A Prospective Randomized Trial Comparing Pneumatic Lithotripsy and Holmium Laser for Management of Middle and Distal Ureteral Calculi
The aim of this study was to compare the efficacy and safety between pneumatic and holmium:yttrium-aluminum-garnet (Ho:YAG) laser in the treatment of patients with ureteral stones located in the middle and distal ureter. We conducted a prospective study in recruiting 982 eligible patients from 2009...
Gespeichert in:
| Veröffentlicht in: | Journal of endourology 2015-08, Vol.29 (8), p.883-887 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 887 |
|---|---|
| container_issue | 8 |
| container_start_page | 883 |
| container_title | Journal of endourology |
| container_volume | 29 |
| creator | Li, Linjin Pan, Yue Weng, Zhiliang Bao, Wenshuo Yu, Zhixian Wang, Feng |
| description | The aim of this study was to compare the efficacy and safety between pneumatic and holmium:yttrium-aluminum-garnet (Ho:YAG) laser in the treatment of patients with ureteral stones located in the middle and distal ureter.
We conducted a prospective study in recruiting 982 eligible patients from 2009 to 2012. Patients were randomly divided into two groups-the pneumatic lithotripsy (PL) group or the Ho:YAG laser lithotripsy (LL) group. Patient demographics, stone characteristics, intraoperative parameters, and postoperative complications were evaluated and analyzed.
The baseline demographics of patients and stone characteristics were similar in the two groups. The LL group showed significant benefits compared with the PL group in terms of mean operative time (28±9.2 vs 41±12.4 min, P=0.001) and early stone-free rate (80.8% vs 91.3%, P=0.04), but there was no statistically significant difference at the third month (92.6% vs 95.5%, P=0.15). In the LL group, 24 postoperative cases of stricture were seen, whereas only 5 cases occurred in the PL group (P=0.02). The other complications, such as perforation, bleeding, and mucosal injury, were comparable in the two groups. The average postoperative stay was also similar (1.7±2.4 days for PL and 1.5±3.1 days for LL (P=0.62).
Both PL and LL are effective in the management of middle and distal impacted stones. Ho:YAG laser has advantages in better efficacy of stone fragmentation and a higher early stone-free rate but seems to have to face the increased risks of postoperative stricture. |
| doi_str_mv | 10.1089/end.2014.0856 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1704352213</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1704352213</sourcerecordid><originalsourceid>FETCH-LOGICAL-c293t-1ad3c9a1dbd5f93a9686378f24057b6cafb36fc7d90890509930bf428667b8d93</originalsourceid><addsrcrecordid>eNo9kDtLBDEURoMouj5KW0lpM2sy2XmklPUJKy6ygt2QSW40MpmMSUZYe_-3WV_VLe7hwHcQOqZkSknNz6BX05zQ2ZTURbmFJrQoqowT8rSNJumfZ1XFyR7aD-GVEMpKynbRXp6gmhV0gj7P8dK7MICM5h3wg-iVs-YDFF55Izo8d3YQ3vTPeNnDaEU0Ei9MfHHRmyGsceLxjeusGS1eiAAea-fxnejFM1joI3Ya3xmlOvhGL0yIyfroIYLf6EUnx84coh0tugBHv_cAPV5druY32eL--nZ-vshkzlnMqFBMckFVqwrNmeBlXbKq1vmMFFVbSqFbVmpZKZ6Wk4JwzkirZ3ldllVbK84O0OmPd_DubYQQG2uChK4TPbgxNLQiM1bkOWUJzX5QmfIED7oZvLHCrxtKmk35JpVvNuWbTfnEn_yqx9aC-qf_UrMvOquARQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1704352213</pqid></control><display><type>article</type><title>A Prospective Randomized Trial Comparing Pneumatic Lithotripsy and Holmium Laser for Management of Middle and Distal Ureteral Calculi</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Li, Linjin ; Pan, Yue ; Weng, Zhiliang ; Bao, Wenshuo ; Yu, Zhixian ; Wang, Feng</creator><creatorcontrib>Li, Linjin ; Pan, Yue ; Weng, Zhiliang ; Bao, Wenshuo ; Yu, Zhixian ; Wang, Feng</creatorcontrib><description>The aim of this study was to compare the efficacy and safety between pneumatic and holmium:yttrium-aluminum-garnet (Ho:YAG) laser in the treatment of patients with ureteral stones located in the middle and distal ureter.
We conducted a prospective study in recruiting 982 eligible patients from 2009 to 2012. Patients were randomly divided into two groups-the pneumatic lithotripsy (PL) group or the Ho:YAG laser lithotripsy (LL) group. Patient demographics, stone characteristics, intraoperative parameters, and postoperative complications were evaluated and analyzed.
