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[Percutaneous nephrolithotomy by electrohydraulic shock wave].

T Hamao, K Kuroko, T Inoue

Hinyokika Kiyo. Acta Urologica Japonica

|February 1, 1986

Summary

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Electrohydraulic lithotripsy effectively disintegrates kidney stones during percutaneous nephrolithotomy. While safe and rapid, potential issues like fragment translocation and probe core retention were observed but resolved spontaneously.

Area of Science:

Urology
Minimally Invasive Surgery

Context:

Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
Electrohydraulic lithotripsy (EHL) is an option for stone fragmentation during PCNL.

Purpose:

To evaluate the safety and efficacy of electrohydraulic lithotripsy for stone disintegration in PCNL.
To identify and discuss potential clinical problems associated with EHL during PCNL.

Summary:

Twelve patients underwent PCNL, with six experiencing stone disintegration via EHL.
The procedure demonstrated rapid and effective stone fragmentation.
Observed complications included fragment translocation and probe core retention, which resolved spontaneously.

Impact:

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EHL is a viable and rapid method for kidney stone fragmentation during PCNL.

Awareness of potential complications like fragment migration and retained probe cores is important for patient management.