Same-session Bilateral Versus Staged Unilateral Flexible Ureteroscopic Lithotripsy for Upper Urinary System Stones
10.3969/j.issn.1009-6604.2016.09.013
- VernacularTitle:一期与分期输尿管软镜治疗双侧上尿路结石的疗效比较
- Author:
Tao LI
;
Quan LI
;
Jianhe LIU
- Publication Type:Journal Article
- Keywords:
Flexible ureteroscope;
Calculi;
Stone free rate
- From:
Chinese Journal of Minimally Invasive Surgery
2016;16(9):816-819
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the efficacy and safety of same-session bilateral and staged unilateral flexible ureteroscopic lithotripsy ( FURL) with holmium laser for the treatment of upper urinary system stones . Methods Clinical data of 29 patients who underwent same-session bilateral FURL ( same-session group ) and 20 patients who received staged unilateral FURL ( staged group ) from September 2012 to May 2015 at this hospital were analyzed retrospectively .The overall operation time ,overall hospital stay , stone free rate (SFR) and overall complication rate were compared between the two groups . Results The operations were successfully completed in both groups.The overall operative time was significantly longer for staged unilateral FURL than bilateral FURL [(71.0 ± 19.0) min vs.(112.6 ±26.8) min, t=-6.366, P=0.000].The overall hospital stay was slightly longer for staged unilateral FURL than bilateral FURL [(6.9 ±3.6) d vs.(8.4 ±2.1 ) d, t=-1.674, P=0.101].The four-week postoperative SFR for bilateral FURL and staged unilateral FURL were 79.3%(23/29) and 80.0%(16/20), respectively (χ2 =0.000, P=1.000).The overall complication rate was slightly higher for bilateral FURL [20.7% (6/29) vs.15.0% (3/20), χ2 =0.017, P=0.896]. Conclusion Same-session bilateral flexible ureteroscopic holmium laser lithotripsy is a safe and effective treatment for bilateral upper urinary system stones in select patients .
