This is an automatically translated article.
The article was professionally consulted by Doctor Department of General Surgery and Anesthesia, Vinmec Hai Phong International General Hospital.
Science is getting more and more modern, so the surgical treatment of kidney stones is getting simpler and simpler. Endoscopic retrograde laser lithotripsy is currently one of the most popular and advanced techniques in the treatment of kidney stones.
1. What is retrograde endoscopic lithotripsy?
Endoscopic retrograde laser lithotripsy is a technique that uses a ureteroscope to go from the urethra, through the bladder and up the ureter to reach the stone directly. Then use compressed air or laser energy to break up the stone and pump and pick up to get all the gravel out.
Location of laser kidney stone: Lithotripsy lower 1/3 and middle 1/3 of the ureter for men, higher lithotripsy up to the level of L3 and L4 vertebrae for women.
1.1. Indications Patients treated by endoscopic retrograde laser lithotripsy with a flexible bronchoscope need to meet the following conditions:
Pelvic calculi with a size of 3cm or less, alone, in combination, with many tablets . Recurrent kidney stones after open surgery. Upper ureteral stones migrate in the kidney after retrograde endoscopic lithotripsy with rigid, semi-rigid tubes. Upper ureteral stones migrate into the kidney during retroperitoneal laparoscopic stone removal. Using a flexible bronchoscope in combination with percutaneous endoscopic lithotripsy (PCNL) is difficult to access or in the case of pyelonephritis combined with a soft bronchoscope to remove stones. High-grade ureteral stone is indicated for lithotripsy by one-stage flexible bronchoscope. 1.2. Contraindications Contraindications apply to patients:
Narrow ureters, bends, kidney malformations, ureters cannot be placed endoscopes. Renal calyx stones larger than 3 cm. Lower calyx with LIP angle < 30 degrees, IL > 3 cm and IW < 5 mm. Untreated urinary tract infection, hydronephrosis, loss of function. Contraindications to general anesthesia 1.3. Advantages Flexible tubular lithotripsy is a modern, minimally invasive technique in the treatment of urinary tract stones. This technique helps to preserve the maximum kidney function and helps the patient recover quickly, the patient can be discharged after 1-2 days. With laparoscopic method with flexible bronchoscope, the patient will not have an incision - all operations are performed through the natural route.
1.4. Disadvantages Do not apply this technique to patients with urethral stricture, the urinary tract is in the stage of inflammation and infection. Risk of complications: perforation of the ureter (due to laser burning in the wrong location or spreading), not being able to place the endoscope to access the location of the stone... High cost of lithotripsy.
2. Why should we perform retrograde endoscopic laser lithotripsy with a flexible bronchoscope at Vinmec Hai Phong?
Vinmec International General Hospital in Hai Phong with a team of highly qualified and experienced doctors, especially in the field of endoscopy.
Advanced and modern medical equipment system, bringing the highest treatment efficiency: modern imaging system, Karl storz endoscopy system, Sphinx laser machine 30w, 100w. The operating room system is strictly controlled for infection, and patients usually only need 1 dose of prophylactic antibiotics. Professional service with civilized and modern wards, one room per patient and comprehensive monitoring of health parameters, well-confidential patient information. Surgical customers at the Department of Surgery, Vinmec Hai Phong Hospital enjoy outstanding benefits including:
Short hospital stay, minimizing the cost of stay, reducing the risk of hospital infections. With cases of lithotripsy, inguinal hernia, customers can always go to work after 1 day of discharge from the hospital. Limit the use of antibiotics, reduce the risk of side effects, save costs, patients do not have to worry and fear when administering antibiotics and monitoring after taking the drug. The recovery rate reached 90%, re-hospitalization 0%, postoperative infection 0%. The Early Post-Surgery Care Program provides comprehensive care to patients before, during and after surgery, helping to reduce hospital stay, improve treatment quality and reduce costs; reduce the rate of complications. ERAS has been shown to shorten the mean length of stay from 8-10 days to 3-4 days. Insurance : Vinmec signed with many large private insurance partners. When customers are hospitalized, they are guaranteed and compensated at the hospital. Save a lot of customer's time and effort. Other advantages : Modern equipment; Service quality according to international standards; Highly qualified doctor; Patients do not need relatives to take care of them because they are cared for by a dedicated and thoughtful nursing doctor... To register for examination and treatment, you can contact the following address:
National General Hospital Vinmec Hai Phong – Vo Nguyen Giap, Le Chan District, Hai Phong City.
Hotline: 0225 7309 888
Register online HERE
Customers wishing to consult and treat endoscopic retrograde nephrolithiasis laser with a flexible bronchoscope at Vinmec Hai Phong can register directly HERE.
