Efficacy and Complication of Flexible Ureteroscopic Holmium Laser Incision for Simple Renal Cysts: A Retrospective Study

Shen, Junwen; Chen, Yu; Wang, Rongjiang

doi:10.1089/end.2019.0515

Cited by 11 publications

(6 citation statements)

References 15 publications

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“…The surgical path of flexible ureteroscopic surgery runs closer to parapelvic renal cysts than the laparoscopic surgery anatomically (14). As this technique is transluminal naturally and leads to less bleeding, less risk and faster recovery, it has been favoured by a considerable number of urologists (2,(14)(15)(16)(17)(18)(19)(20)(21)(22). The key to the incision and drainage of parapelvic renal cysts via flexible ureteroscopy is the accurate location of the cysts.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasonography‑assisted flexible ureteroscope for the treatment of parapelvic renal cysts: A comparison between the 1470‑nm diode laser and the holmium laser

et al. 2020

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Section: Discussionmentioning

confidence: 99%

“…Holmium lasers are commonly used for the incision and drainage of parapelvic renal cysts under a flexible ureteroscope (5,14,22). Yu et al (14) used a holmium laser to incise and drain endogenous symptomatic renal cystic diseases under a flexible ureteroscope.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography‑assisted flexible ureteroscope for the treatment of parapelvic renal cysts: A comparison between the 1470‑nm diode laser and the holmium laser

et al. 2020

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“…With the development of minimally invasive technology, Basiri et al [15,16,17] reported that ureteroscope incision and internal drainage was applied in the treatment of parapelvic cyst. In 1991, Kavoussi et al [18] reported they successfully performed the ureteroscope incision and internal drainage by ureteroscopy.…”

Section: Discussionmentioning

confidence: 99%

Transurethral flexible ureteroscope incision and drainage combined with Holmium laser for the treatment of parapelvic renal cysts: A Retrospective Study

Meng

Chen

2022

Preprint

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Background—We aimed to investigate the clinical efficacy and safety of transurethral flexible ureteroscope incision and drainage combined with Holmium laser for the treatment of parapelvic renal cysts.Methods—The clinical data of 65 patients with parapelvic renal cysts were retrospectively analyzed between October 2017 and April 2021. Among them, 31 patients with parapelvic cysts (group 1) underwent a transurethral flexible ureteroscope incision and drainage combined with Holmium laser, and the other 34 patients (group 2) underwent retroperitoneal laparoscopic unroofing. The clinical characteristics of patients were recorded. The surgery time, intraoperative blood loss, hospitalization time, complications and cyst size at 1 year postoperatively were recorded and statistically analyzed.Results—All patients were successfully treated with flexible ureteroscope incision and drainage or retroperitoneal laparoscopic unroofing. No statistically significant difference was found between group 1 and 2 in terms of clinical characteristics, including age, gender, body mass index (BMI), location, cyst size, and Bosniak classification of renal cysts. Group 1 demonstrated shorter surgery time, less intraoperative blood loss, and shorter hospitalization time than the control group (group 2) (p < 0.001). However，no significant differences in complications and cyst size at 1 year postoperatively was observed between the two groups (p > 0.05).Conclusions—The transurethral flexible ureteroscope incision and drainage with Holmium laser for the treatment of parapelvic renal cysts has obvious advantages over traditional surgery, and is worthy of promotion and application, but its long-term effect needs further follow-up.

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“…Therefore, a better communication will be formed. As for the key points of the intraoperative real-time ultrasound assisted flexible ureteroscopes parapelvic cyst open operation, we can make the following conclusions: the range of intraoperative fenestration should be as large as possible, and should be stopped until it is about 1 cm away from the renal parenchyma [ 26 ], to avoid uncontrollable bleeding due to the injury. During operation, it is necessary to avoid blood vessel deformation.…”

Section: Discussionmentioning

confidence: 99%

Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts

Huang

Yang

et al. 2022

BMC Surg

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Objective This study aims to investigate the efficacy and safety of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts, and to review recently published relevant literature. Method This is a retrospective study in which the clinical data of 47 patients who underwent flexible ureteroscopic holmium laser incision and internal drainage of parapelvic cysts in our center from March 2017 to March 2021 were retrospectively analyzed. A literature search was conducted to review and summarize relevant reports on endoscopic treatment of parapelvic cysts published in the past 10 years. Results Among 47 patients with parapelvic cysts who underwent flexible ureteroscopic holmium laser incision and internal drainage, 12 (25.53%) cases had a typical cyst wall bulging into the collecting system under flexible ureteroscope. As the cyst wall was thin and translucent in these cases, ultrasound was not used during the operation. The cysts of the remaining 35 patients were located with the aid of intraoperative real time ultrasound, and all underwent successful operation. No serious surgical complications occurred after surgery. The patients were followed up for 12–24 months after operation. The cyst in one case was observed larger than its original size before operation, so recurrence was considered. In another two cases, the diameters of the cysts were more than half of their original diameters before operation. Thus, the efficacy was poor in the three cases. For the remaining 44 cases, there was no obvious cyst observed or the diameter of the cysts was less than half their preoperative level. Conclusion The approach of ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts is safe and effective, which helps to solve the problem of localization of atypical parapelvic cysts on endoscopic findings.

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Efficacy and Complication of Flexible Ureteroscopic Holmium Laser Incision for Simple Renal Cysts: A Retrospective Study

Cited by 11 publications

References 15 publications

Ultrasonography‑assisted flexible ureteroscope for the treatment of parapelvic renal cysts: A comparison between the 1470‑nm diode laser and the holmium laser

Ultrasonography‑assisted flexible ureteroscope for the treatment of parapelvic renal cysts: A comparison between the 1470‑nm diode laser and the holmium laser

Transurethral flexible ureteroscope incision and drainage combined with Holmium laser for the treatment of parapelvic renal cysts: A Retrospective Study

Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts

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