Which Is the Better Therapy for Solitary Renal Pelvic Stone,Retroperitoneal Laparoscopic Intrasinusal Pyelolithotomy or Percutaneous Nephrolithotomy
- VernacularTitle:后腹腔镜肾窦内肾盂切开取石术治疗肾盂单发结石的临床疗效分析
- Author:
Jiaquan ZHOU
;
Shuan LIU
;
Yuanxiao LIU
;
Yang WANG
;
Congjie XU
;
Xinli KANG
- Keywords:
kidney calculi;
pyelolithotomy;
laparoscopy;
percutaneous
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2017;38(1):118-121,132
- CountryChina
- Language:Chinese
-
Abstract:
Objective]To compare the efficacy and safety of retroperitoneal laparoscopic intrasinusal pyelolithotomy (RLIP) and percutaneous nephrolithotomy(PCNL)in the treatment of solitary renal pelvic stone.[Methods]From March 2012 to September 2016,101 patients with solitary renal pelvic stone,divided into RLIP group(n=46)and PCNL group(n=55),were retrospectively analyzed to compare the difference between the two groups in clinical curative effect.[Results]There was no difference between the two groups regarding age,sex,stone side and stone size. Although the operative time was significantly longer,the stone-free rate in the RLIP group was significantly higher than that in the PCNL(P < 0.05). The postoperative complication of urinary tract infection was lower in the RLIP group (P < 0.05),however ,no significant difference was found in postoperative discharge time ,fever (>38.5℃)and the decrease values of hemoglobin and glomerular filtration rate.[Conclusion]Compared to PCNL,RLIP was more efficient and slight safer in the management of solitary renal pelvic stone ,and had a certain value for generalization in clinic.