The baseline demographics of patients and stone characteristics were similar in the two groups. The LL group showed significant benefits compared with the PL group in terms of mean operative time (28±9.2 vs 41±12.4 min, P=0.001) and early stone-free rate (80.8% vs 91.3%, P=0.04), but there was no statistically significant difference at the third month (92.6% vs 95.5%, P=0.15). In the LL group, 24 postoperative cases of stricture were seen, whereas only 5 cases occurred in the PL group (P=0.02). The other complications, such as perforation, bleeding, and mucosal injury, were comparable in the two groups. The average postoperative stay was also similar (1.7±2.4 days for PL and 1.5±3.1 days for LL (P=0.62).
Both PL and LL are effective in the management of middle and distal impacted stones. Ho:YAG laser has advantages in better efficacy of stone fragmentation and a higher early stone-free rate but seems to have to face the increased risks of postoperative stricture.</description><identifier>ISSN: 0892-7790</identifier><identifier>EISSN: 1557-900X</identifier><identifier>DOI: 10.1089/end.2014.0856</identifier><identifier>PMID: 25578351</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Constriction, Pathologic - surgery ; Female ; Holmium - therapeutic use ; Humans ; Lasers, Solid-State - therapeutic use ; Lithotripsy, Laser - adverse effects ; Lithotripsy, Laser - methods ; Male ; Middle Aged ; Operative Time ; Postoperative Complications - etiology ; Postoperative Period ; Prospective Studies ; Ureteral Calculi - surgery</subject><ispartof>Journal of endourology, 2015-08, Vol.29 (8), p.883-887</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-1ad3c9a1dbd5f93a9686378f24057b6cafb36fc7d90890509930bf428667b8d93</citedby><cites>FETCH-LOGICAL-c293t-1ad3c9a1dbd5f93a9686378f24057b6cafb36fc7d90890509930bf428667b8d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25578351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Linjin</creatorcontrib><creatorcontrib>Pan, Yue</creatorcontrib><creatorcontrib>Weng, Zhiliang</creatorcontrib><creatorcontrib>Bao, Wenshuo</creatorcontrib><creatorcontrib>Yu, Zhixian</creatorcontrib><creatorcontrib>Wang, Feng</creatorcontrib><title>A Prospective Randomized Trial Comparing Pneumatic Lithotripsy and Holmium Laser for Management of Middle and Distal Ureteral Calculi</title><title>Journal of endourology</title><addtitle>J Endourol</addtitle><description>The aim of this study was to compare the efficacy and safety between pneumatic and holmium:yttrium-aluminum-garnet (Ho:YAG) laser in the treatment of patients with ureteral stones located in the middle and distal ureter.
We conducted a prospective study in recruiting 982 eligible patients from 2009 to 2012. Patients were randomly divided into two groups-the pneumatic lithotripsy (PL) group or the Ho:YAG laser lithotripsy (LL) group. Patient demographics, stone characteristics, intraoperative parameters, and postoperative complications were evaluated and analyzed.
The baseline demographics of patients and stone characteristics were similar in the two groups. The LL group showed significant benefits compared with the PL group in terms of mean operative time (28±9.2 vs 41±12.4 min, P=0.001) and early stone-free rate (80.8% vs 91.3%, P=0.04), but there was no statistically significant difference at the third month (92.6% vs 95.5%, P=0.15). In the LL group, 24 postoperative cases of stricture were seen, whereas only 5 cases occurred in the PL group (P=0.02). The other complications, such as perforation, bleeding, and mucosal injury, were comparable in the two groups. The average postoperative stay was also similar (1.7±2.4 days for PL and 1.5±3.1 days for LL (P=0.62).
Both PL and LL are effective in the management of middle and distal impacted stones. Ho:YAG laser has advantages in better efficacy of stone fragmentation and a higher early stone-free rate but seems to have to face the increased risks of postoperative stricture.</description><subject>Adult</subject><subject>Aged</subject><subject>Constriction, Pathologic - surgery</subject><subject>Female</subject><subject>Holmium - therapeutic use</subject><subject>Humans</subject><subject>Lasers, Solid-State - therapeutic use</subject><subject>Lithotripsy, Laser - adverse effects</subject><subject>Lithotripsy, Laser - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Ureteral Calculi - surgery</subject><issn>0892-7790</issn><issn>1557-900X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDtLBDEURoMouj5KW0lpM2sy2XmklPUJKy6ygt2QSW40MpmMSUZYe_-3WV_VLe7hwHcQOqZkSknNz6BX05zQ2ZTURbmFJrQoqowT8rSNJumfZ1XFyR7aD-GVEMpKynbRXp6gmhV0gj7P8dK7MICM5h3wg-iVs-YDFF55Izo8d3YQ3vTPeNnDaEU0Ei9MfHHRmyGsceLxjeusGS1eiAAea-fxnejFM1joI3Ya3xmlOvhGL0yIyfroIYLf6EUnx84coh0tugBHv_cAPV5druY32eL--nZ-vshkzlnMqFBMckFVqwrNmeBlXbKq1vmMFFVbSqFbVmpZKZ6Wk4JwzkirZ3ldllVbK84O0OmPd_DubYQQG2uChK4TPbgxNLQiM1bkOWUJzX5QmfIED7oZvLHCrxtKmk35JpVvNuWbTfnEn_yqx9aC-qf_UrMvOquARQ</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Li, Linjin</creator><creator>Pan, Yue</creator><creator>Weng, Zhiliang</creator><creator>Bao, Wenshuo</creator><creator>Yu, Zhixian</creator><creator>Wang, Feng</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>A