Comparison of different lithotriptors during percutaneous nephrolithotomy via F24 tract
Pan Tiejun1,Xie Xumin1,Li Gongcheng1
1Department of Urology, Wuhan General Hospital of Guangzhou Military Region, Wuhan 430070, China; 2Wuhan Clinical School of Medicine, Southern Medical University
Abstract：Objective:To compare the efficacy of percutaneous nephrolithotomy (PNL) with different intracorporeal lithotriptors via F24 tract dilated by balloon dilatation. Methods:Clinical data of 90 patients with renal calculus were collected and retrospectively analyzed. This group of patients had been admitted and selected according to the inclusion criteria in our institution from January 2013 to April 2014. All patients were in flank supine position during surgery. And F24 tract was dilated by balloon dilatation. There was no significant difference in sex, age, body mass index (BMI) and the size and the position of stones. According to the lithotripters, the patients were divided into holmium:yttrium-aluminum-garnet (YAG) laser group, ultrasonic lithotriptor group and pneumatic lithotripstor group, and there were 30 cases in each groups. The operative time, blood loss, stone free rate, complications and hospital stays were observed. Results:There were no significant differences in the blood loss, stone free rate, complications and hospital stays. The operative time in the pneumatic lithotripstor group was significantly shorter than in the holmium∶YAG laser group and the ultrasonic lithotriptor group, and that in the ultrasonic lithotriptor group shorter than in the the holmium∶YAG laser group. Conclusions:The choice of lithotriptors is more optional when PNL is performed via F24tract dilated by balloon dilatation. In F24 tract, the pneumatic lithotripstor is inexpensive with shorter operative time and high stone free rate.
潘铁军,谢旭敏,李功成. F24通道下经皮肾镜取石术中碎石器的比较研究[J]. 微创泌尿外科杂志, 2014, 3(3): 152-154.
Pan Tiejun,Xie Xumin,Li Gongcheng. Comparison of different lithotriptors during percutaneous nephrolithotomy via F24 tract. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(3): 152-154.
