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Experimental verification of thulium lithotripsy

Рапопорт Л. М., Винаров А. З., Сорокин Н. И., Дымов А. М., Еникеев Д. В., Цариченко Д. Г., Лекарев В. Ю., Климов Р. Е., Андреева В. А., Коваленко А. А.
Урология
Вып. 5, С. 74-80
Опубликовано: 2018
Тип ресурса: Статья

DOI:10.18565/urology.2018.5.74-80

Аннотация:
AIM: Experimental evaluation of the efficacy and safety of lithotripsy using a new pulsed thulium fiber laser operating at a wavelength of 1.94 microns, peak power of 500 watts (maximum average power of 50 watts) by comparing it with a holmium laser operating at a wavelength of 2.1 microns (average maximum power 100 W and 120 W). RELEVANCE: The proportion of minimally invasive surgery in the management of urolithiasis, including retrograde intrarenal surgery, is steadily growing. The most appropriate tool for stone destruction is a laser. To date, the gold standard of minimally invasive surgical treatment of nephrolithiasis is holmium laser lithotripsy, which uses a laser on yttrium-aluminum-garnet activated by holmium ions (Ho: YAG) operating at a wavelength of 2.1 m. However, in recent years, lasers on a Tm-activated fiber with a wavelength of 1.94 m have become increasingly popular since the water absorption coefficient for the Tm radiation of a fiber laser is 5.5 times higher than
Ключевые слова:
laser lithotripsy; laser radiation; thulium lithotripsy; urolithiasis
holmium; thulium; human; laser lithotripsy; nephrolithiasis; solid state laser; Holmium; Humans; Kidney Calculi; Lasers, Solid-State; Lithotripsy, Laser; Thulium
Язык текста: Русский
ISSN: 1728-2985
Рапопорт Л. М. Леонид Моисеевич 1956-
Винаров А. З. Андрей Зиновьевич 1956-
Сорокин Н. И. Николай Иванович 1979-
Дымов А. М. Алим Мухамедович 1982-
Еникеев Д. В. Дмитрий Викторович 1982-
Цариченко Д. Г. Дмитрий Георгиевич 1969-
Лекарев В. Ю. Владимир Юрьевич 1991-
Климов Р. Е.
Андреева В. А.
Коваленко А. А.
Rapoport L. M. Leonid Moiseevich 1956-
Vinarov A. Z. Andrej Zinovyevich 1956-
Sorokin N. I. Nikolay Ivanovich 1979-
Dy'mov A. M. Alim Mukhamedovich 1982-
Enikeev D. V. Dmitrij Viktorovich 1982-
Tsarichenko D. G. Dmitrij Georgievich 1969-
Lekarev V. Yu. Vladimir Yuryevich 1991-
Klimov R. E.
Andreeva V. A.
Kovalenko A. A.
Experimental verification of thulium lithotripsy
Текст визуальный непосредственный
Урология
Бионика Медиа
Вып. 5 С. 74-80
2018
Статья
laser lithotripsy laser radiation thulium lithotripsy urolithiasis
holmium thulium human laser lithotripsy nephrolithiasis solid state laser Holmium Humans Kidney Calculi Lasers, Solid-State Lithotripsy, Laser Thulium
AIM: Experimental evaluation of the efficacy and safety of lithotripsy using a new pulsed thulium fiber laser operating at a wavelength of 1.94 microns, peak power of 500 watts (maximum average power of 50 watts) by comparing it with a holmium laser operating at a wavelength of 2.1 microns (average maximum power 100 W and 120 W). RELEVANCE: The proportion of minimally invasive surgery in the management of urolithiasis, including retrograde intrarenal surgery, is steadily growing. The most appropriate tool for stone destruction is a laser. To date, the gold standard of minimally invasive surgical treatment of nephrolithiasis is holmium laser lithotripsy, which uses a laser on yttrium-aluminum-garnet activated by holmium ions (Ho: YAG) operating at a wavelength of 2.1 m. However, in recent years, lasers on a Tm-activated fiber with a wavelength of 1.94 m have become increasingly popular since the water absorption coefficient for the Tm radiation of a fiber laser is 5.5 times higher than