Comparison of mean operative time in patients undergoing Ho: YAG laser lithotripsy and pneumatic lithotripsy in ureterorenoscopy for ureteric calculus

  • Muhammad Tanveer Sajid AFIU Rawalpindi https://orcid.org/0000-0001-9904-8570
  • Mohammad Ameen AFIU Rawalpindi
  • Badar Murtaza AFIU Rawalpindi
  • Muhammad Sarwar Alvi AFIU Rawalpindi
  • Zakir Khan AFIU Rawalpindi
  • Faran Kiani AFIU Rawalpindi
Keywords: Laser lithotripsy, Lasers Solid state, Operative time, Pneumatic lithotripsy, Ureteral calculi, yttrium-aluminum-garnet

Abstract

Objective: To compare the mean operative time (MOT) in patients undergoing Ho: YAG laser lithotripsy (LL) and pneumatic lithotripsy (PL) for ureteric stones.

Methods: This randomized study was conducted at Armed Forces Institute of Urology (AFIU) Rawalpindi, Pakistan from July 2016 to November 2018. Non probability consecutive sampling technique utilized to enroll 60 patients of both gender aged 18-60 years, having ureteric calculus ≤1.5cm. Randomization was done into group I (LL) and II (PL) via computer generated number tables. Six Consultant Urologists performed surgeries under spinal anesthesia utilizing Swiss Lithoclast® Master (EMS+ S.A. Switzerland) in group II and holmium laser fiber (365μm, 8-10Hz, 9.6-16W, 2100nm wavelength) in group I respectively. MOT was noted from insertion of cystoscope till removal out of meatus. Data obtained was analyzed through IBM SPSS 24.0.

Results: Analysis involved 60 patients (30 each group) having similar baseline characteristics (age, gender, laterality, location). There was statistically significant different MOT between LL & PL (25.48±6.99 vs 34.83±7.47 minutes, p < 0.001). Data stratification with respect to age, gender, laterality and stone location revealed similar trend. Lithotripsy technique significantly affected MOT (p < 0.001) on Multiple Linear Regression Analysis.

Conclusions: Ho: YAG LL is an efficient technique when compared with PL in terms of MOT for ureteric stones.

doi: https://doi.org/10.12669/pjms.37.2.3049

How to cite this:
Sajid MT, Ameen M, Murtaza B, Alvi MS, Khan Z, Kiani F. Comparison of mean operative time in patients undergoing Ho: YAG laser lithotripsy and pneumatic lithotripsy in ureterorenoscopy for ureteric calculus. Pak J Med Sci. 2021;37(2):415-420.  doi: https://doi.org/10.12669/pjms.37.2.3049

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-02-03
How to Cite
Sajid, M., Ameen, M., Murtaza, B., Alvi, M., Khan, Z., & Kiani, F. (2021). Comparison of mean operative time in patients undergoing Ho: YAG laser lithotripsy and pneumatic lithotripsy in ureterorenoscopy for ureteric calculus. Pakistan Journal of Medical Sciences, 37(2). https://doi.org/10.12669/pjms.37.2.3049
Section
Original Articles

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