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Volume 41 Issue 3
Jun.  2018
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Article Navigation >  Journal of Molecular Imaging  > 2018  >  41(3): 368-371
Hang WEN, Li ZHU, Fuguochen LIU, Zhiyu ZENG. Effect comparison of 3 minimally invasive surgeries for subrenal calyx calculi under 20 mm[J]. Journal of Molecular Imaging, 2018, 41(3): 368-371. doi: 10.3969/j.issn.1674-4500.2018.03.20
Citation: Hang WEN, Li ZHU, Fuguochen LIU, Zhiyu ZENG. Effect comparison of 3 minimally invasive surgeries for subrenal calyx calculi under 20 mm[J]. Journal of Molecular Imaging, 2018, 41(3): 368-371. doi: 10.3969/j.issn.1674-4500.2018.03.20
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Effect comparison of 3 minimally invasive surgeries for subrenal calyx calculi under 20 mm

doi: 10.3969/j.issn.1674-4500.2018.03.20

  • Department of Urology, Zhuhai Traditional Chinese and Western Medicine Hospital, Zhuhai 519020, China

  • Received Date: 2018-04-14
  • Publish Date: 2018-07-01
    Abstract
  • Objective To compare therapeutic effects of percutaneous nephrolithotomy (PCNL), minimally invasive percutaneous nephrolithotomy (MPCNL) and flexible ureteroscopy (FURL) for subrenal calyx calculi under 20 mm. Methods 150 patients with subrenal calyx calculi <20 mm were randomly assigned to three groups ( n=50). Patients in different groups received PCNL, MPCNL and FURL respectively, and the operation time, bleeding volume, length of stay, postoperative out-of-bed activity time, visual analogue scale (VAS) scores at the first postoperative day, stone free rates and incidence rate of postoperative complications in each group were recorded and compared. Results Operation time in the PCNL group was the shortest among three groups, and its bleeding volume and ambulation time were significantly lower compared to those in PCNL group (P<0.05). Bleeding volume, length of stay, post-operative out-of-bed activity time and VAS scores on the first postoperative day in FURL group were significantly lower than those in PCNL group and MPCNL group (P<0.05). Instant and final stone free rates were high in PCNL, MPCNL and FURL group, and there were no significant differences among them (P>0.05). The incidence rate of postoperative complication was lower in FURL group than that in PCNL and MPCNL group (P<0.05). Conclusion PCNL, MPCNL and FURL are effective treatments for subrenal calyx calculi under 20 mm. FURL, with shorter recovery time and lower incidence rate of postopertive complications, is less invasive compared to PCNL and MPCNL, thus worthy of clinical application and promotion.

     

