EVALUATION OF THE EFFICIENCY AND SAFETY OF THULIUM LASER URETEROLITHOTRIPSY
Abstract
Objective is to evaluate the effectiveness and safety of using a thulium fiber laser in laser in retrograde ureterolithotripsy.
Material and methods. A prospective study of the results of retrograde ureterolithotripsy using a thulium fiber laser was conducted in 352 patients. Postoperative complications were classified according to the Clavien–Dindo system. Stone-free rate (no re- sidual fragments ≥ 3 mm) was assessed 3 months after surgery.
Results. The median (minimum-maximum) age of patients was 39 (18–71) years. Median (minimum-maximum) stone diameter was 9 (5–26) mm. Median (minimum-maximum) stone density was 1050 (345-1500) Hounsfield units. Intra- and early postoperative complications (during the first 3 months) according to the Clavien-Dindo classification developed in 71 (20.2%) patients, late complications (more than 3 months after surgery) developed in 41 (11.6%) patients. At the 3-month follow-up, a stone-free rate of 90.6% (in 319 of 352 patients) was evaluated.
Conclusions. The use of a thulium fiber laser is a safe and effective method for ureterolithotripsy.
About the Authors
M. I. Katibov
ГБУ РД «Городская клиническая больница»
Russian Federation
Russian Federation
M. M. Alibekov
ГБУ РД «Городская клиническая больница»; ФГБОУ ВО «Дагестанский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
Z. M. Magomedov
ГБУ РД «Городская клиническая больница»; ФГБОУ ВО «Дагестанский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Katibov M.I., Alibekov M.M., Magomedov Z.M. EVALUATION OF THE EFFICIENCY AND SAFETY OF THULIUM LASER URETEROLITHOTRIPSY. Bashkortostan Medical Journal. 2023;18(1):28-32. (In Russ.)
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