Tags

Type your tag names separated by a space and hit enter

Treatment of Complex Renal Calculi by Digital Flexible Ureterorenoscopy Combined with Single-Tract Super-Mini Percutaneous Nephrolithotomy in Prone Position: A Retrospective Cohort Study.
Med Sci Monit 2019; 25:5878-5885MS

Abstract

BACKGROUND

Advances in percutaneous nephrolithotomy (PCNL) have resulted in smaller devices that cause less trauma and bleeding, while flexible ureterorenoscopy (f-URS) allows access to any calyces. These methods are often used in isolation, but used in combination they may improve treatment of complex renal calculi. This study assessed the effectiveness and complications of f-URS combined with super-mini-PCNL (SMP) to treat complex renal calculi. MATERIAL AND

METHODS

A retrospective cohort analysis was made of patients with unilateral complex renal stones treated between March 2013 and December 2016. Patients were grouped according to surgical procedure: SMP (SMP Group), f-URS holmium laser lithotripsy (f-URS Group), and combined SMP and f-URS (Combined Group). The postoperative complications and complete stone-free rate were analyzed and compared among the 3 groups.

RESULTS

A total of 140 patients with complex renal stones were included: 40 patients in the SMP Group, 55 in the f-URS Group, and 45 in the Combined Group. The complete stone-free rate 3 days after the procedure was 77.5% in the SMP Group, 78.2% in the f-URS Group, and 97.8% in the Combined Group (p=0.010). The operation time, intraoperative blood loss, and hospitalization time of the Combined Group were all significantly lower than those in the SMP Group but higher than those in the f-URS Group. The follow-up was 9 months (range, 6-12 months). There were no medium-term complications reported.

CONCLUSIONS

SMP combined with f-URS holmium laser lithotripsy in the prone position is an effective treatment for complex renal calculi.

Authors+Show Affiliations

Shandong University, Jinan, Shandong, China (mainland). Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland).Shandong University, Jinan, Shandong, China (mainland). Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland).Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland).Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland).Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland). Taishan Medical University, Taian, Shandong, China (mainland).Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland). Taishan Medical University, Taian, Shandong, China (mainland).Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China (mainland).

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31389405

Citation

Gao, Huayu, et al. "Treatment of Complex Renal Calculi By Digital Flexible Ureterorenoscopy Combined With Single-Tract Super-Mini Percutaneous Nephrolithotomy in Prone Position: a Retrospective Cohort Study." Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, vol. 25, 2019, pp. 5878-5885.
Gao H, Zhang H, Wang Y, et al. Treatment of Complex Renal Calculi by Digital Flexible Ureterorenoscopy Combined with Single-Tract Super-Mini Percutaneous Nephrolithotomy in Prone Position: A Retrospective Cohort Study. Med Sci Monit. 2019;25:5878-5885.
Gao, H., Zhang, H., Wang, Y., Li, K., Du, W., Wang, X., & Wang, J. (2019). Treatment of Complex Renal Calculi by Digital Flexible Ureterorenoscopy Combined with Single-Tract Super-Mini Percutaneous Nephrolithotomy in Prone Position: A Retrospective Cohort Study. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 25, pp. 5878-5885. doi:10.12659/MSM.915034.
Gao H, et al. Treatment of Complex Renal Calculi By Digital Flexible Ureterorenoscopy Combined With Single-Tract Super-Mini Percutaneous Nephrolithotomy in Prone Position: a Retrospective Cohort Study. Med Sci Monit. 2019 Aug 7;25:5878-5885. PubMed PMID: 31389405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of Complex Renal Calculi by Digital Flexible Ureterorenoscopy Combined with Single-Tract Super-Mini Percutaneous Nephrolithotomy in Prone Position: A Retrospective Cohort Study. AU - Gao,Huayu, AU - Zhang,Hui, AU - Wang,Yunchao, AU - Li,Kai, AU - Du,Wenzhi, AU - Wang,Xiangyu, AU - Wang,Jianning, Y1 - 2019/08/07/ PY - 2019/8/8/entrez PY - 2019/8/8/pubmed PY - 2019/8/8/medline SP - 5878 EP - 5885 JF - Medical science monitor : international medical journal of experimental and clinical research JO - Med. Sci. Monit. VL - 25 N2 - BACKGROUND Advances in percutaneous nephrolithotomy (PCNL) have resulted in smaller devices that cause less trauma and bleeding, while flexible ureterorenoscopy (f-URS) allows access to any calyces. These methods are often used in isolation, but used in combination they may improve treatment of complex renal calculi. This study assessed the effectiveness and complications of f-URS combined with super-mini-PCNL (SMP) to treat complex renal calculi. MATERIAL AND METHODS A retrospective cohort analysis was made of patients with unilateral complex renal stones treated between March 2013 and December 2016. Patients were grouped according to surgical procedure: SMP (SMP Group), f-URS holmium laser lithotripsy (f-URS Group), and combined SMP and f-URS (Combined Group). The postoperative complications and complete stone-free rate were analyzed and compared among the 3 groups. RESULTS A total of 140 patients with complex renal stones were included: 40 patients in the SMP Group, 55 in the f-URS Group, and 45 in the Combined Group. The complete stone-free rate 3 days after the procedure was 77.5% in the SMP Group, 78.2% in the f-URS Group, and 97.8% in the Combined Group (p=0.010). The operation time, intraoperative blood loss, and hospitalization time of the Combined Group were all significantly lower than those in the SMP Group but higher than those in the f-URS Group. The follow-up was 9 months (range, 6-12 months). There were no medium-term complications reported. CONCLUSIONS SMP combined with f-URS holmium laser lithotripsy in the prone position is an effective treatment for complex renal calculi. SN - 1643-3750 UR - https://www.unboundmedicine.com/medline/citation/31389405/Treatment_of_Complex_Renal_Calculi_by_Digital_Flexible_Ureterorenoscopy_Combined_with_Single-Tract_Super-Mini_Percutaneous_Nephrolithotomy_in_Prone_Position:_A_Retrospective_Cohort_Study L2 - https://www.medscimonit.com/download/index/idArt/915034 DB - PRIME DP - Unbound Medicine ER -