Buzescu Bogdan, Cozma Cosmin, Geavlete Petrisor, Multescu Razvan, Georgescu Dragos, Ene Cosmin, Bulai Catalin, Geavlete Bogdan
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of Urology, "St. John" Emergency Clinical Hospital, Bucharest, Romania.
Maedica (Bucur). 2024 Jun;19(2):388-392. doi: 10.26574/maedica.2024.19.2.388.
Urolithiasis is a serious health issue that is constantly getting worse around the world. In relation to laser lithotripsy, new techniques and technological advancements have emerged, giving urologists a wide range of choices for treating stone disease. The objective of the present review is to provide an overview of the most current developments and show how effective they are for reducing complications and boosting surgical effectiveness.
In October 2023, we performed a comprehensive search of the literature, including relevant articles using the PubMed international database to identify related publications concerning ureteroscopic laser stone lithotripsy in renal lithiasis. Both review and original articles were selected. Searches were limited to studies written in English which involved human and adult subjects.
All eligible studies concerning ureteroscopic laser lithotripsy were published in 2022 and 2023. They were conducted in Asia (5/10), the North America (3/10) and Europe (2/10), and totalized 1570 patients with an age range between 18 and 85 years. Regarding the primary efficacy outcome, all studies focused on stone free rates (SFRs), complications and average operative time.
The rising frequency and incidence of stone disease has led to ongoing breakthroughs in endourology through technological advancements and ongoing developments. Unlike the relatively well-known Holmium laser, which has several uses in the field of stone lithotripsy, Thulium fiber laser (TFL) is a brand-new technological arrangement.
尿石症是一个严重的健康问题，在全球范围内日益恶化。关于激光碎石术，新技术和技术进步不断涌现，为泌尿外科医生治疗结石疾病提供了广泛的选择。本综述的目的是概述当前的最新进展，并展示它们在减少并发症和提高手术效果方面的有效性。
2023年10月，我们对文献进行了全面检索，包括使用PubMed国际数据库检索相关文章，以识别有关输尿管镜激光碎石术治疗肾结石的相关出版物。同时选择了综述和原创文章。检索仅限于用英文撰写的涉及人类和成年受试者的研究。
所有关于输尿管镜激光碎石术的符合条件的研究均发表于2022年和2023年。这些研究在亚洲（5/10）、北美（3/10）和欧洲（2/10）进行，共纳入1570例年龄在18至85岁之间的患者。关于主要疗效结果，所有研究都集中在结石清除率（SFRs）、并发症和平均手术时间上。
结石疾病发病率和发生率的上升促使泌尿外科通过技术进步和不断发展取得了持续突破。与在结石碎石领域有多种用途的相对知名的钬激光不同，铥光纤激光（TFL）是一种全新的技术配置。
