Resumen de Experiencia inicial en el tratamietno de la litiasis del Uréter proximal con Ureteroscopio rígido y fragmentaación con láser de Holmio-YAG en la Fundación Santa Fe de Bogotá
José Daniel Daza Pupo, Lina María Carmona, Carlos Gustavo Trujillo Ordoñez, Mauricio Plata Salazar, Fabián Daza Almendrales, Mauricio Cifuentes Barreto, Adolfo Serrano Acevedo, Carlos Andrés Carrillo Molina, Nicolás Villarreal Trujillo
- español
Purpose: To determine the of the safety and efficacy of the use of the Ho:YAG laser in the treatment of proximal ureteral stones in the Fundacion Santa Fe de Bogota. Methods: Observational descriptive study. All patients who were treated with rigid ureteroscopy and Ho:YAG fragmentation for proximal ureteral stones between May and October 2009 were included. Results:
Twenty four patients were included. 37% of the patients had received alphablocker therapy before surgical intervention was considered. Mean operative time was 100 min. treatment was successful in 91% of the patients. We had two complications. Conclusions: Rigid ureteroscopy with Ho:YAG fragmentation is a safe procedure for the treatment of proximal ureteral stones. Our initial experience is satisfactory, with a success rate of 91%. To our knowledge this is the first report of this kind of approach in our country.
- English
Purpose: To determine the of the safety and efficacy of the use of the Ho:YAG laser in the treatment of proximal ureteral stones in the Fundacion Santa Fe de Bogota. Methods: Observational descriptive study. All patients who were treated with rigid ureteroscopy and Ho:YAG fragmentation for proximal ureteral stones between May and October 2009 were included. Results:
Twenty four patients were included. 37% of the patients had received alphablocker therapy before surgical intervention was considered. Mean operative time was 100 min. treatment was successful in 91% of the patients. We had two complications. Conclusions: Rigid ureteroscopy with Ho:YAG fragmentation is a safe procedure for the treatment of proximal ureteral stones. Our initial experience is satisfactory, with a success rate of 91%. To our knowledge this is the first report of this kind of approach in our country.
