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:: Volume 4, Issue 4 (december 2015) ::
Int J Med Invest 2015, 4(4): 349-351 Back to browse issues page
A comparison between ultrasonic and pneumatic lithotripsy in percutaneous nephrolithotomy – Our experience in Prince Hussein Bin Abdallah the II center of urology and organ transplantation
Ahmad Mahmoud Al-Hiari * , Mohannad Al-Naser , Mohammad Al-Sarhan , Amjad Maslamani , Abdallah Rabab’ah , Nizar Saideh , Hani Al-Jbour
Urology specialist , Royal medical services,jordan
Abstract:   (8892 Views)

Objective: Percutaneous nephrolithotomy (PCNL) is a procedure that is now routinely used to treat large and complex renal stones. Since first described by Frenstorm and Johanson, many advances to the surgical technique were developed including the lithotripters used to fragment and remove stones. In this study we compared the efficacy and safety of PCNL using pneumatic and ultrasonic lithotripsy..

Methods: the study was carried in Prince Hussein Bin Abdallah the II Center of urology and organ transplantation. Two groups of patients who underwent PCNL between July 2013 and June 2014 were compared. Group A ,50 patients, underwent PCNL using pneumatic lithotripsy. And group B, 53 patients underwent PCNL using ultrasonic lithotripsy. The 2 groups were compared in terms of stone size, location, operative time, hospital stay, blood loss and stone free rats.

Results: there were no significant differences in stone size, location or stone free rates. But the  ultrasonic lithotripsy group (group B) had significantly lower operative time, number of hospital days and average blood loss.

Conclusion: PCNL is a safe procedure, and the use of ultrasonic lithotripsy significantly decreased operative time, hospital stay and blood loss.
Keywords: Percutaneous nephrolithotomy, renal stones, pneumatic lithotripsy, ultrasonic lithotripsy.
Full-Text [PDF 309 kb]   (2325 Downloads)    
Type of Study: Research | Subject: General
References
1. 1- Frenstrom I, Johansson B, Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol. 1976 ; 10 : 257 – 259. ( PubMed ) 2- C one Cho, Ji Hyeong Yu, Luck Hee Sung, Jae Young Chang, Choong Hee Noh. Comparison of percutaneous nephrolithotomy using pneumatic lithotripsy alone or in combination with ultrasonic lithotripsy. Korean Journal U, 2010 Nov; 51 (11) : 783 – 787. 3- Marguet CG, Springhart WP, Tan YH, Patel A, Undre S, Albala DM, et al. Simultaneous combined use of flexible ureteroscopy and percutaneous nephrolithotomy to reduce the number of access tracts in the management of complex renal caculi. BJU Int. 2005 ; 96 : 1097 – 1100. ( PubMed ) 4- Auge BK, Lallas CD, Pietrow PK, Zhong P, Preminger GM. In vitro comparison of standard ultrasound and pneumatic lithotrites with a new combination intracorporeal lithotripsy device. Urology. 2002 ; 60 : 28 – 32. ( PubMed ) 5- Alan J. Wein, Louis R. Kavoussi, Andrew C. Novick, Alan W. Partin, Craig A. Peters. Campbell-Walsh Urology. Tenth ed. Philadelphia, Pennsylvania: Elsevier, Saunders; 2012 6- Begun FP. Modes of intracorporeal lithotripsy : ultrasound versus electrohydraulic lithotripsy versus laser lithotripsy. Semin Urol. 1994; 12 :39 – 50. ( PubMed ) 7- Hoffman R, Olbert P , Weber J, Wille S, Varga Z. Clinical experience with a new ultrasonic and lithoClast combination for percutaneous litholapaxy. BJU Int. 2002 ; 90 : 16 – 19. ( PubMed ) 8- Lehman DS, Hurby GW, Phillips C, Venkatesh R, Best S, Monga M, et al. Prospective randomized comparison of a combined ultrasonic and pneumatic lithotrite with a standard ultrasonic lithotrite for percutaneous nephrolithotomy. J Endourol. 2008 ; 22 : 285 – 289. ( PubMed ) 9- Hoffman R, Weber J, Heidenreich A, Varga Z, Olbert P. Experimental studies and first clinical experience with a new lithoclast and ultrasound combination for lithotripsy. Eur Uro. 2002 ; 42 : 376 – 381. ( PubMed ) 10- Tolga K, Akif D, Ahmet MH, Berat CO, Serkan O, Muzzafer E. Comparison of ultrasonic and pneumatic intracorporeal lithotripsy techniques during percutaneous nephrolithotomy. The scientific world journal. Volume 2013 ( 2013 ), http://dx.doi.org/10.1155/2013/604361
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Al-Hiari A M, Al-Naser M, Al-Sarhan M, Maslamani A, Rabab’ah A, Saideh N et al . A comparison between ultrasonic and pneumatic lithotripsy in percutaneous nephrolithotomy – Our experience in Prince Hussein Bin Abdallah the II center of urology and organ transplantation. Int J Med Invest 2015; 4 (4) :349-351
URL: http://intjmi.com/article-1-191-en.html
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Volume 4, Issue 4 (december 2015) Back to browse issues page
International Journal of Medical Investigation
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