Treatment of 46 cases with complex renal calculi with holmium laser combined with extracorporeal shock wave lithotripsy by percutaneous nephroscope

Objective: To investigate the effects of holmium laser combined with extracorporeal shock wave lithotripsy(ESWL) by percutaneous nephroscope in treatment of complex renal calculi. Methods: Holmium laser combined with ESWL by percutaneous nephroscope were used to treat 46 cases with complex renal calculi. Results: The mean time of operation and hospital stays were 56 minutes(15-221 min) and 15. 7 days(10-21 d) , and stones clearance was 97. 8%. The severe complications of septic shock and surrounding organs injury were not found. Conclusions: The technology of treatment of complex renal calculi with holmium laser combined with ESWL lithotripsy by percutaneous nephroscope is effective and safe way. It is high clearance rate and less complications, and worthy of clinic application.