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2014, Number 4

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Rev Mex Cir Pediatr 2014; 18 (4)

Laser holmium lithotripsy in pediatric urolithiasis, initial experience

Osorio-Rosales CMV, Cuevas-Villegas S, Hernández-Aguilar G

Language: Spanish
References: 26
Page: 194-205
PDF size: 226.55 Kb.


ABSTRACT

Introduction: Management of urolithiasis in children is posible by less invasive techniques, the purpose of this study is to evaluate the efficacy and safety of Holmium:YAG laser lithotripsy.
Materials and Methods: Retrospective, transversal, descriptive and observational study from March 2013 to March 2014, 13 patients 10(76.9%) males and 3(23.1%) females with 16 stones, their mean age was 9 years (range 3-15 years), stone size range was 6-25mm.The patients were managed by retrograde endoscopic approach using small caliber endoscopes and the Holmium:YAG laser lithotriptor with 0.6-1.5J of energy and 5-10Hz.
Results: Out of 16 stones, 15 (93%) were completely fragmented with a single endoscopic procedure, only 1(7.6%) patient with renal stone need a second intervention. No major complications were encountered during or after the procedures.
Discussion: Our rate free of stones was equal to the international series, so the holmium laser lithotripsy may be cosidered an efficient and safe therapy for treatment of urolithiasis in children


REFERENCES

  1. Uygun I, Okur MH, Aydogdu B, Arayici Y, Isler B, Otcu S. Efficacy and safety of endoscopic laser lithotripsy for urinary stone treatment in children. Urol Res. 2012 Dec;40(6):751-5.

  2. Hoppe B, Kemper MJ. Diagnostic examination of the child with urolithiasis or nephrocalcinosis. Pediatr Neprhol. 2010 Mar;25(3): 403-13.

  3. Ito, Haruo. Metabolic aspects of nephrolithiasis. Curr Op Urol. 1995 Jul; 5(4)

  4. Tekin A, Tekgul S, Atsu N, Sahin A, Ozen H, Bakkaloglu M. A study of the etiology of idiopathic calcium urolithiasis in children: hypocitratruria is the most important risk factor. J Urol. 2000 Jul; 164(1):162-5.

  5. Torricelli FC, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev Col Bras Cir. 2013 May-Jun;40(3):227-33

  6. VanDervoort K, Wiesen J, Frank R, Vento S, Crosby V, ChandraM, Trachtman H. Urolithiasis in Pediatric Patientis: A single Center Study of incidence, Clinical Presentation and Outcome. J Urol. 2007 Jun;177(6):2300-05

  7. Kalorin C, Zabinski A, Okpareke I, White M, Kogan B. Pediatric Urinary Stone Disease-Does Age Matter? J Urol. 2009 May;181(5): 2267-71.

  8. Desai, Rahul A, Dean G. Current opinion in urology: new insights into nephrolitiasis. Curr Op in Urol. 2007 Mar;17(2): 104-8.

  9. Arrabal M, Nogueras M, Arrabal MA, Miján O, Valle F, Zuluaga A. Tratamiento de la Litiasis vesical con Láser. Arch Esp Urol. 2008;61(9)985-993

  10. Mandeville, Jessica A, Nelson, Caleb. Pediatric Urolithiasis. Curr Op Urol. 2009 Jul;19(4):419-23.

  11. González C, Fernandez C, Cabrerea J, Garcia J, Rodriguez- Miñón JL, Garcia E, Vela R. Cirugía de la litiasis renoureteral. Indicaciones actuales. Ac Urol Esp. 2001;25(9):610-17.

  12. Canes D, Desai, Mihir M, New technology in the treatment of nephrolithiasis. Curr Op Urol. 2008 Mar;18(2):235-40.

  13. Smaldone M, Corcoran A, Docimo S, Ost M. Endourological Management of Pediatric Stone Disease: Present Status. J Urol. 2009 Jan;181(1):17-28.

  14. Erdenetsesteg G, Manohar T, Songh H, Desal M. Endourologic Management of Pediatric Urolithiasis: Proposed Clinical Guidelines. J Endourol. 2006 Oct;20(10):737-48.

  15. Floratos D.L., de la Rosette J.J. Lasers in urology. BJU. 1999, 84, 204-211.

  16. Sandhu AS, Srivastava A, Madhusoodanan G, Sinhe T, Gupta SK, Kumar A, Sethi GS, Khanna R. Holmium: YAG Laser for Intra Corporeal Lithotripsy. MJAFI. 2007;63:48-51.

  17. Waidelich R. Laser-induced lithotripsy and photodynamic therapy in urology- A short introduction to current laser applications. Med Laser Ap. 2010 Feb;25(1):14-19.

  18. Kim S, Kolon T, Canter D, Withe M, Casale P. Pediatric Flexible Ureteroscopic Lithotripsy: The Children´s Hospital of Philadelphia Experience. J Urol. 2008 Dec;180(6):2616-2619.

  19. Tanaka S, Pediatric Ureteroscopic Management of Intrarenal Calculi. J Urol. 2008 Nov;180(5):2150-54.

  20. Arrabal M, Gutierrez F, Ocete C, De Vera E, Miján JL, Zuluaga A. Tratamiento de la litiasis coraliforme. Arch. Esp. Urol. 2004;57(1):9-24.

  21. Isen K, Em S, Kilic V, Utku V, Bogatekin S, Ergin H. Management of Bladder Stones with Pneumatic Lithotripsy Using a Ureteroscope in Children. J Endourol. 2008 May;22(5):1037-1040.

  22. Grasso M, Bagley D. Small Diameter, Actively Deflectable, Flexible Ureteropyeloscopy. J Urol. 1998 Nov;160(5):1648-54.

  23. Breda A, Ogunyemi o, Leppert J, Lam JS, Schulam PG. Flexible Ureteroscopy and Laser Lithotripsy for Single Intrarenal Stones 2cm or Greater-Is This the New Frontier?. J Urol. 2008 Mar;179(3): 981-984.

  24. Ramakrishnan PA, Medhat M, Al-Buluchi YH, Gopakumar KP, Sampige VP, Al-Busaidy SS. Holmium laser cystolithotripsy in Children: initial experience. Canadian J Urol. 2005, 12(6): 2880-2886.

  25. Breda A, Flexible Ureteroscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones. Eur Urol. 2009 May;55(5): 1190-1197.

  26. Landa S, Hernandez G, Menéses J, Valvas de uretra posterior: presentación de 62 casos (utilidad del láser de holmio). Rev Mex Cir Ped. 2005 Jul-Sep;12(3):135-145.




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