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

Yansi Xue, Lei Xu, Xiaojun Xu, Dukun Wang, Guocheng Wang, Yi Chen

Abstract


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.

Keywords


Ureteroscopic holmium laser lithotripsy; Renal stone

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References


Guo WS, Yang B, Guan YZ, Yang DB, Wang ZZ, et al. Application of flexible ureteroscope in diagnosis and treatment of upper urinary tract disease. Chin J Endoscopy 2011; 17(4): 417-419.

Gui L. Clinical application of flexible ureteroscope data analysis in 1000 cases. J Min Invasive Urol 2013; 2(2): 81-83.

Na YQ, Ye ZQ, Sun YH. 2014 version of the Chinese guidelines for diagnosis and treatment of urologic diseases. Beijing: Peo- ple’s Medical Publishing House; 2014. p. 141-142.

Dasgupta P, Cynk MS, Bultitude MF, Tiptaft RC, Glass JM. Flexible ureteroscopy: Prospective analysis of the Guy’s experi- ence. Ann R Coll Surg Engl 2004; 86(5): 367-370. doi: 10.1308/147870804768.

Aminsharifi A, Hadian P, Boveiri K. Laparoscopic anatrophic nephrolithotomy for management of complete staghorn renal stone: Clinical efficacy and intermediate-term functional outcome. J Endourol 2013; 27(5): 573-578. doi: 10.1089/end.2012.0591.




DOI: https://doi.org/10.18282/rcsm.v1.i1.16

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