Comparative study of therapeutic effects between retroperitoneoscopic ureterolithotomy and ureteroscopic lithotripsy for upper ureteral calculi
10.3760/cma.j.issn.1000-6702.2013.05.007
- VernacularTitle:经后腹腔镜与输尿管镜治疗输尿管上段结石的疗效比较
- Author:
Zhongxing ZHOU
;
Weimin LIU
;
Jiangang ZOU
;
Xiaopeng WU
;
Shuyan LU
- Publication Type:Journal Article
- Keywords:
Ureteral calculi;
Laparoscopy;
Ureteroscopy;
Lithotripsy;
Treatment outcome
- From:
Chinese Journal of Urology
2013;(5):343-346
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of retroperitoneoscopic ureterolithotomy (RPUL) and ureteroscopic lithotripsy (URL) for upper ureteral calculi.Methods One hundred and twenty cases treated by RPUL and 108 cases by URL from January 2002 to October 2012 were reviewed.In RPUL and URL group,the diameter of stone was (1.56 ± 0.52) cm vs (1.44 ± 0.46) cm,ipsilateral hydronephrosis was (2.85 ± 0.86) cm vs (2.76 ± 0.82) cm,body mass index was (23.65 ± 2.80) kg/m2 vs (22.54 ± 2.68) kg/m2.There were no signficant differences.Data on the operation time,the hospital stay after operation,the operation,successsful rate,complication incidence and stone-free rate were compared between the 2 groups.Results Comparisons between RPUL group and URL group included the following:the operation time was (75.5 ± 25.8) min vs (62.5 ± 15.3) min,the hospital stay after operation was (6.2 ± 1.2) d vs (4.0 ± 0.8) d.There were significant differences.The operation successful rate was 95.0％ (114/120) in RPUL group and 85.2％ (92/108) in URL group.The complications incidence rate was 3.5％ (4/114) in RPUL group and 17.4％ (16/92) in URL group.The stone-free rate was 100.0％ (114/114) in RPUL group and 89.1％ (82/92) in URL group.The differences were significant (P ＜ 0.05).Conclusions RPUL and URL had the advantages of less trauma and blood loss and rapid recovery.RPUL had fewer complication and higher success rate than URL,and could be a minimally invasive option for the treatment of ureteral calculi.
