Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report
Siantong M., Ketsuwan C. Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report. SAGE Open Medical Case Reports Vol.12 (2024). doi:10.1177/2050313X241232278 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/97277
Title
Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report
Employing percutaneous nephrolithotomy to manage a complex renal calculus has always been challenging due to the blood transfusion requirement and the frequent necessity of using multiple access tracts. We report a novel treatment modality in the case of a 65-year-old male with a complex, large-volume renal calculus who was successfully treated by vacuum-assisted miniaturized endoscopic combined intrarenal surgery using the combination of a thulium fiber laser in retrograde fashion with a holmium:YAG laser in antegrade fashion. The kidney stone was entirely cleared, and the patient fully recovered with no adverse event.
