Analysis and management of complications caused by holmium laser ureterolithotripsy

VernacularTitle:输尿管镜下钬激光碎石术的并发症原因分析及对策
Author: Mingxi XU ; Zhong WANG ; Guoqin DONG ; Mujun LU ; Ke ZHANG ; Zhikang CAI ; Yueqing JIANG ; Xiaomin RENG ; Haijun YAO ; Jun DA
Publication Type:Journal Article
Keywords: Ureteroscopy; Holmium laser; Complication
From: International Journal of Surgery 2010;37(5):296-299
CountryChina
Language:Chinese
Abstract: Objective To study the the causes, management and preventive measures for complications of holmium laser ureterolithotripsy. Methods Three hundred and seven cases of uteteral calculi from Jan. 2006 to Jan. 2010 were reported (203 men and 104 women, age ranged from 18-83 years,mean age 51.6 years). One hundred thirty-three patients had calculi in the lower ureter,94 in the middle part and 80in the upper ureter. Results The overall comminution rate was 89.9% (276/307 cases). sixteen cases (5.2%) were followed by ESWL due to the shift of the stones to the renal pelvis. The operation failed in 9 cases(2.9%), 3 cases(1%) had perforation,and recoveried after open operation. Deep infection was found in 3(1%)cases,which recoveried after anti-infective therapy. Conclusions Holmium laser ureterolithotripsy is an effective method for treating ureteral calculi, with advantage of high efficiacy,safety and minimal invasion. To master the operating induction, to raise operating technique and to take correct measure could reduce complications effectually.