Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Department of Urology, Tabba Kidney Institute, Karachi, Pakistan.
J Pak Med Assoc. 2022 Sep;72(9):1852-1854. doi: 10.47391/JPMA.3347.
The objective of our study was to evaluate the efficacy of Master Lithoclast, also known as trilogy lithoclast, in simultaneous bilateral Percutaneous Nephrolithotomy (PCNL). The study was a prospective case series, involving 40 patients undergoing bilateral simultaneous PCNL, with 20 (50%) males and 20 (50%) females. The mean age of subjects was 32.9±7.9 years. In Guy's stone scoring 7(17.5%) patients classified in Group I, 28 (70%) in group II and the remaining 5(12.5%) patients were placed in group III. Total operative time observed was 74.8±17.9 minutes. Complete stone clearance was observed in 30 (75%) patients. In conclusion, study data confirmed that Master Lithoclast provides faster stone clearance and is unaffected by the composition of stones, ease of usability, and improved tissue safety with reduced chances of fragments blocking are key factors.
我们的研究目的是评估 Master Lithoclast（也称为 trilogy lithoclast）在双侧经皮肾镜碎石取石术（PCNL）中的疗效。该研究是一项前瞻性病例系列研究，共纳入 40 例双侧同期行 PCNL 的患者，其中男性 20 例（50%），女性 20 例（50%）。患者的平均年龄为 32.9±7.9 岁。在 Guy 结石评分中，7 例（17.5%）患者为 I 组，28 例（70%）患者为 II 组，其余 5 例（12.5%）患者为 III 组。观察到的总手术时间为 74.8±17.9 分钟。30 例（75%）患者结石完全清除。总之，研究数据证实，Master Lithoclast 可更快地清除结石，并且不受结石成分、易用性、组织安全性提高以及碎片堵塞几率降低等因素的影响。
