Comparison of minimally invasive percutaneous nephrolithotomy in supine position and flexible ureteroscopy for proximal ureteral calculi
10.3760/cma.j.issn.1000-6702.2013.10.014
- VernacularTitle:斜仰卧位微创经皮肾镜和输尿管软镜治疗输尿管上段结石的非随机比较研究
- Author:
Yi ZHANG
;
Chengfan YU
;
He ZHU
;
Shihua JIN
;
Lianchao JIN
;
Jun MENG
;
Yanqun NA
- Publication Type:Journal Article
- Keywords:
Proximal ureteral stone;
Percutaneous nephrolithotomy;
Supine position;
Flexible ureteroscopy
- From:
Chinese Journal of Urology
2013;34(10):775-778
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and clinical efficiency between minimally invasive percutaneous nephrolithotomy(MPCNL)in supine position and flexible ureteroscopy(FURS)in management of proximal ureteral calculi.Methods From Oct.2010 to May.2012,76 patients with single proximal ureteral calculus between 10-20 mm failed in SWL or other conservative therapy accepted MPCNL (32 cases)or FURS(44 cases).There was no significant difference between the groups in base-line parameters.Stone sizes were(15.6±2.5)mm and(14.9±2.3)mm,P＞0.05.Procedural time,post-operative hospitalization stay,complication rates(Clavien degree Ⅱ or over)and stone free rates were compared.Results In these two groups,procedural time was(49.3± 11.7)and(67.2± 17.3)min,P＜0.05,postoperative hospitalization stay were(4.2±1.1)and(1.8±0.8)days,P＜0.05,complication rates were 12.5％ and 6.8％,P＞0.05 and stone free rates(residual fragments≤3 mm)were 93.7％ and 84.1％,P＞0.05.Conclusions For patients with surgically indicated proximal ureteral calculi,both minimally invasive percutaneous nephrolithotomy in supine position and flexible ureteroscopy are effective and safe therapeutic modalities.Patients treated with flexible ureteroscopy have faster postoperative recovery.
