Safety and Efficacy of Day-case Laser Ureteroscopic Lithotripsy: A Retrospective Descriptive Study
Keywords:
Ureteric stone/calculi, Laser Ureteroscopic lithotripsy, One-day surgeryAbstract
Background: Ureteroscopic lithotripsy (URSL) is a minimally invasive procedure that break ureteric stone by laser and pneumatic via ureteroscope. The procedure has become more popular due to its good outcome, low risk of severe complications and it can be performed as one-day surgery. Objective: To study the safety and efficacy of laser ureteroscopic lithotripsy as day surgery. Method: A Retrospective descriptive study on medical records of patient undergoing day-case laser ureteroscopic lithotripsy in Sakonnakhon Hospital was done. The safety indicators included intraoperative and postoperative complications. The efficacy indicator was stone free rate. Result: A total of 115 patients were included. There are male 58.3% and female 41.7%. Average age was 44.7 years old. Average ureteric stone size was 9.17 mm. The mean procedure time is 23.9 minutes. Average in hospital time was 6 hours. No severe intraoperative complications (shock or ureteral perforation) occurred. Postoperative complications included gross hematuria (40.87%), pain (66.9% with average pain score of 2.27/10), fever (6.08%), immediate admission (5.22%), and re-admission (1.74%). Stone free rate was 97.4%. All complication were safely treated or managed before discharge. Conclusion: Laser ureteroscopic lithotripsy as a day surgery proves to be safe with no serious complications and has great stone free rate outcome.
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