Cargando…
Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope
BACKGROUND AND OBJECTIVES: The holmium laser has a short absorption depth in tissue and possesses excellent properties both in ablation and hemostasis. We have performed endoscopic incision for ureteral stricture using the holmium laser through a small-caliber ureteroscope. METHODS: This method was...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2000
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113172/ https://www.ncbi.nlm.nih.gov/pubmed/10987397 |
_version_ | 1782205895421198336 |
---|---|
author | Hatsuki, Hibi Mitsui, Kenji Taki, Tomohiro Mizumoto, Hiroyuki Yoshiaki, Yamamda Honda, Nobuaki Fukatsu, Hidetoshi |
author_facet | Hatsuki, Hibi Mitsui, Kenji Taki, Tomohiro Mizumoto, Hiroyuki Yoshiaki, Yamamda Honda, Nobuaki Fukatsu, Hidetoshi |
author_sort | Hatsuki, Hibi |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: The holmium laser has a short absorption depth in tissue and possesses excellent properties both in ablation and hemostasis. We have performed endoscopic incision for ureteral stricture using the holmium laser through a small-caliber ureteroscope. METHODS: This method was used on five patients and seven ureters. The etiology of the stricture was stone scar in two patients, ureteroenteroanastomosis of Indiana urinary pouch in two, and primary in one. We used an 8F semi-rigid or 6.9F flexible ureteroscope. No prior procedures, such as balloon dilation, were necessary in any of the cases. The stricture was incised with the holmium laser using a 365-μm fiber through the working channel of the ureteroscope. The holmium laser operated at a wavelength of 2100 nm, with an output of 1.0J/pulse at a rate of 10 Hz. After completion of the incision, a 12F Double-J catheter was left in for six weeks. RESULTS: The mean operative time was 89 minutes. The stricture resolved completely in all cases at an average follow-up of 8.6 months. CONCLUSIONS: The holmium laser incision for ureteral stricture using a small-caliber ureteroscope is an easy-to-perform, safe and effective procedure. |
format | Online Article Text |
id | pubmed-3113172 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2000 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-31131722011-07-12 Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope Hatsuki, Hibi Mitsui, Kenji Taki, Tomohiro Mizumoto, Hiroyuki Yoshiaki, Yamamda Honda, Nobuaki Fukatsu, Hidetoshi JSLS Scientific Papers BACKGROUND AND OBJECTIVES: The holmium laser has a short absorption depth in tissue and possesses excellent properties both in ablation and hemostasis. We have performed endoscopic incision for ureteral stricture using the holmium laser through a small-caliber ureteroscope. METHODS: This method was used on five patients and seven ureters. The etiology of the stricture was stone scar in two patients, ureteroenteroanastomosis of Indiana urinary pouch in two, and primary in one. We used an 8F semi-rigid or 6.9F flexible ureteroscope. No prior procedures, such as balloon dilation, were necessary in any of the cases. The stricture was incised with the holmium laser using a 365-μm fiber through the working channel of the ureteroscope. The holmium laser operated at a wavelength of 2100 nm, with an output of 1.0J/pulse at a rate of 10 Hz. After completion of the incision, a 12F Double-J catheter was left in for six weeks. RESULTS: The mean operative time was 89 minutes. The stricture resolved completely in all cases at an average follow-up of 8.6 months. CONCLUSIONS: The holmium laser incision for ureteral stricture using a small-caliber ureteroscope is an easy-to-perform, safe and effective procedure. Society of Laparoendoscopic Surgeons 2000 /pmc/articles/PMC3113172/ /pubmed/10987397 Text en © 2000 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Hatsuki, Hibi Mitsui, Kenji Taki, Tomohiro Mizumoto, Hiroyuki Yoshiaki, Yamamda Honda, Nobuaki Fukatsu, Hidetoshi Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope |
title | Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope |
title_full | Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope |
title_fullStr | Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope |
title_full_unstemmed | Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope |
title_short | Holmium Laser Incision Technique for Ureteral Stricture Using a Small-Caliber Ureteroscope |
title_sort | holmium laser incision technique for ureteral stricture using a small-caliber ureteroscope |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113172/ https://www.ncbi.nlm.nih.gov/pubmed/10987397 |
work_keys_str_mv | AT hatsukihibi holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope AT mitsuikenji holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope AT takitomohiro holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope AT mizumotohiroyuki holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope AT yoshiakiyamamda holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope AT hondanobuaki holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope AT fukatsuhidetoshi holmiumlaserincisiontechniqueforureteralstrictureusingasmallcaliberureteroscope |