Suctioning flexible ureteroscopic lithotripsy in the oblique supine position and lithotomy position: a comparative study
10.3969/j.issn.1007-1989.2017.05.003
- VernacularTitle:斜仰卧位与截石位在输尿管软镜吸引取石术中的比较
- Author:
Xiaolin DENG
;
Leming SONG
;
Zuofeng PENG
;
Jiuqing ZHONG
;
Jianrong HUANG
;
Lunfeng ZHU
- Keywords:
oblique supine position;
lithotomy position;
flexible ureteroscope
- From:
China Journal of Endoscopy
2017;23(5):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and efficacy of oblique supine position and lithotomy position in suctioning flexible ureteroscopic lithotripsy. Methods 82 patients with upper urinary calculi were divided into two groups. Group 1 included 47 patients who were treated by suctioning flexible ureteroscopy in oblique supine position. Group 2 included 35 patients who were treated in lithotomy position. There was no significant statistical difference in age, gender and complications between the two groups before surgery (P > 0.05). The operative time, stone-free rates at postoperative 30 d, renal pelvic pressure (RPP), postoperative complications (graded by the Clavien system) and length of stay were compared. Results Retrograde Intrarenal Surgery (RIRS) was successful in 73 cases, and 9 cases of patients were done successfully after indwelling DJ tube 2 weeks. Compared with lithotomy position, a significantly greater stone-free rate of 30 d, shorter operative time (P < 0.05). There was no difference in complication rate of Clavien grade I and Clavien grade II, RPP and length of stay (P > 0.05). Conclusions Suctioning flexible ureteroscopic lithotripsy in the oblique supine position is safe, and more effective than supine lithotomy position.
