Combined Robotic Pyelolithotomy and Laser Lithotripsy for Staghorn Calculi

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Pulsed dye laser lithotripsy for ureteric calculi.

Laser has proven to be an effective and safe method of treating ureteral stones. When the electromagnetic energy of a laser pulse is selectively absorbed by stone, a plasma fonns at the surface. This plasma, which is composed of ions and electrons, continues to absorb laser energy reaching very high pressure and generating a shock wave that fragment the stone. The degree of stone fragmentation ...

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[Treatment of staghorn calculi: combined therapy and stone recurrence].

Between April 1986 and September 1992, 29 extensive staghorn calculi were treated in 24 patients. Treatment was with extracorporeal shock-wave lithotripsy (ESWL) monotherapy in 11, initial ESWL followed by percutaneous nephrolithotomy (PNL) in 7 and initial PNL followed by ESWL in 11. A comparison based on treatment demonstrated that initial PNL followed by ESWL resulted in a lower rate and sho...

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[Long-term clinical outcome of extracorporeal shock wave lithotripsy monotherapy for staghorn calculi].

We treated 97 patients with staghorn calculi by ESWL monotherapy using a Lithostar Lithotriptor (Siemens) between January 1989 and December 1996. Seventeen patients (18 renal units) out of 45 patients (47 renal units) who could be followed up for more than 12 months after ESWL had no stones on radiographs at 3 months after the treatment. The actuarial non-recurrence (or stone-free) rate was 88....

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Laser lithotripsy for ureteric calculi: results in 250 patients.

Two hundred and fifty patients with 290 stones presenting to the Department of Urology were treated with the Candela MDL 2000 Laser Lithotripter. Overall stone clearance rate was 95%. The more proximal the calculus the lower the success rate. Ninety eight percent of stones in the lower ureter, 95% of mid ureteric and 91% of upper ureteric stones were cleared. The major complication was perforat...

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Retroperitoneal Pyelolithotomy for Management of Renal Calculi

OBJECTIVE We evaluated the role of retroperitoneoscopic pyelolithotomy in the management of renal calculi. METHODS Fifty-six cases (male, 27; female, 29) of solitary or multiple renal calculi were evaluated in the study. There were 46 patients with a single calculus, 4 patients with a staghorn calculus, and 6 with a caliceal calculus. Retroperitoneoscopic pyelolithotomy was carried out after ...

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ژورنال

عنوان ژورنال: CRSLS: MIS Case Reports from SLS

سال: 2014

ISSN: 2376-9254

DOI: 10.4293/crsls.2014.00166