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.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorGuven, Selcuk
dc.contributor.authorTuncel, Altug
dc.contributor.authorKarabulut, Ibrahim
dc.contributor.authorKilic, Ozcan
dc.contributor.authorSeckiner, Ilker
dc.contributor.authorTefik, Tzevat
dc.date.accessioned2024-02-23T14:41:17Z
dc.date.available2024-02-23T14:41:17Z
dc.date.issued2022
dc.departmentNEÜen_US
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.en_US
dc.identifier.doi10.5152/tud.2022.21214
dc.identifier.endpage73en_US
dc.identifier.issn2149-3057
dc.identifier.issue1en_US
dc.identifier.pmid35118991en_US
dc.identifier.scopus2-s2.0-85124872056en_US
dc.identifier.startpage64en_US
dc.identifier.urihttps://doi.org/10.5152/tud.2022.21214
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16789
dc.identifier.volume48en_US
dc.identifier.wosWOS:000744571800017en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHo:Yag Laseren_US
dc.subjectLaser Settingsen_US
dc.subjectRetrograde Intrarenal Surgeryen_US
dc.subjectStone Managementen_US
dc.titleA multicenter-based critical analysis of laser settings during intrarenal laser lithotripsy by the Turkish academy of urology prospective study group (ACUP study)en_US
dc.typeArticleen_US

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