High-power holmium laser with percutaneous nephrolithotripsy for kidney calculi.
- Author:
Ying-hao SUN
1
;
Xiao-feng GAO
;
Lin-hui WANG
;
Xia SHENG
;
Xu GAO
;
Xi-zhi WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Combined Modality Therapy; Female; Holmium; administration & dosage; Humans; Kidney Calculi; therapy; Lithotripsy, Laser; adverse effects; methods; Male; Middle Aged; Nephrostomy, Percutaneous; Treatment Outcome
- From: Chinese Journal of Surgery 2005;43(18):1209-1211
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the efficacy and safety of the high-power holmium laser with percutaneous nephrolithotripsy for kidney calculi.
METHODSThe 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.
RESULTSThe 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.
CONCLUSIONSThe 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.
