Total cost per procedure is around 1.85V in a ??2 medium and 9.19V in a saline medium. CONCLUSIONS: Endolithotripsy in a gas medium is safe and gives several advantages in comparison to a saline endolithotripsy. Gas-medium endolithotripsy in convenient for the surgeon because there is no migration of the calculus as there is in a saline. This results in more than 2-fold decrease in operative time. Secondly, CO2 optical properties enhance visualization. Endolithotripsy in a ??2 medium appeared to be more cost-effective.
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