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- Title
Kortere operatieduur ongeacht hardheid van de steen met thulium fiber laser versus Holmium:YAG-laser.
- Authors
Michiels, Timo; Niemeijer, Anuschka S.; Poerink, Jaap G. H.
- Abstract
For endoscopic lithotripsy of kidney and ureteral stones holmium:yttrium-aluminium-garnet (Ho:YAG) is the gold standard, but the thulium fiber laser (TFL) is challenging this position. This retrospective cohort study aims to compare the effectiveness of TFL compared with Ho:YAG. In 204 ureterorenoscopies (URS) the operative time, and its interaction with stone density, perioperative use of basket, postoperative stenting and complication risk were compared. Statistical analysis was performed both univariate and multivariate. Stones treated in the TFL group were harder than those in the Ho:YAG group. Multivariate analysis showed operative time to be significantly shorter in the TFL group by 19 minutes (p = 0.033). Baskets were used significantly less often in the TFL group, operative time in TFL was independent of stone density. This is in contrast to the Ho:YAG group where harder stones resulted in longer operations. These results support TFL becoming the emerging laser of choice in URS, especially in harder stones.
- Subjects
URETEROSCOPY; RETROSPECTIVE studies; BASKETS
- Publication
Tijdschrift voor Urologie, 2024, Vol 14, Issue 1, p2
- ISSN
2211-3037
- Publication type
Article
- DOI
10.1007/s13629-023-00414-0