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Two-shift operation mode can improve the efficiency and comfort of flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm.
Int Braz J Urol. 2019 Nov-Dec; 45(6):1161-1166.IB

Abstract

PURPOSE

To compare two-shift operation mode and single player mode different impact on surgical results and operator comfort in flexible ureteroscopic holmium laser lithotripsy for renal calculi larger than 1.5cm.

MATERIALS AND METHODS

From december 2017 to december 2018, 92 patients with renal calculi admitted to Qilu Hospital and were treated through fl exible ureteroscopy. They were randomized in two-shift group (n=50) and single player group (n=42). The operative time, blood loss, hospitalization stay after operation, residual fragments (≥4mm) rate, fragmentation speed, postoperative complications and operator's fatigue score were compared.

RESULTS

There was no significant difference between two groups regarding age, gender, illness side, stone size, blood loss, operative time, postoperative hospitalization stay, complications, etc (p >0.05). The fragmentation speed was 44.5±20.0mm3/min in two-shift group compared with 34.2±17.3mm3/min in single player group (p=0.037). Residual fragments (≥4mm) rate after fi rst surgery was 18% in two-shift group, while the residual fragments (≥4mm) rate was 40.5% after first surgery in single player group (p=0.017). The total fatigue score of two-shift group was 8.4 compared to 29.9 in single player group (p <0.001).

CONCLUSION

In flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm, two-shift operation mode can raise the fragmentation speed and stone clearance rate, as well as signifi cantly lower operator's fatigue level and improve operator's comfort.

Authors+Show Affiliations

Qilu Hospital of Shandong University, Qingdao, China.Qilu Hospital of Shandong University, Qingdao, China.Qilu Hospital of Shandong University, Qingdao, China.Qilu Hospital of Shandong University, Qingdao, China.Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China.Qilu Hospital of Shandong University, Qingdao, China.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

31808404

Citation

Hui, Sun, et al. "Two-shift Operation Mode Can Improve the Efficiency and Comfort of Flexible Ureteroscopic Holmium Laser Lithotripsy for the Treatment of Renal Calculi Larger Than 1.5cm." International Braz J Urol : Official Journal of the Brazilian Society of Urology, vol. 45, no. 6, 2019, pp. 1161-1166.
Hui S, Qingya Y, Xinbao Y, et al. Two-shift operation mode can improve the efficiency and comfort of flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm. Int Braz J Urol. 2019;45(6):1161-1166.
Hui, S., Qingya, Y., Xinbao, Y., Ming, L., Gonghui, L., & Jun, C. (2019). Two-shift operation mode can improve the efficiency and comfort of flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm. International Braz J Urol : Official Journal of the Brazilian Society of Urology, 45(6), 1161-1166. https://doi.org/10.1590/S1677-5538.IBJU.2019.0219
Hui S, et al. Two-shift Operation Mode Can Improve the Efficiency and Comfort of Flexible Ureteroscopic Holmium Laser Lithotripsy for the Treatment of Renal Calculi Larger Than 1.5cm. Int Braz J Urol. 2019 Nov-Dec;45(6):1161-1166. PubMed PMID: 31808404.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two-shift operation mode can improve the efficiency and comfort of flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm. AU - Hui,Sun, AU - Qingya,Yang, AU - Xinbao,Yin, AU - Ming,Liu, AU - Gonghui,Li, AU - Jun,Chen, PY - 2019/04/03/received PY - 2019/07/13/accepted PY - 2019/12/7/entrez PY - 2019/12/7/pubmed PY - 2020/1/23/medline KW - Kidney Calculi KW - Lithotripsy, Laser KW - Ureteroscopy SP - 1161 EP - 1166 JF - International braz j urol : official journal of the Brazilian Society of Urology JO - Int Braz J Urol VL - 45 IS - 6 N2 - PURPOSE: To compare two-shift operation mode and single player mode different impact on surgical results and operator comfort in flexible ureteroscopic holmium laser lithotripsy for renal calculi larger than 1.5cm. MATERIALS AND METHODS: From december 2017 to december 2018, 92 patients with renal calculi admitted to Qilu Hospital and were treated through fl exible ureteroscopy. They were randomized in two-shift group (n=50) and single player group (n=42). The operative time, blood loss, hospitalization stay after operation, residual fragments (≥4mm) rate, fragmentation speed, postoperative complications and operator's fatigue score were compared. RESULTS: There was no significant difference between two groups regarding age, gender, illness side, stone size, blood loss, operative time, postoperative hospitalization stay, complications, etc (p >0.05). The fragmentation speed was 44.5±20.0mm3/min in two-shift group compared with 34.2±17.3mm3/min in single player group (p=0.037). Residual fragments (≥4mm) rate after fi rst surgery was 18% in two-shift group, while the residual fragments (≥4mm) rate was 40.5% after first surgery in single player group (p=0.017). The total fatigue score of two-shift group was 8.4 compared to 29.9 in single player group (p <0.001). CONCLUSION: In flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm, two-shift operation mode can raise the fragmentation speed and stone clearance rate, as well as signifi cantly lower operator's fatigue level and improve operator's comfort. SN - 1677-6119 UR - https://www.unboundmedicine.com/medline/citation/31808404/Two_shift_operation_mode_can_improve_the_efficiency_and_comfort_of_flexible_ureteroscopic_holmium_laser_lithotripsy_for_the_treatment_of_renal_calculi_larger_than_1_5cm_ L2 - https://www.intbrazjurol.com.br/pdf/vol45n06/Hui_1161_1166.pdf DB - PRIME DP - Unbound Medicine ER -