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Related Experiment Videos

Holmium laser percutaneous nephrolithotomy using a unique suction device.

David C Cuellar1, Timothy D Averch

  • 1Department of Urology, The University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.

Journal of Endourology
|January 22, 2005
PubMed
Summary

Holmium laser lithotripsy is feasible for percutaneous nephrolithotomy when using a suction device. This method achieved an 83% stone-free rate in patients with large kidney stones.

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External validation of a nomogram for outcome prediction in management of medium-sized (1-2 cm) kidney stones.

Minerva urology and nephrology·2024

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Nephrolithiasis Treatment

Background:

  • Percutaneous nephrolithotomy (PCNL) commonly uses electrohydraulic, ballistic, or ultrasonic lithotripsy.
  • Holmium laser lithotripsy is typically reserved for ureteroscopy.

Purpose of the Study:

  • To evaluate the feasibility of using holmium laser lithotripsy in PCNL.
  • To assess the efficacy of a unique suction device in assisting holmium laser PCNL.

Main Methods:

  • Retrospective review of 71 patients undergoing 90 PCNL procedures.
  • Holmium laser and a suction device were utilized in approximately half of the cases.
  • Analysis included operative time, complications, stone burden, and stone-free rates.

Main Results:

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  • Average operative time was 167 minutes.
  • A complication rate of 14% was observed.
  • An 83% stone-free rate was achieved using the holmium laser.

Conclusions:

  • Holmium laser lithotripsy, with the aid of a suction device, is an efficient and successful option for PCNL.
  • This technique is suitable for specific clinical scenarios in treating kidney stones.