Pneumatic Lithotripsy versus Laser Lithotripsy in the Endoscopic Treatment of Ureteral Calculi

Sun, Yinghao; Wang, Linhui; Lü, Guoqiang; Xu, Chuanliang; Gao, Xu; Yang, Qing; Songxi, Qian

doi:10.1089/089277901750426346

Cited by 47 publications

(46 citation statements)

References 8 publications

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“…[5] Öztürk et al [18] performed a survey study on 106 urology residents, and urologists in Istanbul, and detected that PL was available in the clinics of all participating patients, while only 61% of these clinics had laser lithotriptors. Easy installation, and lower cost are most important advantages of PL.…”

Section: Discussionmentioning

confidence: 99%

“…[4] Pneumatic lithotriptor (PL) is preferred by many urologists because of its lower cost, easy instillation, and higher success rates. [5] However higher rates of stone migration constitutes its disadvantage. [6] Although laser lithotriptor (LL) is quite effective in the management of both proximal ureter stones, and impacted stones, it is more expensive relative to pneumatic lithotriptor.…”

Section: Introductionmentioning

confidence: 99%

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A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

Akdeniz

İrkılata

Demirel

et al. 2014

Turkish Journal of Urology

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Objective: We aimed to compare the effectiveness of holmium YAG laser and pneumatic lithotripsy in the treatment of ureteral stones. Material and methods:A total of 216 patients who had established indications of ureteroscopy between November 2011 and June 2012 were included in this study. Patients' files were retrospectively reviewed by dividing cases as groups that underwent pneumatic (PL) or laser lithotripsy (LL) procedures. Age, sex, stone burden and localization, duration of follow-up, operative times were evaluated. Stone-free rates were evaluated by ureteroscopical examination, postoperative scout films and ultrasonography.Results: Group PL consisted of 109 and group LL of 107 patients. Median age was 43.93±15.94 years in Group PL and 46.15±14.54 years in Group LL. Male to female ratio, stone burden and localization were similar for both groups. Overall success rate was 89.9% in Group PL and 87.9% in Group LL, respectively (p<0.791). With the aid of additional procedures, success rate was 100% for both groups at the end of the first month. Groups were not different as for operative time, rate of insertion of an ureteral catheter and its removal time. Hospitalization period was apparently somewhat shorter in Group LL (p= 0.00). Conclusion:Pneumatic lithotripsy can be as efficacious as laser lithotripsy and be used safely in the endoscopic management of ureteral stone. In comparison of both methods, we detected no differences as to operative time, success of operation and the time to removal of the catheter, however, hospitalization period was shorter in Group LL.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

Akdeniz

İrkılata

Demirel

et al. 2014

Turkish Journal of Urology

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“…14,15 Additional procedures, such as ESWL, might be required to treat residual migrated fragments. 16,17 To prevent stone migration, surgeons have traditionally used a number of maneuvers, including reverse Trendelenburg position, to optimize the effects of gravity and to decrease irrigation pressure and flow rate. These techniques, however, compromise surgeon comfort and visibility and can also prolong procedures.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous saline irrigation during retrograde rigid ureteroscopic lasertripsy for the prevention of proximal calculus migration

Sun

Peng

2013

CUAJ

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Objective:In this paper, we analyze the clinical efficacy of a simultaneous saline irrigation method in treating upper-mid ureteral stone migration and evaluate its effectiveness during ureteroscopic lasertripsy. Methods:We prospectively evaluated 78 patients with a total of 95 upper-mid ureteral stones, which were treated with holmium:YAG lasertripsy. These patients were randomized into 2 groups. In Group 1 (39 cases with 44 ureteral stones), conventional ureteroscopic lasertripsy was performed. In Group 2, (39 cases with 51 ureteral stones), the simultaneous saline irrigation method was used during lasertripsy. There was no significant difference between the groups with regards to stone site, size or state of the upper urinary tract by spiral computed tomography or excretory urography. Data were analyzed regarding stone migration, lengths of time, and ureteral clearing for various stages of each procedure. Results: One patient in Group 2 (2%) experienced upward stone migration, while this occurred in 8 patients in Group 1 (20%). The operative time in Group 1 ranged from 35 to 55 minutes (mean: 44.8 ± 5.3), while in Group 2 it ranged from 40 to 69 minutes (mean: 50.4±3). There was no significant different in the operative times between the two groups (p < 0.05). Ureteral perforation, urinoma and urosepsis were not seen in both groups. Conclusion:The simultaneous saline irrigation method demonstrated a statistically significant advantage over conventional methods. The operation can be performed persistently under clear vision, and since the stones cannot move upward, fragmented portions are easily flushed out. Our data suggest that this method is simple, safe and effective in preventing proximal stone migration during ureteroscopic lasertripsy.

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“…LL'nin PL'ye göre daha etkili ve daha az komplikasyona neden olduğunu belirten makaleler mevcuttur (12) . Ayrıca LL'nin anklave taşlarda, üreterin proksimalindeki taşlarda ve çocuk olgularda PL'ye oranla daha başarılı sonuçlar elde edildiğini bildiren makaleler de mevcuttur (13) .…”

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“…Bunlardan 7 tanesi PL, 2 tanesi ise LL grubunda idi. Genel olarak üreter taşı tedavisi için uygulanan LL ve PL ile ilgili çalışmalarda, LL ile tedavi edilen gruplarda majör komplikasyonlar izlenmemiştir (1,6,12,13) .Ancak Jeon ve ark. 'nın (16) yaptığı bir çalışmada, PL ile taşları kırılan 26 hastanın 2'sinde üreteral perforasyon gelişmiş ama istatiksel olarak anlamlı çıkmamıştır.…”

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Comparison of The Using Pneumatic and Laser Lithotripter in Ureterorenoscopy According to the Modified Clavien Classification

Cakir¹,

Polat²

2017

Okmeydani Medical Journal

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Pneumatic Lithotripsy versus Laser Lithotripsy in the Endoscopic Treatment of Ureteral Calculi

Abstract: Laser lithotripsy has advantages over PL in high efficiency of stone fragmentation and a low complication rate. Laser lithotripsy is a powerful, effective, and safe treatment modality for ureteral calculi.

Cited by 47 publications

References 8 publications

A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

Simultaneous saline irrigation during retrograde rigid ureteroscopic lasertripsy for the prevention of proximal calculus migration

Comparison of The Using Pneumatic and Laser Lithotripter in Ureterorenoscopy According to the Modified Clavien Classification

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