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Innovative way to break the stone: Master lithoclast for bilateral simultaneous Percutaneous Nephrolithotomy.
Waqar Ahmed1, Adeel Mahesar1, Javed Altaf Jat1
1Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|October 25, 2022
Summary
The Master Lithoclast device demonstrated effective stone clearance during simultaneous bilateral Percutaneous Nephrolithotomy (PCNL). This lithotripsy method proved efficient and safe for patients with kidney stones.
Area of Science:
- Urology
- Surgical Technology
Background:
- Percutaneous Nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Evaluating novel devices for improved efficiency and safety in PCNL is crucial.
Purpose of the Study:
- To assess the efficacy of the Master Lithoclast (trilogy lithoclast) in simultaneous bilateral PCNL.
- To determine operative time and stone clearance rates using this device.
Main Methods:
- Prospective case series of 40 patients undergoing simultaneous bilateral PCNL.
- Patients were categorized using Guy's stone scoring system.
- Operative time and stone clearance were recorded.
Main Results:
- Complete stone clearance was achieved in 75% of patients.
- The average operative time was 74.8 minutes.
- The Master Lithoclast showed effectiveness regardless of stone composition.
Conclusions:
- Master Lithoclast facilitates faster stone clearance in PCNL.
- The device offers ease of use, tissue safety, and reduced fragment obstruction.
- This technology represents a promising advancement in kidney stone treatment.
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