Mini-Percutaneous Nephrolithotomy Technique of Percutaneous Nephrolithotomy with Thulium Fiber Laser

Niu, Sida; Carrera, Raphael; Molina, Wilson

doi:10.1089/vid.2020.0025

Cited by 1 publication

(1 citation statement)

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“…The same group has also described use of the TFL in the setting of ultra-mini-PCNL (10-12-F sheath) and micro-PCNL [42,43]. Niu et al [44], reported their experience of using the TFL in the setting of mini-PCNL (15/16-F sheath). The authors reported optimal fragmentation and dusting was performed using 0.1 J 9 30 Hz and 0.3 J 9 50 Hz, respectively.…”

Section: Clinical Studies: Miniaturised Pcnl (Mini-pcnl)mentioning

confidence: 99%

Current status of thulium fibre laser lithotripsy: an up‐to‐date review

2021

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To perform an up-to-date review to scope the current status of the thulium fibre laser (TFL) in the setting of stone lithotripsy and provide a guide for the clinical urologist. MethodsA review of world literature was performed to identify original articles on TFL for stone lithotripsy. Our clinical experiences of using the technology have also been shared. ResultsTo date there have been 11 clinical studies published on TFL for stone lithotripsy. Three of these have been in the setting of miniaturised percutaneous nephrolithotomy (mini-PCNL) and the remainder have been on ureteroscopy (URS). There has only been one randomised study on this technology, which has been for URS. For URS, the range of settings has been 0.1-4 J 9 7-300 Hz for both URS and mini-PCNL. Stones ranging from 0.4-3.2 and 1.5-3 cm have been treated with URS and mini-PCNL, respectively. The final stone-free rate for TFL has ranged from 66.6% to 100% and 85-100% for URS and mini-PCNL, respectively. The average length of stay ranged from 0.5 to 2.4 days in the URS group, but no studies have been reported this for mini-PCNL. Operative times in all the studies (both URS and mini PCNL) were <60 min. ConclusionInitial clinical studies reveal that TFL appears to be efficacious in the setting of stone lithotripsy. However, further randomised trials are warranted to delineate its formal position, as well as determine the optimal settings for use in clinical practice.

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Section: Clinical Studies: Miniaturised Pcnl (Mini-pcnl)mentioning

confidence: 99%