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Table 4 Summary of outcomes in terms of hospital stay and impact on harder stones

From: Super pulsed thulium fiber laser outcomes in retrograde intrarenal surgery for ureteral and renal stones: a systematic review and meta-analysis

 

Length of stay

Effect on harder stones

Delbarre et al. [10]

NR

NR

Singh A et al. [11]

NR

Improved stone volumes (> 1000 mm3) result in improved laser efficiency since each mm3 of stone requires less energy to be removed

Quiroz Madarriaga Y. et al. [12]

NR

NR

Geavlete B. et al. [13]

NR

NR

Soundarya G. et al. [14]

NR

Altogether, 88.4% of the population was stone-free. The average energy utilized was 18,508.81 ± 8356.60 Joules. While laser effectiveness on average was 9.37 ± 4.17 J/mm3. The average rate of ablation was 1.80 ± 0.63 mm3/sec

Sytnik D. et al. [15]

NR

NR

Taraktin M. et al. [4]

Mean: 3 days

There were 87 (56.2%) patients with higher-density stones (> 1,000 HU). The median for laser on time was 2.9 (1.7–5.6) minutes. The median total energy for stone ablation was 3.9 (2.3–6.8) kJ, the median ablation speed was 1.3 (0.9–2.5) mm3/s, the median ablation efficacy was 16.2 (8.6–22.8) J/mm3, and the energy consumption was 160.1 (64.8–593.5) J/s. The mean stone density was 1,305.9 ± 194.1 (1,000–1,900) HU

Vaddi C.M. et al. [16]

NR

With a mean laser time of 19.78 ± 12.32 min. Higher stone volume (> 1000 mm3) resulted in a substantial decrease in J/mm3 from 16.18 ± 5.90 to 10.92 ± 3.21 (P < 0.001) and a considerable improvement in ablation speed

Sierra et al. [17]

NR

NR

Taraktin M. et al. [18]

Mean 3–4 days in RIRS and PCNL group

NR

Enikeev D. et al. [19]

NR

NR

Korolev D. et al. [20]

NR

NR

  1. NR not reported, PCNL percutaneous nephrolithotomy