The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy
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 stones. All patients underwent PCNL using Electro-Medical S...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Asian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388221000400 |
| _version_ | 1798031301881626624 |
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| author | Abhishek Gajendra Singh Sundaram Palaniappan Shrikant Jai Gopal Tak Arvind Ganpule Ravindra Sabnis Mahesh Desai |
| author_facet | Abhishek Gajendra Singh Sundaram Palaniappan Shrikant Jai Gopal Tak Arvind Ganpule Ravindra Sabnis Mahesh Desai |
| author_sort | Abhishek Gajendra Singh |
| collection | DOAJ |
| description | 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 stones. All patients underwent PCNL using Electro-Medical Systems laser. In 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 used. Primary end point was stone clearance. Results: Both the groups were comparable in terms of demographic data. Mean stone size was 15.24±5.90 mm and 16.16±5.53 mm in LWS and LOS, respectively. Mean Hounsfield unit of stone was 1285.64 and 1206.79 in LWS and LOS, respectively. Operative 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 LOS. On 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 group. Conclusions: LWS device is safe and efficacious when used with mini-PCNL. For stones greater than 18 mm, it has a better stone free rate as compared to using no suction. |
| first_indexed | 2024-04-11T19:55:18Z |
| format | Article |
| id | doaj.art-d53b8aa63d98479a9fad69e57691e572 |
| institution | Directory Open Access Journal |
| issn | 2214-3882 |
| language | English |
| last_indexed | 2024-04-11T19:55:18Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj.art-d53b8aa63d98479a9fad69e57691e5722022-12-22T04:06:12ZengElsevierAsian Journal of Urology2214-38822022-01-01916368The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomyAbhishek Gajendra Singh0Sundaram Palaniappan1Shrikant Jai2Gopal Tak3Arvind Ganpule4Ravindra Sabnis5Mahesh Desai6Corresponding author.; Department of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Virendradesai Marg, Nadiad, Gujarat, IndiaObjective: 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 stones. All patients underwent PCNL using Electro-Medical Systems laser. In 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 used. Primary end point was stone clearance. Results: Both the groups were comparable in terms of demographic data. Mean stone size was 15.24±5.90 mm and 16.16±5.53 mm in LWS and LOS, respectively. Mean Hounsfield unit of stone was 1285.64 and 1206.79 in LWS and LOS, respectively. Operative 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 LOS. On 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 group. Conclusions: LWS device is safe and efficacious when used with mini-PCNL. For stones greater than 18 mm, it has a better stone free rate as compared to using no suction.http://www.sciencedirect.com/science/article/pii/S2214388221000400Mini-percutaneous nephrolithotomyLaser with suctionStone clearance |
| spellingShingle | Abhishek Gajendra Singh Sundaram Palaniappan Shrikant Jai Gopal Tak Arvind Ganpule Ravindra Sabnis Mahesh Desai The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy Asian Journal of Urology Mini-percutaneous nephrolithotomy Laser with suction Stone clearance |
| title | The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy |
| title_full | The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy |
| title_fullStr | The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy |
| title_full_unstemmed | The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy |
| title_short | The clinical outcomes of laser with suction device in mini-percutaneous nephrolithotomy |
| title_sort | clinical outcomes of laser with suction device in mini percutaneous nephrolithotomy |
| topic | Mini-percutaneous nephrolithotomy Laser with suction Stone clearance |
| url | http://www.sciencedirect.com/science/article/pii/S2214388221000400 |
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