{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:51:57Z","timestamp":1791870717491,"version":"4.3.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Objectives:<\/jats:title>\n                    <jats:p>\n                      We sought to compare the effectiveness and efficiency of the superpulse thulium fiber laser (sTFL to the holmium: yttrium\u2013aluminum\u2013garnet [Ho:YAG] laser for ureteroscopic \u201cdusting\u201d of implanted renal stones in an\n                      <jats:italic toggle=\"yes\">in vivo<\/jats:italic>\n                      porcine model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Twenty-four porcine kidneys (12 juvenile female Yorkshire pigs) were randomized to Ho:YAG or sTFL treatment groups. Canine calcium oxalate stones were scanned with computed tomography to calculate stone volume and stone density; the stones were randomized and implanted into each renal pelvis via an open pyelotomy. In all trials, a 14F, 35\u2009cm ureteral access sheath was placed. With a 9.9F dual lumen flexible ureteroscope, laser lithotripsy was performed using\n                      <jats:italic toggle=\"yes\">dusting<\/jats:italic>\n                      settings: Ho:YAG 200\u2009\u03bcm laser fiber at 16 W (0.4\u2009J, 40\u2009Hz) or sTFL 200\u2009\u03bcm laser fiber at 16 W (0.2\u2009J, 80\u2009Hz). Lithotripsy continued until no fragments over 1\u2009mm were observed. No stone basketing was performed. Throughout the procedures, intrarenal and renal pelvis temperatures were measured using two percutaneously positioned K-type thermocouples, one in the upper pole calyx and one in the renal pelvis. After the lithotripsy, the ureteropelvic junction was occluded, the kidneys were bivalved, and all residual fragments were collected, dried, weighed, and then measured with an optical laser particle sizer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Implanted stones were similar in volume and density in both groups. Intraoperative collecting system temperatures were similar for both groups (all &lt;44\u00b0C). Compared to Ho:YAG, sTFL ablated stones faster (9\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      27 minutes,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) with less energy expenditure (8\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      26\u2009kJ,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and a greater stone clearance rate (73%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      45%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001). After sTFL lithotripsy, 77% of the remaining fragments were \u22641\u2009mm\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      17% of fragments \u22641\u2009mm after Ho:YAG treatment (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      In an\n                      <jats:italic toggle=\"yes\">in vivo<\/jats:italic>\n                      porcine kidney, using\n                      <jats:italic toggle=\"yes\">dusting<\/jats:italic>\n                      settings, sTFL lithotripsy resulted in shorter ablation times, higher stone clearance rates, and markedly smaller stone fragments than Ho:YAG lithotripsy.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2022.0445","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T00:55:55Z","timestamp":1668819355000},"page":"335-340","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Comparison of Superpulse Thulium Fiber Laser\n                    <i>vs<\/i>\n                    Holmium Laser for Ablation of Renal Calculi in an\n                    <i>In Vivo<\/i>\n                    Porcine Model"],"prefix":"10.1177","volume":"37","author":[{"given":"Pengbo","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhamshid","family":"Okhunov","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S.","family":"Afyouni","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohrab","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Hossein","family":"Hosseini Sharifi","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Bhatt","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Brevik","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maged","family":"Ayad","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Larson","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Osann","sequence":"additional","affiliation":[{"name":"Department of Medicine and Program in Public Health, UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshan M.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Landman","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph V.","family":"Clayman","sequence":"additional","affiliation":[{"name":"Department of Urology and UC Irvine School of Medicine, Irvine, Orange, California, 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