Comparison of pneumatic and laser lithotripsy in the treatment of pediatric ureteral stones
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Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Sci Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To compare the effectiveness and safety of pneumatic and holmium: YAG laser lithotripters in the treatment of pediatric ureterolithiasis. Patients and methods: Medical records of patients treated using pneumatic (PL) (n = 29) or laser (LL) (n = 35) lithotripter between 2009 and 2011 were retrospectively analysed. The patients were evaluated with respect to age, gender, stone size, complications, and stone-free rates 1 month after the operation. Results: For the PL and LL groups, mean ages (8.8 +/- 3.4 and 8.3 +/- 3.5 years), male/ female ratios (19:10 and 22:13) and stone locations were similar (p > 0.05). Mean stone sizes were 55.6 mm(2) and 47.6 mm(2) in the PL and LL group, respectively, with no statistically significant difference (p = 0.850). Mean operative times were 20.5 min in the PL group and 25.2 min in the LL group, with a statistically significant difference (p = 0.020). Stone-free rates 1 month after intervention were 79% in the PL group and 97% in the LL group (p = 0.022). Stone migration was detected in the PL group (n = 6) and in the LL group (n = 1). No major complication was found in either group. Conclusion: In the ureteroscopic treatment of pediatric ureterolithiasis, both pneumatic and laser lithotripters are effective and successful. However, laser lithotripsy has a higher stone-free rate and lower complication rate. (C) 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
Açıklama
Anahtar Kelimeler
Ureteroscopy, Pneumatic Lithotripsy, Laser Lithotripsy
Kaynak
Journal of Pediatric Urology
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
9
Sayı
3
