Moses 2.0 for High-Power Ureteroscopic Stone Dusting: Clinical Principles for Step-by-Step Video Technique.
J Endourol
; 35(S3): S22-S28, 2021 12.
Article
em En
| MEDLINE
| ID: mdl-34910608
ABSTRACT
Introduction:
We present our initial experience using the Moses 2.0 system for flexible-ureteroscopy (f-URS) high-frequency renal stone dusting, including a step-by-step video guide of our clinical principles for dusting technique. Materials andMethods:
Twelve consecutive patients undergoing f-URS with Moses 2.0 (Lumenis) for a single renal stone by a single surgeon at an ambulatory center were reviewed. Stone-free rates (SFRs) and Clavien grade complications were assessed. Operative steps with illustrative examples are provided in an accompanying video.Results:
Mean (range) stone size and lithotripsy time were 10.4 (5.3-17.2) mm and 15.0 (5-26) minutes, respectively. Complete SFR and <2 mm residual fragments were 82% and 18%, respectively. One patient had a Clavien Grade 1 complication. Operative steps reviewed include instrumentation, stone control, laser settings, and stent omission criteria. The preferred laser settings for renal stone dusting were 0.2-0.3 J and 100-120 Hz. Limitation of this early experience study is the small sample size. Larger studies are needed to confirm our initial findings.Conclusions:
Early experience of Moses 2.0 for f-URS renal stone dusting demonstrated effective and efficient laser lithotripsy in patients with renal stones <2 cm.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Litotripsia
/
Cálculos Renais
/
Litotripsia a Laser
/
Lasers de Estado Sólido
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
J Endourol
Ano de publicação:
2021
Tipo de documento:
Article