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The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy

Asian Journal of Urology 2022年第1期9卷 63-68页

作者： Abhishek Gajendra Singh Sundaram Palaniappan Shrikant Jai gopal tak Arvind Ganpule Ravindra Sabnis Mahesh Desai Department of Urology Muljibhai Patel Urological HospitalVirendradesai MargNadiadGujaratIndia

Objective:To evaluate the safety,efficacy and feasibility of laser with suction device in mini-percutaneous nephrolithotomy(mini-PCNL).Methods:A retrospective study was conducted including 200 patients who underwent mini-PCNL for renal *** patients underwent PCNL using Electro-Medical Systems *** addition to the laser in 100 patients,a suction device was used(laser with suction[LWS]).In the other 100,suction device was not used(laser with no additional suction[LOS]).Mini-PCNL was performed using standard technique and Karl Storz minimally invasive PCNL-medium system was *** end point was stone ***:Both the groups were comparable in terms of demographic *** stone size was 15.24±5.90 mm and 16.16±5.53 mm in LWS and LOS,*** Hounsfield unit of stone was 1285.64 and 1206.79 in LWS and LOS,*** time was less in LWS group(56.89±19.65 min)as compared to LOS(62.01±28.81 min).At one-month follow-up,radiological complete clearance was 96%in LWS and 92%in *** subgroup analysis of stones larger than 18 mm,the clearance rate was in favour of LWS(85.7%vs.100%)and also the need for nephrostomy placement was less in LWS ***:LWS device is safe and efficacious when used with *** stones greater than 18 mm,it has a better stone free rate as compared to using no suction.

关键词： Mini-percutaneous nephrolithotomy Laser with suction Stone clearance

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