A multicenter-based critical analysis of laser settings during intrarenal laser lithotripsy by the Turkish academy of urology prospective study group (ACUP study)

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dc.authorid0000-0002-5009-8435
dc.authorid0000-0003-3415-1475
dc.contributor.authorSönmez, Mehmet Giray
dc.contributor.authorGüven, Selçuk
dc.contributor.authorTuncel, Altuğ
dc.contributor.authorKarabulut, İbrahim
dc.contributor.authorKılıç, Özcan
dc.contributor.authorSeçkiner, İlker
dc.contributor.authorTefik, Tzevat
dc.contributor.authorAtış, Gökhan
dc.contributor.authorErgin, Giray
dc.contributor.authorTuğcu, Volkan
dc.contributor.authorErkurt, Bülent
dc.contributor.authorMüslümanoğlu, Ahmet
dc.contributor.authorSarıca, Kemal
dc.date.accessioned2022-02-28T08:22:57Z
dc.date.available2022-02-28T08:22:57Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: In this multicenter prospective study, we aimed to evaluate the use of holmium:yttrium aluminum garnet laser during retrograde intrarenal surgery for kidney stones and the relationship between laser-related parameters and procedure-related perioperative parameters. Material and methods: The 769 patients whose laser setting parameters (fiber thickness, number of shots, frequency (max.), laser power (max.), and total energy) were completely registered were included in this study program. The intraoperative ureteral lesions were evaluated using postureteroscopic lesion scale (PULS) scores and the postoperative complications with the modified Clavien-Dindo classification system. Results: The maximum levels of laser power and the frequency were used in the middle calyceal stones; the value of total energy consumed was found to be higher gain in cases with multiple stones (all parameters P < .05). There was a significant positive correlation among (mean number of shots [P < .001, r = 0.46], frequency [P = .009, r = 0.1], maximum power [P < .001, r = 0.11], total energy [P < .001, r = 0.25]), anesthesia time (P < .001, r - 0.42), surgery time (P < .001, r - 0.47), and stone size. The mean number of shots increased (P < .001, r = 0.25), and the frequency level decreased (P < .001, r = -0.17) significantly with increasing Hounsfield unit (HU) values. Again, the mean number of shots and maximum laser power increased in correlation with the increasing hospitalization time (P = .004, r = 0.09 and P = .02, r = 0.07, respectively). In addition, it was observed that higher laser subparameter values and thicker fibers were used in PULS grade 2. Conclusion: As the stone size and HU values increased, laser-setting parameters were found to show significant variability. The increase in different parameters of the laser setting was found to be associated with longer anesthesia time, surgery time, and hospitalization period and increased risk of local trauma with PULS grade.
dc.identifier.citationSönmez, M. G., Güven, S., Tuncel, A., Karabulut, İ., Kılıç, Ö., Seçkiner, İ. ... Sarıca, K. (2022). A multicenter-based critical analysis of laser settings during intrarenal laser lithotripsy by the Turkish academy of urology prospective study group (ACUP study). Turkish Journal of Urology, 48(1), 64-73. https://doi.org/10.5152/tud.2022.21214
dc.identifier.doi10.5152/tud.2022.21214
dc.identifier.endpage73
dc.identifier.issn2149-3057
dc.identifier.issue1
dc.identifier.pmid35118991
dc.identifier.scopusqualityQ3
dc.identifier.startpage64
dc.identifier.trdizinid520188
dc.identifier.urihttps://doi.org/10.5152/tud.2022.21214
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9019
dc.identifier.volume48
dc.identifier.wos000744571800017en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorGüven, Selçuk
dc.institutionauthorErkurt, Bülent
dc.language.isoen
dc.publisherAVES
dc.relation.ispartofTurkish Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectHo:YAG Laser
dc.subjectLaser Settings
dc.subjectRetrograde Intrarenal Surgery
dc.subjectStone Management
dc.titleA multicenter-based critical analysis of laser settings during intrarenal laser lithotripsy by the Turkish academy of urology prospective study group (ACUP study)
dc.typeArticle

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