Sofia I. Kozachikhina
Department of Urology, Saint Luca St Petersburg Public Hospital, Moscow, Russia
Publications
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Research Article
Micropercutaneous Laser Lithotripsy: How to Improve Stone Free Rate
Author(s): Alexey G. Martov, Sergey V. Popov, Andrey S. Andronov, Alexey V. Emelyanenko, Sofia I. Kozachikhina and Olga A. Plekhanova*
Introduction: Micropercutaneous Nephrolithotomy is a novel technique with the creation of a 4.85-8F working channel. The advantage of micro-PCNL is the possibility of kidney puncture under direct endoscopic control. Materials and Methods: 99 patients aged 47,3 ± 16.9 years were included in the study. 78 patients had isolated kidney stones (78.8%). The stone size ranged from 8 to 38 mm (13.9 ± 5.4 mm). Group A included stones smaller than 15 mm (57 patients, 57,6%) and Group B included stones larger than 15 mm (42 patients, 42,4%). A 4.85 F percutaneous sheath was used in 38 (38,4%) patients, 8 F sheath was used in 61 (61,6%) patients. A holmium laser for lithotripsy was used in 46.5% cases, the thulium fiber laser in 53.5%. Results: The average surgery time was 39,9 ± 13.7 min (from 13 to 75 mi.. Read More»
