Holmium laser percutaneous nephrolithotomy Efficacy of the treatment of complex renal calculi_0.docVIP

 PAGE \* MERGEFORMAT 7 Holmium laser percutaneous nephrolithotomy Efficacy of the treatment of complex renal calculi Of: Liuxiang Dan, Lisha Dan, Wang Liang, FORCES, Yang Hang, Dengchao Xiong, Cao Wenfeng, Chen Weiguo [Abstract] Objective To investigate percutaneous nephrolithotomy (PCNL) holmium laser lithotripsy for treatment of complex renal calculi. Methods in this group of 23 patients with complex kidney stones, staghorn calculi 9 cases, 8 cases of cast-shaped stones, 6 patients .2% for the multiple stones local anesthetic lidocaine, B-guided, extended to F20 when the indwelling sheath, kidney using holmium laser lithotripsy and endoscopic stone, gravel, 1 to 3 times treatment, interval 3 ~ 5d . Results All cases were successful the first puncture, puncture a channel in 15 cases, puncture two channels are 8 sides .1 second treatment in 9 cases, 11 cases 2, 3 times 3 patients. stone free rate was 82.6% of total emission (19/23 sides), operative time was 1.6 ~ 4.4h, an average of 3.1h, hematuria in 1 patient after surgery, 1 patient had no complications other than fever. Conclusion Percutaneous nephrolithotomy under local anesthesia for treatment of complex renal calculi with holmium laser safe and effective, less postoperative complications. [Keywords:] percutaneous nephrolithotomy lithotripsy; holmium laser; kidney stones Clinically, staghorn stones, cast-shaped stones, multiple stones with renal insufficiency and other complex renal handling of several difficult .2008 January ~ December 2009, the author of 23 patients with complex renal calculi were treated with percutaneous stone surgery (percutaneous nephrolithotomy, PCNL) treatment, the effect is good. are as follows. 1 Materials and Methods 1.1 Clinical data in January 2008 ~ December 2009, the treatment of multiple kidney stones with PCNL in 23 cases. 13 males and 10 females; aged 20 to 65 years, mean 39 years old. Among them, 9 were staghorn stones, 8 cases were cast form stones, m