| Percutaneous nephrolithotomy with holmium: Yttrium-aluminum-garnet laser and fiber guider--report of 349 cases. | |
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MedLine Citation:
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PMID: 15780354 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To assess the efficacy and safety of holmium:yttrium-aluminum-garnet (YAG) laser lithotripsy for percutaneous nephrolithotomy in a cohort of 349 consecutive procedures. METHODS: We retrospectively reviewed the charts of 334 patients who had undergone 349 percutaneous nephrolithotomy (PCNL) procedures conducted at our hospital from January 2001 to March 2004 in which the holmium:YAG laser with a self-made fiber guider was used for lithotripsy. RESULTS: The average patient age was 54.1 years, and the average stone size was 3.3 +/- 1.8 cm. The average operative time was 99 +/- 38 minutes, and the average postoperative hospital stay was 4.0 +/- 2.3 days. The overall stone-free rate was 83.7%. The postoperative urinary tract infection rate was 7.2%. The postoperative transfusion rate was 2.0%. The holmium:YAG laser was effective against all kinds of stones, but sometimes it was time consuming to use the holmium:YAG laser to disintegrate a very large stone. Thirteen PCNLs (3.7%) to treat large complete staghorn stones were performed in combination with a pneumatic lithotriptor. Of the 349 procedures, 152 (43.6%) had bloodless tracts afterward, and all 152 procedures had been performed with the nephrostomy tube-free modification. CONCLUSIONS: The holmium:YAG laser is an effective and safe lithotriptor for most percutaneous stone surgery. However, in patients with a very large stone burden, the combination of this technology with another, more powerful, intracorporeal lithotriptor may be necessary. |
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Authors:
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Yeong-Chin Jou; Jang-Huang Shen; Ming-Chin Cheng; Chang-Te Lin; Pi-Che Chen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Urology Volume: 65 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-03-22 Completed Date: 2005-12-09 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 454-8 Citation Subset: IM |
Affiliation:
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Department of Urology, Chiayi Christian Hospital, Chiayi, Taiwan. b729@cych.org.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Humans Kidney Calculi / surgery* Laser Therapy* / methods Middle Aged Nephrostomy, Percutaneous* / methods Retrospective Studies Ureteral Calculi / surgery* |
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