Kronenberg Peter, Somani Bhaskar
Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal.
University Hospital Southampton NHS Trust, Southampton, UK.
Curr Urol Rep. 2018 May 17;19(6):45. doi: 10.1007/s11934-018-0807-y.
Laser lithotripsy is increasingly used worldwide and is a continuously evolving field with new and extensive research being published every year.
Variable pulse length Ho:YAG lithotripters allow new lithotripsy parameters to be manipulated, and there is an effort to integrate new technologies into lithotripters. Pulsed thulium lasers seem to be a viable alternative to holmium lasers. The performance of similar laser fibers varies from manufacturer to manufacturer. Special laser fibers and "cleaving only" fiber tip preparation can be beneficial for the lithotripsy procedure. Different laser settings and the surgical technique employed can have significant impact on the success of laser lithotripsy. When safely done, complications of laser lithotripsy are rare and concern the endoscopic nature of procedure, not the technology itself, making laser lithotripsy one of the safest tools in urology. Laser lithotripsy has had several new developments and more insight has been gained in recent years with many more advances expected in the future.
激光碎石术在全球范围内的应用日益广泛,并且是一个不断发展的领域,每年都有新的广泛研究发表。
可变脉冲长度的钬激光碎石器允许操控新的碎石参数,并且人们正在努力将新技术集成到碎石器中。脉冲铥激光似乎是钬激光的可行替代方案。类似激光光纤的性能因制造商而异。特殊激光光纤和“仅切割”光纤尖端制备对碎石手术可能有益。不同的激光设置和所采用的手术技术会对激光碎石术的成功产生重大影响。在安全操作的情况下,激光碎石术的并发症很少见,且与手术的内镜性质有关,而非技术本身,这使得激光碎石术成为泌尿外科最安全的工具之一。激光碎石术有了一些新进展,近年来获得了更多认识,预计未来还会有更多进展。