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    • References(25)
  • [1]
    Shoag J, Tasian GE, Goldfarb DS, et al. The new epidemiology of nephrolithiasis[J]. Adv Chronic Kidney Dis, 2015, 22 (4): 273-8.
    [2]
    Cone EB, Pareek G, Ursiny M, et al. Cost-effectiveness comparison of ureteral calculi treated with ureteroscopic laser lithotripsy versus shockwave lithotripsy[J]. World J Urol, 2017, 35(1): 161-6.
    [3]
    Rodriguez D, Sacco DE. Minimally invasive surgical treatment for kidney stone disease[J]. Adv Chronic Kidney Dis, 2015, 22(4): 266-72.
    [4]
    文 航, 曾志宇, 朱 黎, 等. 85例老年肾结石合并肾功能不全患者微创手术治疗效果[J]. 包头医学院学报, 2017, 33(09): 4-5.
    [5]
    Kumar A, Kumar N, Vasudeva P, et al. A prospective, randomized comparison of shock wave lithotripsy, retrograde intrarenal surgery and miniperc for treatment of 1 to 2 cm radiolucent lower calyceal renal calculi: a single center experience[J]. J Urol, 2015, 193(1): 160-6.
    [6]
    Skolarikos A, Gross AJ, Krebs A, et al. Outcomes of Flexible Ureteroscopy for Solitary Renal Stones in the CROES URS Global Study[J]. J Urol, 2015, 194(1): 137-43.
    [7]
    New F, Somani BK. A complete world literature review of quality of life (QOL) in patients with kidney stone disease [J]. Curr Urol Rep, 2016, 17(12): 88-93.
    [8]
    Yoshioka T, Otsuki H, Uehara S, et al. Effectiveness and safety of ureteroscopic holmium laser lithotripsy for upper urinary tract calculi in elderly patients[J]. Acta Med Okayama, 2016, 70(3): 159-66.
    [9]
    Kang SK, Cho KS, Kang DH, et al. Systematic review and meta-analysis to compare success rates of retrograde intrarenal surgery versus percutaneous nephrolithotomy for renal stones >2 cm: An update[J]. Medicine (Baltimore), 2017, 96(49): e9119-25.
    [10]
    Ganpule AP, Vijayakumar M, Malpani A, et al. Percutaneous nephrolithotomy (PCNL) a critical review[J]. Int J Surg, 2016, 36(7): 660-4.
    [11]
    Wen J, Xu G, Du C, et al. Minimally invasive percutaneous nephrolithotomy versus endoscopic combined intrarenal surgery with flexible ureteroscope for partial staghorn calculi: A randomised controlled trial[J]. 2016, 28(4): 22-7.
    [12]
    Bagley DH, Healy KA, Kleinmann N. Ureteroscopic treatment of larger renal calculi (>2 cm)[J]. Arab J Urol, 2012, 10(3): 296-300.
    [13]
    Cho SY. Current status of flexible ureteroscopy in urology[J]. Korean J Urol, 2015, 56(10): 680-8.
    [14]
    Ding J, Xu D, Cao Q, et al. Comparing the efficacy of a multimodular flexible ureteroscope with its conventional counterpart in the management of renal stones[J]. Urology, 2015, 86(2): 224-9.
    [15]
    Jackman SV, Docimo SG, Cadeddu JA, et al. The "mini-perc" technique: a less invasive alternative to percutaneous nephrolithotomy.[J]. World J Urol, 1998, 16(6): 371-4.
    [16]
    Marshall VF. Fiber Optics in Urology[J]. J Urol, 1964, 91(1): 110-5.
    [17]
    Takayasu H, Aso Y. Recent development for pyeloureteroscopy: guide tube method for its introduction into the ureter[J]. J Urol, 1974, 112(2): 176-8.
    [18]
    Doizi S, Traxer O. Flexible ureteroscopy: technique, tips and tricks[J]. Urolithiasis, 2017, 14(2): 1-12.
    [19]
    Chen S, Xu B, Liu N, et al. Improved effectiveness and safety of flexible ureteroscopy for renal calculi (2 cm): A retrospective study[J]. Canadian Urologic Assoc J, 2015, 9(5): E273-9.
    [20]
    张 克, 张雁钢, 王靖宇, 等. 输尿管软镜碎石术与经皮肾镜取石术治疗直径<2 cm肾结石的有效性和安全性的meta分析[J]. 现代泌尿外科杂志, 2015, 15(09): 639-44.
    [21]
    吴 猛, 刘良兵, 易东风. 软性输尿管镜钬激光碎石术与经皮肾镜碎石取石术治疗直径≤2 cm肾结石5年回顾性分析[J]. 临床外科杂志, 2017, 27(06): 469-71.
    [22]
    彭境罗, 周 刚, 刘幸生, 等. PCNL与FURL治疗小于或等于2 cm肾结石的临床疗效比较[J]. 重庆医学, 2015, 44(30): 4210-2.
    [23]
    李建华, 姚 吉, 程 伟, 等. 微创经皮肾镜取石术和输尿管软镜碎石术治疗<2 cm肾结石疗效对比[J]. 中国现代医生, 2017, 55(06): 53-6.
    [24]
    常建国. 输尿管软镜与经皮肾镜碎石术治疗直径<20 mm肾结石60例的临床研究[J]. 中国保健营养, 2017, 27(26): 33-7.
    [25]
    冷松柏, 钟 毅, 黄 明. 输尿管软镜与微通道经皮肾镜治疗肾结石(≤2 cm)的比较[J]. 中华腔镜泌尿外科杂志(电子版), 2017, 11(01): 38-41.
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