Clinical analysis of ureteroscopic holmium laser lithotripsy for the treatment of nephrolithiasis

Reports in Clinical Studies and Medicine

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Title Clinical analysis of ureteroscopic holmium laser lithotripsy for the treatment of nephrolithiasis
Creator Xue, Yansi
Xu, Lei
Xu, Xiaojun
Wang, Dukun
Wang, Guocheng
Chen, Yi
Subject Ureteroscopic holmium laser lithotripsy; Renal stone
Description The objective of the study is to evaluate the clinical value of ureteroscopic holmium laser lithotripsy for the treatment of nephrolithiasis. Clinical data of 44 patients treated for renal stones with polyscope modular flexible ureter- oscopic holmium laser lithotripsy from May 2014 to April 2015 were retrospectively analysed. Following the operation, F4.7 D-J stents were routinely indwelled for 4 weeks and catheterization for 1-3 days. A plain kidney, ureter, and blad- der (KUB) X-ray was performed on postoperative days too. A total of four success cases were determined following the first treatment. The remaining 40 cases were first placed with double-J stent and the surgery was performed one week later. Stone sizes between 0.8-4.0 cm in diameter were defined. The operation time for the treatment was 80-180 minutes. Patients were discharged within 3-5 days, and the double-J stent was removed within 1-3 months. 39 patients were found to be completely stone-free at approximately three months postoperatively. However, five patients were shown to have 11.1% of residual stones after treatment. No blood transfusion, septic shock, ureteral injury, or other complications were reported. Flexible ureteroscopic holmium laser lithotripsy is safe and effective for the treatment of nephrolithiasis. This approach could be a valuable choice for the treatment of patients with renal stones.
Publisher PiscoMed Publishing Pte Ltd
Date 2018-12-27
Type info:eu-repo/semantics/article

Format application/pdf
Source Reports in Clinical Studies and Medicine; Vol 1, No 1 (2019): Published; 13-16
Language eng
Rights Copyright (c) 2019 Xue Yansi et al.

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