Denstedt John, Gabrigna Berto Fernanda C
Division of Urology, Department of Surgery, Western University, Schulich School of Medicine and Dentistry, London Canada.
Asian J Urol. 2023 Jul;10(3):289-297. doi: 10.1016/j.ajur.2022.11.003. Epub 2022 Dec 30.
The holmium:yttrium-aluminium-garnet laser (Ho:YAG) has been the gold standard for laser lithotripsy over the last three decades. After demonstrating good efficacy, the thulium fiber laser (TFL) has been recently released in the market and the initial clinical results are encouraging. This article aims to review the main technology differences between the Ho:YAG laser and the TFL, discuss the initial clinical results with the TFL as well as the optimal settings for TFL lithotripsy.
We reviewed the literature focusing on the technological aspects of the Ho:YAG laser and TFL as well as the results of and studies comparing both technologies.
studies show a technical superiority of TFL compared to the Ho:YAG laser and encouraging results have been demonstrated in clinical practice. However, as TFL is a new technology, limited studies are currently available, and the optimal settings for lithotripsy are not yet established.
TFL has the potential to be an alternative to the Ho:YAG laser, but more reports are still needed to determine the optimal laser for lithotripsy of urinary tract stones when considering all parameters including effectiveness, safety, and costs.
钬：钇铝石榴石激光（Ho:YAG）在过去三十年一直是激光碎石术的金标准。在证明具有良好疗效后，铥光纤激光（TFL）最近已投放市场，初步临床结果令人鼓舞。本文旨在综述Ho:YAG激光与TFL之间的主要技术差异，讨论TFL的初步临床结果以及TFL碎石术的最佳设置。
我们回顾了侧重于Ho:YAG激光和TFL技术方面以及比较这两种技术的研究结果的文献。
研究表明TFL相比Ho:YAG激光具有技术优势，并且在临床实践中已证明了令人鼓舞的结果。然而，由于TFL是一项新技术，目前可用的研究有限，碎石术的最佳设置尚未确定。
TFL有可能成为Ho:YAG激光的替代方案，但在考虑包括有效性、安全性和成本在内的所有参数时，仍需要更多报告来确定用于尿路结石碎石术的最佳激光。
