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Titolo:
HOLMIUM-YAG LASERTRIPSY FOR URETERAL CALCULI - AN EXPERIENCE OF 300 PROCEDURES
Autore:
DEVARAJAN R; ASHRAF M; BECK RO; LEMBERGER RJ; TAYLOR MC;
Indirizzi:
CITY HOSP NHS TRUST,DEPT UROL,DUDLEY RD BIRMINGHAM B18 7QH W MIDLANDSENGLAND KINGS MILL HOSP,DEPT UROL SUTTON ASHFIELD ENGLAND CITY HOSP NOTTINGHAM,DEPT UROL NOTTINGHAM ENGLAND
Titolo Testata:
British Journal of Urology
fascicolo: 3, volume: 82, anno: 1998,
pagine: 342 - 347
SICI:
0007-1331(1998)82:3<342:HLFUC->2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
LASER LITHOTRIPSY; ELECTROHYDRAULIC LITHOTRIPSY; INTRACORPOREAL LITHOTRIPSY; SWISS LITHOCLAST; UROLOGY; FRAGMENTATION; MANAGEMENT; CARCINOMA; STONES;
Keywords:
HOLMIUM-YAG; LASERTRIPSY; URETERAL CALCULI; STRICTURES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
R. Devarajan et al., "HOLMIUM-YAG LASERTRIPSY FOR URETERAL CALCULI - AN EXPERIENCE OF 300 PROCEDURES", British Journal of Urology, 82(3), 1998, pp. 342-347

Abstract

Objective To assess the success of holmium:YAG lasertripsy in the management of ureteric calculi and to audit the complications of the procedure, with special reference to strictures in the ureter. Patients and methods A total of 300 ureteroscopic laser procedures were carried out on 265 patients (204 male and 61 female, median age 51 years, range2-95) with ureteric calculi. At ureteroscopy, the calculi were present in the upper ureter in 44%, mid-ureter in 37% and lower ureter in 19% of patients; most calculi were > 5 mm. A 7.5 F Wolf semi-rigid ureteroscope was used and the holmium:YAG laser energy delivered using the Sharplan ML210 device at 0.8-1.0 J/pulse. The patients were followed up at approximate to 6 weeks with limited intravenous urography or ultrasonography to assess clearance and the incidence of strictures. Results Stones were completely cleared in 90% of the patients, with the best results in the lower and midureter (97% and 96%, respectively) followed by the upper ureter (89%), Alternative procedures were required inonly 17 (7%) patients; extracorporeal shock-wave lithotripsy in 13, percutaneous nephrolithotomy in two and open pyelolithotomy in two patients, Complications with ureteric perforation in 11 patients, including laparotomy for peritonitis in one, serious sepsis in two and strictures in 10 patients. Strictures were more common in association with impacted calculi in the upper ureter early in the series. Conclusions Holmium:YAG lasertripsy is a highly effective treatment for ureteric calculi, with strictures related to the treatment of difficult upper ureteric calculi,

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:34:06