Comparison of Efficacy and Complications of Holmium Laser and Pneumatic Lithotripters Used in the Ureterorenoscopic Treatment of Proximal Ureter Stones, a Multi-Center Study of Society of Urological Surgery Aegean Study Group

Journal of Urological Surgery

article

Bora İrer¹  Volkan Şen²  Oğuzcan Erbatu³  Alperen Yıldız⁴  Şakir Ongün⁵  Önder Çınar⁶  Ahmet Cihan⁷  Mehmet Şahin⁸  Mehmet Oğuz Şahin²  Oktay Üçer³  Fuat Kızılay⁸  Ozan Bozkurt⁴ 

[1] İzmir Metropolitan Municipality Eşrefpaşa Hospital, Clinic of Urology;Manisa State Hospital, Clinic of Urology;Manisa Celal Bayar University Faculty of Medicine, Department of Urology;Dokuz Eylül University Faculty of Medicine, Department of Urology;İstanbul Bahçelievler State Hospital, Clinic of Urology;Bülent Ecevit University Faculty of Medicine, Department of Urology;Niğde Ömer Halisdemir University Faculty of Medicine, Department of Urology;Ege University Faculty of Medicine, Department of Urology

关键词: Complication;    Laser lithotripter;    Pneumatic lithotripter;    Proximal ureter stone;    Ureter stone;   

DOI  :  10.4274/jus.2143

学科分类：社会科学、人文和艺术（综合）

来源: Galenos Yayinevi

【 摘 要 】

Objective: The aim of this study is to compare the efficacy and complications of holmium laser and pneumatic lithotripsy used in the ureterorenoscopic treatment of proximal ureteral stones. Materials and Methods: Data of 638 patients, who underwent ureterorenoscopy (URS) due to proximal ureteral stones in different centers, were obtained from patient files. The patients were divided into two groups according to the type of lithotripter used: group 1; laser lithotripter (n=324; 50.8%) and group 2; pneumatic lithotripter (n=314; 49.2%). URS was considered successful upon determination stone-free status with the imaging methods after treatment. The effectiveness and the complications of holmium:yttrium-aluminum-garnet laser and pneumatic lithotripsy were compared. Results: The total success rate of URS was 82.6% and the complication rate was 8.1%. The mean age of patients was similar between the groups; however, the body mass index values, stone surface area and stone Hounsfield unit were significantly higher in group 1. Although the mean operative time, complication rate and the mean length of hospital stay were similar between the groups; the URS success and postoperative ureteral.

【 授权许可】

CC BY-NC-ND