[Clinical comparative study of five minimally invasive surgeries for upper urinary tract calculi].

Abstract

OBJECTIVE:

To compare the efficacy of minimally invasive percutaneous nephrolithotomy (PCNL), ureteroscopes supple of lens of lithotrity (URSf), ureter forcedly of lens of lithotrity (URSnf), laparoscopic ureterolithotomy and retroperitoneal laparoscopic ureterolithotomy and to explore the best methods and indications for treating the complex upper urinary tract calculi.

METHODS:

The distribution of cases was as follows: URSnf (n = 869), URSf (n = 56), MPCNL (n = 57), laparoscopic ureterolithotomy (n = 9) and retroperitoneal laparoscopic ureterolithotomy (n = 80).

RESULTS:

A successful outcome was obtained in URSnf (n = 856), URSf (n = 51), MPCNL (n = 46), laparoscopic ureterolithotomy (n = 9) and retroperitoneal laparoscopic ureterolithotomy (n = 75). And the success rate was 98.50%, 91.07%, 80.70%, 100% and 93.75% respectively. Five cases (0.47%) failed and there were not severe complication in all surgery groups.

CONCLUSION:

If a good indication of each approach is mastered, 5 minimally invasive are relatively safe and highly effective for most patients with complex upper urinary tract calculi.

• Authors: Li-Hong Ye, Yong-Liang Chen, De-Shun Xu, Wang-Jiang Li
• Journal: Zhonghua yi xue za zhi (Zhonghua Yi Xue Za Zhi) Vol. 90 Issue 4 Pg. 228-30 (Jan 26 2010) ISSN: 0376-2491 [Print] China
• PMID: 20356534 (Publication Type: Comparative Study, English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Child
• Child, Preschool
• Humans
• Infant
• Laparoscopy
• Lithotripsy
• Middle Aged
• Minimally Invasive Surgical Procedures (methods)
• Nephrostomy, Percutaneous (methods)
• Urinary Calculi (surgery)
• Young Adult