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Thulium fiber laser utilization in urological surgery: A narrative review

Investigative and Clinical Urology 2021년 62권 2호 p.136 ~ 147
Khusid Johnathan A., Khargi Raymond, Seiden Benjamin, Sadiq Areeba S., Atallah William M., Gupta Mantu,
소속 상세정보
 ( Khusid Johnathan A. ) - Icahn School of Medicine at Mount Sinai Department of Urology
 ( Khargi Raymond ) - SUNY Downstate Health Sciences University Department of Urology
 ( Seiden Benjamin ) - SUNY Downstate Health Sciences University Department of Urology
 ( Sadiq Areeba S. ) - Icahn School of Medicine at Mount Sinai Department of Urology
 ( Atallah William M. ) - Icahn School of Medicine at Mount Sinai Department of Urology
 ( Gupta Mantu ) - Icahn School of Medicine at Mount Sinai Department of Urology

Abstract


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.

키워드

Laser therapy; Lithotripsy; Surgical endoscopy; Thulium; Urology

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