Prospective Randomized Trial Comparing Pneumatic Lithotripsy and Holmium Laser for Management of Middle and Distal Ureteral Calculi</title><author>Li, Linjin ; Pan, Yue ; Weng, Zhiliang ; Bao, Wenshuo ; Yu, Zhixian ; Wang, Feng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-1ad3c9a1dbd5f93a9686378f24057b6cafb36fc7d90890509930bf428667b8d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Constriction, Pathologic - surgery</topic><topic>Female</topic><topic>Holmium - therapeutic use</topic><topic>Humans</topic><topic>Lasers, Solid-State - therapeutic use</topic><topic>Lithotripsy, Laser - adverse effects</topic><topic>Lithotripsy, Laser - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Ureteral Calculi - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Linjin</creatorcontrib><creatorcontrib>Pan, Yue</creatorcontrib><creatorcontrib>Weng, Zhiliang</creatorcontrib><creatorcontrib>Bao, Wenshuo</creatorcontrib><creatorcontrib>Yu, Zhixian</creatorcontrib><creatorcontrib>Wang, Feng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endourology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Linjin</au><au>Pan, Yue</au><au>Weng, Zhiliang</au><au>Bao, Wenshuo</au><au>Yu, Zhixian</au><au>Wang, Feng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Prospective Randomized Trial Comparing Pneumatic Lithotripsy and Holmium Laser for Management of Middle and Distal Ureteral Calculi</atitle><jtitle>Journal of endourology</jtitle><addtitle>J Endourol</addtitle><date>2015-08</date><risdate>2015</risdate><volume>29</volume><issue>8</issue><spage>883</spage><epage>887</epage><pages>883-887</pages><issn>0892-7790</issn><eissn>1557-900X</eissn><abstract>The aim of this study was to compare the efficacy and safety between pneumatic and holmium:yttrium-aluminum-garnet (Ho:YAG) laser in the treatment of patients with ureteral stones located in the middle and distal ureter.
We conducted a prospective study in recruiting 982 eligible patients from 2009 to 2012. Patients were randomly divided into two groups-the pneumatic lithotripsy (PL) group or the Ho:YAG laser lithotripsy (LL) group. Patient demographics, stone characteristics, intraoperative parameters, and postoperative complications were evaluated and analyzed.
The baseline demographics of patients and stone characteristics were similar in the two groups. The LL group showed significant benefits compared with the PL group in terms of mean operative time (28±9.2 vs 41±12.4 min, P=0.001) and early stone-free rate (80.8% vs 91.3%, P=0.04), but there was no statistically significant difference at the third month (92.6% vs 95.5%, P=0.15). In the LL group, 24 postoperative cases of stricture were seen, whereas only 5 cases occurred in the PL group (P=0.02). The other complications, such as perforation, bleeding, and mucosal injury, were comparable in the two groups. The average postoperative stay was also similar (1.7±2.4 days for PL and 1.5±3.1 days for LL (P=0.62).
Both PL and LL are effective in the management of middle and distal impacted stones. Ho:YAG laser has advantages in better efficacy of stone fragmentation and a higher early stone-free rate but seems to have to face the increased risks of postoperative stricture.</abstract><cop>United States</cop><pmid>25578351</pmid><doi>10.1089/end.2014.0856</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0892-7790 |
| ispartof | Journal of endourology, 2015-08, Vol.29 (8), p.883-887 |
| issn | 0892-7790 1557-900X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1704352213 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Constriction, Pathologic - surgery Female Holmium - therapeutic use Humans Lasers, Solid-State - therapeutic use Lithotripsy, Laser - adverse effects Lithotripsy, Laser - methods Male Middle Aged Operative Time Postoperative Complications - etiology Postoperative Period Prospective Studies Ureteral Calculi - surgery |
| title | A Prospective Randomized Trial Comparing Pneumatic Lithotripsy and Holmium Laser for Management of Middle and Distal Ureteral Calculi |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T16%3A49%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Prospective%20Randomized%20Trial%20Comparing%20Pneumatic%20Lithotripsy%20and%20Holmium%20Laser%20for%20Management%20of%20Middle%20and%20Distal%20Ureteral%20Calculi&rft.jtitle=Journal%20of%20endourology&rft.au=Li,%20Linjin&rft.date=2015-08&rft.volume=29&rft.issue=8&rft.spage=883&rft.epage=887&rft.pages=883-887&rft.issn=0892-7790&rft.eissn=1557-900X&rft_id=info:doi/10.1089/end.2014.0856&rft_dat=%3Cproquest_cross%3E1704352213%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1704352213&rft_id=info:pmid/25578351&rfr_iscdi=true |