Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Sun, Lei; Peng, Fangli

doi:10.1159/000342104

Cited by 5 publications

(6 citation statements)

References 49 publications

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“…The incidence of Ureteral calculi in men is higher than that in women. To date, drugs, ESWL, ureteroscopy, percutaneous nephroscope lithotripsy and laparoscope are main therapies for ureteral stone [27][28][29] . However, the selection of treatment for ureteric stones remains a discussed topic in urology.…”

Section: Discussionmentioning

confidence: 99%

Comparison of YAG Laser Lithotripsy and Extracorporeal Shock Wave Lithotripsy in Treatment of Ureteral Calculi: A Meta-Analysis

Yang

Li²,

Cui³

2016

Urol Int

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Objective: To evaluate the clinical efficiency and safety of ureteroscopy lithotripsy (URSL) with holmium laser technology and extracorporeal shock wave lithotripsy (ESWL) on ureteral calculi using systematic reviews. Methods: Randomized controlled trials and prospective controlled trials accorded with inclusion among PubMed Database, EmBase Database, Cochrane Library and China National Knowledge Infrastructure were collected. Review Manager 5.0 was adopted to estimate the effects of the results among selected articles. Forest plots, sensitivity analysis and bias analysis for the articles included were also conducted. Pooled estimate of risk ratios and standard mean difference (SMD) with 95% CIs were used as measures of effect sizes. Results: Finally 1,770 patients were included in the 14 studies, which eventually satisfied the eligibility criteria. The number of patients in URSL group and ESWL group were 885 and 885, respectively. The results of heterogeneity test suggested that complication events (RR 1.12 (95% CI 0.63-2.00), p = 0.70), hospital days (SMD = -0.08 (95% CI -1.14 to 0.98), p = 0.88) and efficiency quotient (RR 1.31 (95% CI 0.96-1.80), p = 0.09) were insignificantly different, while the stone-free rate (RR 1.15 (95% CI 1.06-1.26), p = 0.002) and operation time (SMD = -2.27 (95% CI -3.42 to -1.11), p = 0.0001) between ESWL and URSL were significantly different. Conclusion: Although both URSL and ESWL have its own advantages and drawbacks, URSL is relatively a more efficient and safe method to treat ureteric stones, since it has shorter operation time and a better stone-free rate.

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Section: Discussionmentioning

confidence: 99%

Comparison of YAG Laser Lithotripsy and Extracorporeal Shock Wave Lithotripsy in Treatment of Ureteral Calculi: A Meta-Analysis

Yang

Li²,

Cui³

2016

Urol Int

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“…The decrease in hemoglobin during mini-ECIRS and mini-PCNL was significantly lower than that with conventional-PCNL [36]. Sun and Peng [37] also reported that, in carefully selected patients, combining retroperitoneal laparoscopic surgery with tubeless mini-PCNL could treat ipsilateral renal and upper middle ureteral calculi with the advantages of high SFR and less complications. Therefore, mini-PCNL combined with certain technologies might be a better choice for stones in the lower calyx.…”

Section: Discussionmentioning

confidence: 99%

Flexible Ureteroscopy with Holmium Laser Lithotripsy: A New Choice for Intrarenal Stone Patients

Xu¹,

Song

Jiang³

et al. 2014

Urol Int

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Objective: To evaluate the efficiency and safety of flexible ureteroscopy (FURS) and holmium lithotripsy for intrarenal stones and to stratify the efficiency and safety by stone burdens of ≤20, 20-40, and ≥40 mm. Methods: Five hundred eighty-two patients with intrarenal stones were treated with FURS and holmium lithotripsy at a single department from August 2008 to October 2013. Stone size was evaluated by calculating the cumulative stone diameter of all intrarenal stones, and stone-free status was defined as the absence of any stone or stone fragment <1 mm in the kidney. Results: Data analysis revealed a mean stone burden of 21.8 ± 7.6 mm. The overall primary stone-free rate (SFR) was 65.3%, which increased to 89.0% 6 months after the first surgery. Complications developed in 6.7% of patients. A significant difference was found between lower-calyx stones and other stones (p < 0.001; p = 0.006), while noncalcium stones had a much higher SFR than calcium stones (p < 0.001; p = 0.04). Conclusion: Our study showed that the overall renal SFR with the use of FURS and holmium lithotripsy was satisfactory, with a relatively low complication rate. We believe that FURS with holmium lithotripsy could be a valuable choice for patients with renal stones, especially for patients with a cumulative stone burden ≤40 mm.

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“…Since 30% of asymptomatic stones eventually become symptomatic 4 , many urologists routinely treat patients with multiple ipsilateral stones under a single anesthetic. [5][6][7][8][9][10] As ureteroscopy is generally well tolerated and associated with a low complication rate many advocate a single session for treating bilateral stones as well. [11][12][13][14][15][16] Recent studies examining ureteroscopy for multiple ipsilateral stones (I-URS) suggest this approach to be associated with longer procedure times, higher ureteric stent placement rates, and a longer stent dwell time.…”

Section: Introductionmentioning

confidence: 99%

Same Session Bilateral Ureteroscopy for Multiple Stones: Results from the CROES URS Global Study

et al. 2017

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This study presents a large series of patients who underwent bilateral and ipsilateral ureteroscopy. Our findings suggest a decrease in stone-free rates, increased re-treatment rates, increased operative times and longer hospital stay in patients treated for multiple stones. The treatment of multiple stones and bilateral ureteroscopy are safe compared to single stone treatment and ipsilateral ureteroscopy, respectively.

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Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Cited by 5 publications

References 49 publications

Comparison of YAG Laser Lithotripsy and Extracorporeal Shock Wave Lithotripsy in Treatment of Ureteral Calculi: A Meta-Analysis

Comparison of YAG Laser Lithotripsy and Extracorporeal Shock Wave Lithotripsy in Treatment of Ureteral Calculi: A Meta-Analysis

Flexible Ureteroscopy with Holmium Laser Lithotripsy: A New Choice for Intrarenal Stone Patients

Same Session Bilateral Ureteroscopy for Multiple Stones: Results from the CROES URS Global Study

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