Effects comparison of retroperitoneal laparoscopic ureterolithotomy and percutaneous nephrolithotomy for treating complicated upper ureteral calculi
10.3969/j.issn.1671-8348.2014.16.008
- VernacularTitle:后腹腔镜与经皮肾镜治疗复杂性输尿管上段结石疗效比较
- Author:
Xinkuan WU
;
Qi WANG
;
Qi WEI
- Publication Type:Journal Article
- Keywords:
ureteral-calculi;
laparoscopy;
minimally-invasive-percutaneous-nephrolithotomy
- From:
Chongqing Medicine
2014;(16):1992-1994
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and effects of retroperitoneal laparoscopic ureterolithotomy(RLU)and microinva-sive percutaneous nephrolithotomy with lithotomy (MPCNL)for treating complicated upper ureteral calculi and to explore the sur-gical indications and the technical key points.Methods The clinical data in 54 cases of complicated upper ureteral calculi from Mar. 2009 to Sep.2012 were retrospectively analyzed,31 cases adopted the MPCNL therapy (MPCNL group)and 23 cases received the RLU therapy(RLU group).The perioperative complications and the stone clearance rate were compared between the two groups. Results The mean operating time was (69.70±7.73)min in the RLU group and (46.50±7.09)min in the MPCNL group(t=-11.436,P=0.000);the intraoperative blood loss was (21.50±7.23)mL in the RLU group and (66.90±20.00)mL in the MPC-NL group(t=9.94,P=0.000),the MPCNL group was significantly higher than the RLU group;no statistically significant differ-ences were found in the occurrence rate of postoperative hyperpyrexia,the stone clearance rate,the occurrence rate of urinary leak-age and the length of hospital stay between the two groups.Conclusion Both MPCNL and RLU have high safety and satisfactory effects for treating complicated upper ureteral calculi.RLU has less intraoperative blood loss and long operation time.
