Application of Pneumatic Lithotripter and Holmium Laser in the Treatment of Ureteral Stones and Kidney Stones in Children
| Autor: | Pawel Rajwa, Bartosz Muskała, Piotr Bryniarski, Rafał Bogacki, Marcin Życzkowski, Andrzej Paradysz, Krzysztof Nowakowski |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Comparative Effectiveness Research medicine.medical_specialty Article Subject Adolescent Operative Time 030232 urology & nephrology Holmium laser Solid-state lcsh:Medicine Lasers Solid-State Holmium Lasers General Biochemistry Genetics and Molecular Biology Kidney Calculi 03 medical and health sciences 0302 clinical medicine Lithotripsy Ureteroscopy Humans Medicine Child Urinary Tract Retrospective Studies General Immunology and Microbiology business.industry lcsh:R Follow up studies Treatment options General Medicine medicine.disease Surgery Treatment Outcome Child Preschool 030220 oncology & carcinogenesis Child population Operative time Female Laparoscopy Kidney stones business Follow-Up Studies Research Article |
| Zdroj: | BioMed Research International BioMed Research International, Vol 2017 (2017) |
| ISSN: | 2314-6141 2314-6133 |
| DOI: | 10.1155/2017/2505034 |
| Popis: | Objective.Treatment options for urolithiasis in children include URSL and RIRS. Various types of energy are used in the disintegration of deposits in these procedures. We decided to evaluate the usefulness of URSL and RIRS techniques and compare the effectiveness of pneumatic lithotripters and holmium lasers in the child population based on our experience.Materials and Methods.One hundred eight (108) children who underwent URSL and RIRS procedures were enrolled in the study and divided into two (2) groups according to the type of energy used: pneumatic lithotripter versus holmium laser. We evaluated the procedures’ duration and effectiveness according to the stone-free rate (SFR) directly after the procedure and after fourteen (14) days and the rate of complications.Results.The mean operative time was shorter in the holmium laser group. A higher SFR was observed in the holmium laser but it was not statistically significant in the URSL and RIRS procedures. The rate of complications was similar in both groups.Conclusions.The URSL and RIRS procedures are highly efficient and safe methods. The use of a holmium laser reduces the duration of the procedure and increases its effectiveness in comparison with the use of a pneumatic lithotripter. |
| Databáze: | OpenAIRE |
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