm:aff id="aff1">University Department of Urology, Sismanoglio Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>University Department of Urology, Sismanoglio Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Urology, Bart and The London NHS Trust, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, Bart and The London NHS Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Skolarikos, Andreas" sort="Skolarikos, Andreas" uniqKey="Skolarikos A" first="Andreas" last="Skolarikos">Andreas Skolarikos</name><affiliation wicri:level="3"><nlm:aff id="aff1">University Department of Urology, Sismanoglio Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>University Department of Urology, Sismanoglio Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Buchholz, Noor" sort="Buchholz, Noor" uniqKey="Buchholz N" first="Noor" last="Buchholz">Noor Buchholz</name><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Urology, Bart and The London NHS Trust, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, Bart and The London NHS Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">Arab Journal of Urology</title><idno type="ISSN">2090-598X</idno><idno type="eISSN">2090-5998</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>To review the current literature on intracorporeal laser lithotripsy.</p></sec><sec><title>Methods</title><p>We searched PubMed for relevant reports up to January 2012, using the keywords ‘laser’, ‘lithotripsy’ and ‘intracorporeal’.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>Laser lithotripsy technology is continuously developing, while the Ho:YAG laser remains the reference standard for intracorporeal lithotripsy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Papatsoris, A G" uniqKey="Papatsoris A">A.G. Papatsoris</name></author><author><name sortKey="Kachrilas, S" uniqKey="Kachrilas S">S. Kachrilas</name></author><author><name sortKey="Elhowairis, M" uniqKey="Elhowairis M">M. ElHowairis</name></author><author><name sortKey="Masood, J" uniqKey="Masood J">J. Masood</name></author><author><name sortKey="Buchholz, N" uniqKey="Buchholz N">N. Buchholz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Skolarikos, A A" uniqKey="Skolarikos A">A.A. Skolarikos</name></author><author><name sortKey="Papatsoris, A G" uniqKey="Papatsoris A">A.G. 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Gupta</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chang, C P" uniqKey="Chang C">C.P. Chang</name></author><author><name sortKey="Liou, C C" uniqKey="Liou C">C.C. Liou</name></author><author><name sortKey="Yang, Y L" uniqKey="Yang Y">Y.L. Yang</name></author><author><name sortKey="Sun, M S" uniqKey="Sun M">M.S. Sun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tiplitsky, S I" uniqKey="Tiplitsky S">S.I. Tiplitsky</name></author><author><name sortKey="Milhoua, P M" uniqKey="Milhoua P">P.M. Milhoua</name></author><author><name sortKey="Patel, M B" uniqKey="Patel M">M.B. Patel</name></author><author><name sortKey="Minsky, L" uniqKey="Minsky L">L. Minsky</name></author><author><name sortKey="Hoenig, D M" uniqKey="Hoenig D">D.M. Hoenig</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Grèce</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Attique (région)</li><li>Grand Londres</li></region><settlement><li>Athènes</li><li>Londres</li></settlement></list><tree><country name="Grèce"><region name="Attique (région)"><name sortKey="Papatsoris, Athanasios G" sort="Papatsoris, Athanasios G" uniqKey="Papatsoris A" first="Athanasios G." last="Papatsoris">Athanasios G. Papatsoris</name></region><name sortKey="Skolarikos, Andreas" sort="Skolarikos, Andreas" uniqKey="Skolarikos A" first="Andreas" last="Skolarikos">Andreas Skolarikos</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Papatsoris, Athanasios G" sort="Papatsoris, Athanasios G" uniqKey="Papatsoris A" first="Athanasios G." last="Papatsoris">Athanasios G. Papatsoris</name></region><name sortKey="Buchholz, Noor" sort="Buchholz, Noor" uniqKey="Buchholz N" first="Noor" last="Buchholz">Noor Buchholz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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