Micropercutaneous laser nephrolithotripsy

Martov, A G; Dutov, S.V. Dutov; Popov, S.V.; Emelyanenko, A. V.; Андронов, А.С.; Orlov, I N; Adilhanov, M M; Kozachihina, S I

doi:10.18565/urology.2019.3.72-79

Cited by 4 publications

(8 citation statements)

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“…A total of three manuscripts and 11 conference abstracts were included in the review. 19,[24][25][26][27][28][29][30][31][32][33][34][35][36] Study designs included 13 prospective cohort studies and one case series. Most published studies emanated from the Russian Federation.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Stone localization was reported in 12 studies. 19,[24][25][26][27][28][29][30][31][32][33][34][35][36] Renal stones were present in all publications, while urethral and bladder stones were present in five and four studies, respectively. A wide variety of stone sizes were treated, the largest renal, bladder, and ureteral stones were 25 mm, 36 mm, and 13 mm, respectively.…”

Section: Stone Factorsmentioning

confidence: 99%

“…Eight studies reported stone-free rate after three months of followup. 24,25,27,29,[31][32][33][34][35] The average renal stone-free rate was 92.46% among all studies (range 86.6-98.21%). One study reported stone-free rates of 96% and 100% for ureteric and bladder stones, respectively, on non-contrast computed tomography 30 days following treatment with URS using TFL.…”

Section: Safety and Outcomesmentioning

confidence: 99%

“…29 Eleven studies commented on complications following TFL use in URS or PCNL procedures. 19,24,25,[29][30][31][32][33][34][35][36] Six studies (54.5%) composed of 34 ultra mini-PCNL, 353 URS, and 40 URS and PCNL patients reported no complications following TFL use. 19,29,30,32,33,36 Postoperative antibiotic administration secondary to urinary tract infections (UTI) and pyelonephritis affected 18 patients across four students composed of 264 patients, and was the most common complication necessitating a Clavien-Dindo grade of 2.…”

Section: Safety and Outcomesmentioning

confidence: 99%

“…19,29,30,32,33,36 Postoperative antibiotic administration secondary to urinary tract infections (UTI) and pyelonephritis affected 18 patients across four students composed of 264 patients, and was the most common complication necessitating a Clavien-Dindo grade of 2. 24,31,34,35 Of the remaining four studies, double-J stent insertion and undergoing postoperative extracorporeal shock wave lithotripsy (ESWL) secondary to steinstrasse composed the complications characterizing Clavien-Dindo grade 3. 24,31,34,35…”

Section: Safety and Outcomesmentioning

confidence: 99%

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A scoping review of the clinical efficacy and safety of the novel thulium fiber laser: The rising star of laser lithotripsy

Gao

Bobrowski

Lee

2020

CUAJ

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Introduction: The holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the gold standard for intracorporeal lithotripsy. Preclinical reports suggest the thulium laser fibre (TFL) may possess advantages over the Ho:YAG laser, including improved lithotripsy efficacy, enhanced safety, and lower costs. Although the TFL is well-characterized in vitro, there are no reviews examining TFL lithotripsy in a clinical setting. Methods: A review of the literature was conducted using a systematic search of MEDLINE, PubMed, and Embase, yielding a total of 130 manuscripts published up to May 2020. Two independent reviewers selected studies for screening, eligibility, and inclusion into the scoping review. Following the title, abstract, and full-text review, 14 articles were analyzed. Results: Within these articles, there were 13 prospective cohort studies and one case series. The average sample size was 100 participants. Study followup durations ranged from four weeks to three months. TFL had comparable stone-free rates to Ho:YAG lasers and improved operating time. TFL was subjectively favorable in terms of stone retropulsion, stone fragmentation, endoscopic maneuverability, and endoscopic visibility. TFL appeared clinically safe and did not result in any major complications. Many studies were underpowered and non-peer-reviewed, demonstrating the need for additional research in this field. Conclusions: The TFL has the potential to catalyze a paradigm shift in laser lithotripsy. While the objective of this scoping review was to describe the contemporary landscape of the literature, it is important to consider that inferences posed by the studies described herein must be tempered by the low quality of available evidence.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Stone Factorsmentioning

confidence: 99%

Section: Safety and Outcomesmentioning

confidence: 99%

Section: Safety and Outcomesmentioning

confidence: 99%

Section: Safety and Outcomesmentioning

confidence: 99%

See 3 more Smart Citations

A scoping review of the clinical efficacy and safety of the novel thulium fiber laser: The rising star of laser lithotripsy

Gao

Bobrowski

Lee

2020

CUAJ

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New Lasers for Stone Treatment

Traxer

Corrales

2022

Urologic Clinics of North America

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Percutaneous nephrolitholapaxy performed under ultrasound and endovisual guidance: evaluation of the factors affecting the immediate outcomes

et al. 2022

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Introduction. In recent years, ultrasound and endovisual guidance have been introduced into clinical practice when performing percutaneous nephrolitholapaxy.Objective. To identify the most significant factors that influence the frequency of complete elimination of stones and the development of complications in percutaneous nephrolitholapaxy performed under ultrasound and endovisual guidance.Materials and methods. We analyzed the results of the treatment of 515 kidney stone patients who underwent percutaneous nephrolitholapaxy under ultrasound navigation and endovideoscopic guidance using a new method developed by us.Results. The average duration of the operation was 77.2 ± 1.9 min. Most of the operations were performed through one puncture access (95.1%) and in one stage (91.8%) with complete stone elimination in 80.6% of the cases. The degree of decrease in hemoglobin in the postoperative period was only 12.18 ± 0.6 g/l. The frequency of postoperative complications was 29.3%, in most cases there were 1 - 2 severity grades according to Clavien-Dindo. As a result of multivariate regression analysis, independent predictors influencing the frequency of complete stone eradication were the number of stones (p = 0.012), the fact of the presence of staghorn stone (p = 0.016), the number of stages of surgical intervention (p = 0.001). Correlation analysis revealed a statistically significant negative correlation between body mass index and the occurrence of complications (p = 0.005), a positive correlation between the presence of urinary tract infection and the occurrence of complications (p = 0.048), a positive correlation between the grade of blood loss and the occurrence of expectation (р < 0.001).Conclusions. Percutaneous nephrolitholapaxy under ultrasound and endovisual guidance without the use of X-rays is an effective intervention for most patients with kidney stones. Complete stone eradication depends on the number of stones, the presence of staghorn stone, and the number of stages of surgery. The incidence of complications is significantly affected by the body mass index, the presence of urinary infection and the degree of decrease in hemoglobin during surgery.

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Micropercutaneous laser nephrolithotripsy

Cited by 4 publications

References 0 publications

A scoping review of the clinical efficacy and safety of the novel thulium fiber laser: The rising star of laser lithotripsy

A scoping review of the clinical efficacy and safety of the novel thulium fiber laser: The rising star of laser lithotripsy

New Lasers for Stone Treatment

Percutaneous nephrolitholapaxy performed under ultrasound and endovisual guidance: evaluation of the factors affecting the immediate outcomes

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