Pulsed lasers and endocorporeal laser lithotripsy

F Panthier; S Doizi; M Corrales; O Traxer

doi:10.1016/j.purol.2020.11.008

Pulsed lasers and endocorporeal laser lithotripsy

Prog Urol. 2021 Jun-Jul;31(8-9):451-457. doi: 10.1016/j.purol.2020.11.008. Epub 2021 Jan 28.

Authors

F Panthier¹, S Doizi², M Corrales³, O Traxer⁴

Affiliations

¹ GRC n(o)20, groupe de recherche clinique sur la lithiase urinaire, hôpital Tenon, Sorbonne université, 75020 Paris, France; Service d'urologie, Assistance publique-Hôpitaux de Paris, hôpital Tenon, Sorbonne université, 4, rue de la Chine, 75020 Paris, France; Service d'urologie, Assistance publique-Hôpitaux de Paris, hôpital européen Georges-Pompidou, université de Paris, 20, rue Leblanc, 75015 Paris, France. Electronic address: fredericpanthier@gmail.com.
² GRC n(o)20, groupe de recherche clinique sur la lithiase urinaire, hôpital Tenon, Sorbonne université, 75020 Paris, France; Service d'urologie, Assistance publique-Hôpitaux de Paris, hôpital Tenon, Sorbonne université, 4, rue de la Chine, 75020 Paris, France. Electronic address: steeve.doizi@aphp.fr.
³ GRC n(o)20, groupe de recherche clinique sur la lithiase urinaire, hôpital Tenon, Sorbonne université, 75020 Paris, France; Service d'urologie, Assistance publique-Hôpitaux de Paris, hôpital Tenon, Sorbonne université, 4, rue de la Chine, 75020 Paris, France. Electronic address: mariela_corrales_a@hotmail.com.
⁴ GRC n(o)20, groupe de recherche clinique sur la lithiase urinaire, hôpital Tenon, Sorbonne université, 75020 Paris, France; Service d'urologie, Assistance publique-Hôpitaux de Paris, hôpital Tenon, Sorbonne université, 4, rue de la Chine, 75020 Paris, France. Electronic address: olivier.traxer@aphp.fr.

PMID: 33516610
DOI: 10.1016/j.purol.2020.11.008

Abstract

Endocorporeal laser lithotripsy (ELL) is currently the gold standard for the treatment of renal stones during retrograde intra-renal surgery (RIRS). The newly-authorised thulium fibre laser (Tm-Fibre) in now evaluated as a holmium:yttrium-aluminium-garnet (Ho:YAG) laser alternative, which is the most well-known laser source for ELL. This update aimed to present the fundamentals of pulsed lasers for EEL [technology, period, pulse characteristic (rate, duration, energy, shape), peak power, average power], and the available lithotripsy modes for both Tm-Fibre and Ho:YAG lasers.

Keywords: Endourologie; Endourology; Holmium:YAG; Impulsion Laser; Laser; Laser pulse; Lithotripsy; Lithotritie.

MeSH terms

Humans
Kidney Calculi / therapy*
Laser Therapy*
Lithotripsy, Laser / methods*