Safety and efficacy of flexible ureteroscopic lithotripsy in day surgery for elderly patients
10.3760/cma.j.cn114798-20231030-00338
- VernacularTitle:日间手术模式下开展老年患者输尿管软镜碎石的疗效与安全性
- Author:
Runhua TANG
1
;
Zhengtong LYU
;
Haoran WANG
;
Xin CHEN
;
Cheng PANG
;
Jianlong WANG
Author Information
1. 北京医院泌尿外科 国家老年医学中心 中国医学科学院老年医学研究院，北京100730
- Keywords:
Urinary tract calculi;
Aged;
Ureteroscope;
Day surgery
- From:
Chinese Journal of General Practitioners
2024;23(1):57-60
- CountryChina
- Language:Chinese
-
Abstract:
The clinical data of 160 elderly patients with upper urinary tract stones who underwent flexible ureteroscopic lithotripsy (FURL) in Beijing Hospital from May 2021 to November 2022 were retrospectively analyzed, including 80 patients with ambulatory surgery (study group) and 80 patients with the traditional surgery (control group). The efficacy and safety were compared between two groups. There were no significant differences in the rate of complete stone removal (91.3% (73/80) vs. 90.0% (72/80), P>0.05), operation time (60.0 (41.0, 90.0)min vs.61.0(50.0, 96.5)min, P>0.05), and incidence of postoperative systemic inflammatory response syndrome (SIRS) (8.8% (7/80) vs.12.5% (10/80), P>0.05) between two groups, while the postoperative length of hospital stay (5.0 (5.0, 6.0)h vs. 18.0 (16.2, 30.0)h, P<0.05) was shorter and the medical expenses ((20 696.7±4 645.5)Yuan vs. (31 030.8±6 275.1)Yuan, P<0.05) was less in the study group than those in the control group. The study indicates that the day surgery mode of flexible ureteroscopic lithotripsy has advantages of faster recovery and less cost over the traditional surgery mode for elderly patients.
