GRC lithiase, AP-HP, Sorbonne université, Paris, France; Laboratoire PIMM, arts et métiers Paris Tech, Paris, France.
Department of Urology and Transplantation Surgery, Hospices Civils de Lyon, Edouard-Herriot Hospital, Lyon, France.
Prog Urol. 2023 Nov;33(14):825-842. doi: 10.1016/j.purol.2023.08.008.
Endocorporeal lithotripsy has progressed thanks to the development of lasers. Two laser sources are currently available: Holmium:YAG (Ho:YAG) and more recently Thulium Fiber Laser (TFL). The settings generally used are dusting, fragmentation, and "pop-corning". These are the first recommendations on laser use for stone management and their settings. Settings must be modulated and can be changed during the treatment according to the expected and obtained effects, the location and stone type that is treated. METHODOLOGY: These recommendations have been developed using two methods: the Clinical Practice Recommendation (CPR) method and the ADAPTE method, depending on whether or not the question was considered in the European Association of Urology (EAU) recommendations (https://uroweb.org/guidelines/urolithiasis [EAU Guidelines on urolithiasis. 2022]) and their adaptability to the French context.
腔内碎石术得益于激光的发展而取得进展。目前有两种激光源：钬：钇铝石榴石（Ho:YAG）和最近的掺铥光纤激光（TFL）。通常使用的设置是粉末化、碎片化和“爆米花化”。这些是关于激光在结石管理及其设置中的应用的首批建议。根据预期和获得的效果、治疗部位和结石类型，可以对设置进行调节和更改。
这些建议是使用两种方法制定的：临床实践推荐（CPR）方法和 ADAPTE 方法，这取决于该问题是否在欧洲泌尿外科学会（EAU）建议中考虑过（https://uroweb.org/guidelines/urolithiasis [EAU 尿石症指南。2022]）及其对法国情况的适应性。
