Clinical efficacy of flexible ureteroscopic holmium laser lithotripsy combined with cyst wall incision in the treatment of renal calculi with ipsilateral renal cyst
10.3969/j.issn.1009-8291.2023.08.010
- VernacularTitle:输尿管软镜钬激光碎石联合囊壁切开引流治疗肾结石合并同侧肾囊肿的临床疗效
- Author:
Jianhui DU
1
;
Jianhua LAN
1
;
Xiaohan XU
1
;
Guohua HUANG
1
;
Hai YANG
1
Author Information
1. Department of Urology, West China-Guang’an Hospital, Sichuan University, Guangan 638000, China
- Publication Type:Journal Article
- Keywords:
renal calculi;
renal cysts;
flexible ureteroscope;
incision and drainage of cyst wall;
retroperitoneal laparoscopic unroofing decompression of renal cyst
- From:
Journal of Modern Urology
2023;28(8):687-691
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the efficacy of flexible ureteroscopic holmium laser lithotripsy combined with cyst wall incision and drainage in the treatment of renal calculi with ipsilateral renal cyst. 【Methods】 A total of 70 patients with renal calculi complicated with ipsilateral renal cyst (cyst diameter >40 mm, maximum diameter of stone <20 mm, distance from renal calyx <2 mm) treated in our hospital during Feb.2015 and Feb.2020 were selected. The patients were divided into cyst wall incision and drainage group (flexible ureteroscopic holmium laser lithotripsy combined with cyst wall incision and drainage) and renal cyst deroof decompression group (flexible ureteroscopic holmium laser lithotripsy combined with retroperitoneal laparoscopic renal cyst unroofing decompression), with 35 cases in either group. The general information, clinical data, complications, stone-clearance rate and 12-month postoperative effective rate were compared between the two groups. 【Results】 All operations were successful. Compared with the renal cyst unroofing decompression group, the cyst wall incision and drainage group had shorter operation time and postoperative hospital stay (P<0.05), lower postoperative Scr[(107.61±16.88) μmol/L vs. (138.25±18.29) μmol/L, P<0.05], higher Hb[(124.33±12.85) g/L vs. (101.36±13.14) g/L, P<0.001], lower incidence of complications (8.6% vs. 28.6%, P=0.031). There were no significant differences in the residual stone rate and effective rate between the two groups 12 months after operation (P>0.05). 【Conclusion】 Flexible ureteroscopic holmium laser lithotripsy combined with cyst incision and drainage has the advantages of short operation time, small trauma, few adverse reactions, good stone clearance effect and satisfactory efficacy. It can be used as a preferred surgical method for renal calculi complicated with ipsilateral renal cyst.
