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Published on: March 6, 2018
[High-power holmium laser with percutaneous nephrolithotripsy for kidney calculi]
Ying-hao Sun1, Xiao-feng Gao, Lin-hui Wang
1Department of Urology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China. gxfdoc@vnet.citiz.net
Objective:
To assess the efficacy and safety of the high-power holmium laser with percutaneous nephrolithotripsy for kidney calculi.
Methods:
The high-power (60 W: 3.0 J x 20 Hz) holmium laser with percutaneous nephrolithotripsy was performed on 52 patients with single kidney pelvic or calyceal stones (average stone diameter 3.1 cm), 36 patients with multi-kidney pelvic and calyceal stones (average diameter 2.8 cm), 24 patients with staghorn stones (average diameter 6.8 cm). The duration of stone surgery, stone-free rate and complication were assessed.
Results:
The mean duration of stone surgery was 44 min, the stone-free rate was 66% (74/112) after the first session, 89% (100/112) at the end of session. 3 patients had high fever after percutaneous nephrolithotripsy, no other adverse events were noted.
Conclusions:
The high-power holmium laser with percutaneous nephrolithotripsy can fragments calculi quickly and reduces the length of time of operation. It is an effective and safe technique for kidney calculi.
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