Juliebø-Jones Patrick, Keller Etienne Xavier, De Coninck Vincent, Uguzova Sabine, Tzelves Lazaros, Æsøy Mathias Sørstrand, Beisland Christian, Somani Bhaskar K, Ulvik Øyvind
Department of Urology, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Front Surg. 2023 Sep 13;10:1274583. doi: 10.3389/fsurg.2023.1274583. eCollection 2023.
Ureteroscopy has become an increasingly popular surgical intervention for conditions such as urinary stone disease. As new technologies and techniques become available, debate regarding their proper use has risen. This includes the role of single use ureteroscopes, optimal laser for stone lithotripsy, basketing versus dusting, the impact of ureteral access sheath, the need for safety guidewire, fluoroscopy free URS, imaging and follow up practices are all areas which have generated a lot of debate. This review serves to evaluate each of these issues and provide a balanced conclusion to guide the clinician in their practice.
输尿管镜检查已成为治疗尿路结石病等病症越来越常用的外科干预手段。随着新技术和技术方法的出现，关于其合理应用的争论也日益增多。这包括一次性使用输尿管镜的作用、用于结石碎石术的最佳激光、套石篮取石与粉末化碎石、输尿管通路鞘的影响、安全导丝的必要性、无荧光输尿管镜检查、成像及随访实践等，所有这些领域都引发了大量争论。本综述旨在评估上述各个问题，并给出一个平衡的结论，以指导临床医生的实践。
