Pneumatic Lithotripsy Versus Laser Lithotripsy for Ureteral Stones
Journal of Lasers in Medical Sciences,
Vol. 9 No. 4 (2018),
17 Shahrivar 2018
,
Page 233-236
Abstract
Introduction: Several different modalities are available for ureteral stone fragmentation. From them pneumatic and holmium: yttrium-aluminum-garnet (Ho: YAG) lithotripsy have supportive outcomes. In this study we studied 250 subjects who had ureteroscopic pneumatic lithotripsy (PL) or laser lithotripsy (LL).Methods: Two-hundred fifty patients with ureteral stones underwent ureteroscopic lithotripsy (115 subjects in the PL group, 135 subjects in the LL group) from August 2010 to April 2016. The purpose of this investigation was to evaluate stone-free rate (SFR), mean operation time (MOT), mean hospital stay (MHS), stone migration and complications.
Results: Two groups were similar in age, gender, mean size of stones, side of stone, and complications. There was a statistical difference in terms of SFR, stone migration and MHS in favor of the LL group (P ≤ 0.05, P ≤ 0.05 respectively), and MOT in favor of the PL group (P ≤ 0.05).
Conclusion: Both the PL and LL techniques were effective and safe for ureteral stones, however a slightly higher SFR was found in the LL group.
- Keywords
- Pneumatic lithotripsy
- laser lithotripsy
- ureteral stone
How to Cite
References
Rosa M, Usai P, Miano R, et al. Recent finding and new technologies in nephrolithiasis: a review of the recent literature. BMC Urol. 2013;13:10. doi:10.1186/1471-2490- 13-10
Javanmard B, Fallah Karkan M, Razzaghi MR, Ghiasy S, Ranjbar A, Rahavian A. Surgical management of vesical stones in children: a comparison between open cystolithotomy, percutaneous cystolithotomy and transurethral cystolithotripsy with holmium-YAG Laser. J Lasers Med Sci. 2018;9(3):183-187. doi:10.15171/ jlms.2018.33.
Lingeman JE. Surgical management of upper urinary tract calculi. In: Kavoussi LR, Novick AC, Partin AW, Peters CA, Wein AJ, eds. Campbell-Walsh Urology. Philadelphia: Saunders-Elsevier; 2006:1431–1507.
Abedi AR, Allameh F, Razzaghi MR, et al. The Efficacy and Safety of Laser Lithotripsy in Pregnancy. J Lasers Med Sci. 2017;8(2):84-87. doi:10.15171/jlms.2017.15
Fallah Karkan M, Ghiasy S, Ranjbar A, Javanmard B. Evaluation of 200 Mm, 365 Mm and 500 Mm fibers of Ho:YAG laser in transurethral lithotripsy of ureteral: a randomize control trial. J Lasers Med Sci. 2018;9(1):69-72. doi:10.15171/jlms.2018.14
Razzaghi MR, Fallah Karkan M, Ghiasy S, Javanmard B. Laser application in iran urology: a narrative review. J Lasers Med Sci. 2018;9(1):1-6. doi:10.15171/jlms.2018.01
Floratos DL, de la Rosette JJ. Lasers in urology. BJU Int. 1999;84(2):204-211.
Denstedt JD, Razvi HA, Rowe E, Grignon DJ, Eberwein PM. Investigation of the tissue effects of a new device for intracorporeal lithotripsy--the Swiss Lithoclast. J Urol. 1995;153(2):535-537. doi:10.1097/00005392-199502000- 00078
Denstedt JD, Eberwein PM, Singh RR. The Swiss Lithoclast: a new device for intracorporeal lithotripsy. J Urol. 1992;148(3 Pt 2):1088-1090.
Cecchetti W, Zattoni F, Nigro F, Tasca A. Plasma bubble formation induced by holmium laser: an in vitro study. Urology. 2004;63(3):586-590. doi:10.1016/j. urology.2003.09.010
Razzaghi MR, Razi A, Mazloomfard MM, Mokhtarpour H, Javanmard B, Mohammadi R. Trans-Ureteral Ureterolithotripsy of Ureteral Calculi:Which is the Best; Pneumatic or Holmium Laser Technique? J Lasers Med Sci. 2011;2(2):59-62. doi:10.22037/2010.v2i2.2282
Javanmard B, Razaghi MR, Ansari Jafari A, Mazloomfard MM. Flexible Ureterorenoscopy Versus Extracorporeal Shock Wave Lithotripsy for the Treatment of Renal Pelvis Stones of 10-20 mm in Obese Patients. J Lasers Med Sci. 2015;6(4):162-166. doi:10.15171/jlms.2015.12
Razaghi MR, Razi A. Comparison between the Holmium Laser (Made in Iran) and Pneumatic Lithotripsy in Patients Suffering from Upper Ureteral Stone between 1-2cm. J Lasers Med Sci. 2012;2(4):144-147. doi:10.22037/2010. v2i4.2623
Cui Y, Cao W, Shen H, et al. Comparison of ESWL and ureteroscopic holmium laser lithotripsy in management of ureteral stones. PLoS One. 2014;9(2):e87634. doi:10.1371/ journal.pone.0087634
Devarajan R, Ashraf M, Beck RO, Lemberger RJ, Taylor MC. Holmium: YAG lasertripsy for ureteric calculi: an experience of 300 procedures. Br J Urol. 1998;82(3):342- 347.
Jeon SS, Lee KS, Won HS, et al. A comparison of Holmium: YAG laser with lithoclast lithotripsy in ureteral calculi fragmentation. Korean J Urol. 2000;41(3):375-380.
Razzaghi MR, Razi A, Mazloomfard MM, Golmohammadi Taklimi A, Valipour R, Razzaghi Z. Safety and efficacy of pneumatic lithotripters versus holmium laser in management of ureteral calculi: a randomized clinical trial. Urol J. 2013;10(1):762-766.
Garg S, Mandal AK, Singh SK, et al. Ureteroscopic laser lithotripsy versus ballistic lithotripsy for treatment of ureteric stones: a prospective comparative study. Urol Int. 2009;82(3):341-345. doi:10.1159/000209369
Kostakopoulos A, Stavropoulos NJ, Picramenos D, Kyriazis P, Deliveliotis C. The Swiss lithoclast: an ideal intracorporeal lithotripter. Urol Int. 1995;55(1):19-20. doi:10.1159/000282740
Yip KH, Lee CW, Tam PC. Holmium laser lithotripsy for ureteral calculi: an outpatient procedure. J Endourol. 1998;12(3):241-246. doi:10.1089/end.1998.12.241
- Abstract Viewed: 994 times
- PDF Downloaded: 298 times