Thulium Laser in the Upper Urinary Tract: Does the Heat Generation in the Irrigation Fluid Pose a Risk? Evidence from an In Vivo Experimental Study.
Identifieur interne : 000029 ( PubMed/Corpus ); précédent : 000028; suivant : 000030Thulium Laser in the Upper Urinary Tract: Does the Heat Generation in the Irrigation Fluid Pose a Risk? Evidence from an In Vivo Experimental Study.
Auteurs : Panagiotis Kallidonis ; Wissam Kamal ; Vasileios Panagopoulos ; Marinos Vasilas ; Lefteris Amanatides ; Iason Kyriazis ; Theofanis Vrettos ; Fotini Fligou ; Evangelos LiatsikosSource :
- Journal of endourology / Endourological Society [ 1557-900X ] ; 2016.
Abstract
The current experimental study aimed at evaluating the temperature raise of the irrigation fluid caused by the use of the thulium (Tm:YAG) and holmium laser (Ho:YAG) in the upper urinary tract (UT) of pigs.
DOI: 10.1089/end.2015.0768
PubMed: 26728200
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pubmed:26728200Le document en format XML
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<author><name sortKey="Kallidonis, Panagiotis" sort="Kallidonis, Panagiotis" uniqKey="Kallidonis P" first="Panagiotis" last="Kallidonis">Panagiotis Kallidonis</name>
<affiliation><nlm:affiliation>1 Department of Urology, University of Patras , Patras, Greece .</nlm:affiliation>
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<author><name sortKey="Panagopoulos, Vasileios" sort="Panagopoulos, Vasileios" uniqKey="Panagopoulos V" first="Vasileios" last="Panagopoulos">Vasileios Panagopoulos</name>
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<author><name sortKey="Kyriazis, Iason" sort="Kyriazis, Iason" uniqKey="Kyriazis I" first="Iason" last="Kyriazis">Iason Kyriazis</name>
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<author><name sortKey="Vasilas, Marinos" sort="Vasilas, Marinos" uniqKey="Vasilas M" first="Marinos" last="Vasilas">Marinos Vasilas</name>
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<series><title level="j">Journal of endourology / Endourological Society</title>
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<front><div type="abstract" xml:lang="en">The current experimental study aimed at evaluating the temperature raise of the irrigation fluid caused by the use of the thulium (Tm:YAG) and holmium laser (Ho:YAG) in the upper urinary tract (UT) of pigs.</div>
</front>
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<DateCreated><Year>2016</Year>
<Month>05</Month>
<Day>07</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-900X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>30</Volume>
<Issue>5</Issue>
<PubDate><Year>2016</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Journal of endourology / Endourological Society</Title>
<ISOAbbreviation>J. Endourol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Thulium Laser in the Upper Urinary Tract: Does the Heat Generation in the Irrigation Fluid Pose a Risk? Evidence from an In Vivo Experimental Study.</ArticleTitle>
<Pagination><MedlinePgn>555-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1089/end.2015.0768</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The current experimental study aimed at evaluating the temperature raise of the irrigation fluid caused by the use of the thulium (Tm:YAG) and holmium laser (Ho:YAG) in the upper urinary tract (UT) of pigs.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">An experimental setting was designed for the investigation of differences in the temperature of the irrigation fluid in the renal pelvis of a porcine model under different flow rates and laser power settings. The experimental configuration included a single-use flexible ureteroscope, a Tm:YAG and a Ho:YAG laser system. A thermocouple was inserted through a 6F ureteral catheter that was placed parallel to the FlexVue in the renal pelvis. An additional thermocouple was placed next to the renal pelvis after open preparation of the kidney. Irrigation was achieved with either the irrigation bags placed 1 m above the level of the pig or with the use of an irrigation pump (30 and 60 compressions per minute).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Tm:YAG (10, 20, 30, 40 W): The higher flow provided by the pump system minimized the increase of temperature within the renal pelvis regardless of the laser power. The external temperature increase was lower in comparison to the increase inside the renal pelvis. The internal temperature could increase up to 10.5°C from a baseline value of 23°C. Ho:YAG (10, 20 W): There was no temperature change or an increase of only 2.1°C under the different power and irrigation flow rate settings. There were no differences in the temperature between the inside and outside of the renal pelvis.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The use of Tm:YAG in continuous mode with power settings up to 40 W and flow rates similar to those used in the clinical practice seemed to result in temperature increases in the irrigation fluid, which do not represent a risk for the renal tissue during the UT endoscopic surgery.</AbstractText>
</Abstract>
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