| 篇名 |
Comparison between tubeless mini-percutaneous nephrolithotomy versus flexible ureterorenoscopic lithotripsy for the treatment of upper ureteral calculi larger than 1 cm |
| 作者 |
Chu-Min Chou, Chung-Jing Wang, Yeong-Chin Jou, Ming-Chin Cheng, Cheng-Huang Shen, Chang-Te Lin |
| 卷期/出版年月 |
56卷6期 (2023/11) |
| 頁次 |
189-192 |
| 摘要 |
Background: This study aimed to assess the outcome and safety of tubelessmini-percutaneous nephrolithotomy (mPCNL) and flexible
ureterorenoscopic lithotripsy (fURSL) in treating upper ureteral stones larger than 1 cm.
Materials and Methods: Between July 2017 and June 2020, 218 patients who underwent tubeless mPCNL and fURSL for upper
ureteral calculi larger than 1 cm were enrolled in this study. Patient characteristics and perioperative outcomes and complications were
evaluated by retrospective chart review.
Results: Immediate stone-free rates after the procedure were 100% of patients for the tubeless mPCNL and 71.0% of patients for the
fURSL group (P = 0.004). The mean ± SD operative time per patient was 79.8 ± 21.8 minutes in the tubeless mPCNL group, and it was
99.7 ± 33.8 minutes in the fURSL groups (P = 0.009). The average hospital stay was 2.7 ± 1.9 days in the tubeless mPCNL group and
1.5 ± 1.2 days in the fURSL group (P < 0.001). The rates of febrile episode for the tubeless mPCNL and fURSL groups were 14.3% and
2.3%, respectively (P = 0.028)
Conclusions: Tubeless mPCNL and fURSL are safe and feasible treatment options for proximal ureteral calculi larger than 1 cm. Tubeless
mPCNL offers better outcome of higher stone-free rate and shorter operation time compared with fURSL but with a higher rate of
febrile complications and longer hospital stay. |
| 關鍵詞 |
Mini-percutaneous nephrolithotomy; Retrograde intrarenal surgery; Upper ureteral stones |
| 分類 |
Original Article |
