Holmium:YAG lithotripsy in children

被引:34
作者
Wollin, TA [1 ]
Teichman, JMH
Rogenes, VJ
Razvi, HA
Denstedt, JD
Grasso, M
机构
[1] Univ Western Ontario, Div Urol, London, ON, Canada
[2] Univ Texas, Hlth Sci Ctr, Div Urol, San Antonio, TX USA
[3] NYU, Div Urol, New York, NY USA
关键词
urinary calculi; ureter; kidney; lithotripsy; laser;
D O I
10.1016/S0022-5347(05)68222-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We determined the safety and efficacy of holmium:YAG lithotripsy in children. Materials and Methods: We retrospectively reviewed the records of all holmium:YAG lithotripsy done in patients 17 years old or younger. Demographic, preoperative, intraoperative and postoperative data were collected. Results: A total of 9 boys and 10 girls (26 stones) with a mean age of 11 years (range 1 to 17) were treated with holmium:YAG lithotripsy, which was chosen as initial therapy in 10 (53%). Retrograde ureteroscopy was performed in 15 patients to treat 13 ureteral and 6 renal calculi, and percutaneous nephrolithotripsy was done in 4 to treat 3 ureteral and 4 renal calculi. A complete stone-free outcome after 1 procedure was achieved in 16 children (84%) and 3 patients were rendered stone-free after 2 procedures. No patient had an intraoperative injury. Followup ranged from 0.5 to 12 months (mean 3). Followup imaging has shown no evidence of stricture or hydronephrosis. Conclusions: Holmium:YAG lithotripsy is safe and effective in children. It is a reasonable option for failed shock wave lithotripsy, or in children with a known durile stone composition or contraindications to shock wave lithotripsy.
引用
收藏
页码:1717 / 1720
页数:4
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