Document Detail


Clinical efficacy of a combination pneumatic and ultrasonic lithotrite.
MedLine Citation:
PMID:  12629336     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: A new combination pneumatic/ultrasonic intracorporeal lithotriptor has been developed for percutaneous applications. It combines the stone clearing efficiency of an ultrasonic device with the fragmentation strength of a pneumatic probe into a single handpiece. We present our early clinical experience with this device in a prospective, randomized comparison a combination pneumatic/ultrasound lithotrite and standard ultrasonic lithotripsy. MATERIALS AND METHODS: A total of 20 consecutive patients undergoing percutaneous nephrolithotomy for symptomatic calculi were randomized to receive stone fragmentation and removal using a standard ultrasonic device or a new combination pneumatic/ultrasonic unit. Stone location and burden were assessed before the operative procedure. The stone clearance rate in mm.2 per minute was calculated for the 2 devices. Complications and stone-free rates were compared in the 2 groups. RESULTS: There were no significant differences in stone location and composition in the 2 groups of patients. Average time required for complete stone clearance was considerably less for the combination device (21.1 versus 43.7 minutes, p = 0.036). The opposite was true for the average rate of stone clearance in mm.2 per minute, in that the standard ultrasonic device could clear 16.8 versus 39.5 mm.2 per minute for the combination unit (p = 0.028). Stone-free and complications rates were slightly superior for the combination device but it was likely attributable to patient factors. CONCLUSIONS: The combination pneumatic/ultrasonic lithotrite is capable of disintegrating and extracting stone material at a more rapid rate than standard ultrasonic devices. Moreover, stone-free and complication rates appear to be slightly superior with the combination unit. This new combination pneumatic/ultrasonic device appears to be efficacious and safe for removing large renal calculi.
Authors:
Paul K Pietrow; Brian K Auge; Pei Zhong; Glenn M Preminger
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of urology     Volume:  169     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-11     Completed Date:  2003-04-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1247-9     Citation Subset:  AIM; IM    
Affiliation:
Comprehensive Kidney Stone Center, Division of Urology, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
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MeSH Terms
Descriptor/Qualifier:
Cohort Studies
Combined Modality Therapy
Equipment Design
Humans
Kidney Calculi / therapy*
Lithotripsy / instrumentation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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