Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
Comparing thulium fiber versus high power holmium laser in bilateral same sitting retrograde intrarenal surgery for kidney stones : Results from a multicenter study. / Chai, Chu Ann; Inoue, Takaaki; Somani, Bhaskar Kumar; Yuen, Steffi Kar Kei; Ragoori, Deepak; Gadzhiev, Nariman; Tanidir, Yiloren; Emiliani, Esteban; Hamri, Saeed Bin; Lakmichi, Mohamed Amine; Chandramohan, Vaddi; Naselli, Angelo; Soebhali, Boyke; Gokce, Mehmet Ilker; Tursunkulov, Azimdjon N; de Fata Chillón, Fernando Ramón; Chew, Ben Hall; Traxer, Olivier; Castellani, Daniele; Gauhar, Vineet.
в: Investigative and Clinical Urology, Том 65, № 5, 09.2024, стр. 451-458.Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
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TY - JOUR
T1 - Comparing thulium fiber versus high power holmium laser in bilateral same sitting retrograde intrarenal surgery for kidney stones
T2 - Results from a multicenter study
AU - Chai, Chu Ann
AU - Inoue, Takaaki
AU - Somani, Bhaskar Kumar
AU - Yuen, Steffi Kar Kei
AU - Ragoori, Deepak
AU - Gadzhiev, Nariman
AU - Tanidir, Yiloren
AU - Emiliani, Esteban
AU - Hamri, Saeed Bin
AU - Lakmichi, Mohamed Amine
AU - Chandramohan, Vaddi
AU - Naselli, Angelo
AU - Soebhali, Boyke
AU - Gokce, Mehmet Ilker
AU - Tursunkulov, Azimdjon N
AU - de Fata Chillón, Fernando Ramón
AU - Chew, Ben Hall
AU - Traxer, Olivier
AU - Castellani, Daniele
AU - Gauhar, Vineet
N1 - © The Korean Urological Association.
PY - 2024/9
Y1 - 2024/9
N2 - PURPOSE: Traditionally, bilateral urolithiasis treatment involved staged interventions due to safety concerns. Recent studies have shown that same-sitting bilateral retrograde intrarenal surgery (SSB-RIRS) is effective, with acceptable complication rates. However, there's no clear data on the optimum laser for the procedure. This study aimed to assess outcomes of SSB-RIRS comparing thulium fiber laser (TFL) and high-power holmium:yttrium-aluminum-garnet (Ho:YAG) laser in a multicenter real-world practice.MATERIALS AND METHODS: Retrospective analysis was conducted on patients undergoing SSB-RIRS from January 2015 to June 2022 across 21 centers worldwide. Three months perioperative and postoperative outcomes were recorded, focusing on complications and stone-free rates (SFR).RESULTS: A total of 733 patients were included, with 415 in group 1 (Ho:YAG) and 318 in group 2 (TFL). Both groups have similar demographic and stone characteristics. Group 1 had more incidence of symptomatic pain or hematuria (26.5% vs. 10.4%). Operation and lasing times were comparable. The use of baskets was higher in group 1 (47.2% vs. 18.9%, p<0.001). Postoperative complications and length of hospital stay were similar. Group 2 had a higher overall SFR. Multivariate regression analysis indicated that age, presence of stone at the lower pole, and stone diameter were associated with lower odds of being stone-free bilaterally, while TFL was associated with higher odds.CONCLUSIONS: Our study shows that urologists use both lasers equally for SSB-RIRS. Reintervention rates are low, safety profiles are comparable, and single-stage bilateral SFR may be better in certain cases. Bilateral lower pole and large-volume stones have higher chances of residual fragments.
AB - PURPOSE: Traditionally, bilateral urolithiasis treatment involved staged interventions due to safety concerns. Recent studies have shown that same-sitting bilateral retrograde intrarenal surgery (SSB-RIRS) is effective, with acceptable complication rates. However, there's no clear data on the optimum laser for the procedure. This study aimed to assess outcomes of SSB-RIRS comparing thulium fiber laser (TFL) and high-power holmium:yttrium-aluminum-garnet (Ho:YAG) laser in a multicenter real-world practice.MATERIALS AND METHODS: Retrospective analysis was conducted on patients undergoing SSB-RIRS from January 2015 to June 2022 across 21 centers worldwide. Three months perioperative and postoperative outcomes were recorded, focusing on complications and stone-free rates (SFR).RESULTS: A total of 733 patients were included, with 415 in group 1 (Ho:YAG) and 318 in group 2 (TFL). Both groups have similar demographic and stone characteristics. Group 1 had more incidence of symptomatic pain or hematuria (26.5% vs. 10.4%). Operation and lasing times were comparable. The use of baskets was higher in group 1 (47.2% vs. 18.9%, p<0.001). Postoperative complications and length of hospital stay were similar. Group 2 had a higher overall SFR. Multivariate regression analysis indicated that age, presence of stone at the lower pole, and stone diameter were associated with lower odds of being stone-free bilaterally, while TFL was associated with higher odds.CONCLUSIONS: Our study shows that urologists use both lasers equally for SSB-RIRS. Reintervention rates are low, safety profiles are comparable, and single-stage bilateral SFR may be better in certain cases. Bilateral lower pole and large-volume stones have higher chances of residual fragments.
KW - Humans
KW - Male
KW - Female
KW - Lasers, Solid-State/therapeutic use
KW - Retrospective Studies
KW - Kidney Calculi/surgery
KW - Middle Aged
KW - Thulium
KW - Adult
KW - Treatment Outcome
KW - Aged
KW - Laser Therapy/methods
U2 - 10.4111/icu.20240185
DO - 10.4111/icu.20240185
M3 - Article
C2 - 39249917
VL - 65
SP - 451
EP - 458
JO - Investigative and Clinical Urology
JF - Investigative and Clinical Urology
SN - 2466-0493
IS - 5
ER -
ID: 135982585