Stone-free rate after semirigid ureteroscopy with holmium laser lithotripsy versus laparoscopic ureterolithotomy for upper ureteral calculi: a multicenter study

African Journal of Urology

卷:25

Ali M. Abdel-Karim¹  Amr Eldakhakhny²  Ahmed A. Abd El Latif³  Ehab M. Galal⁴  Mamdouh M. El-Hawy⁴  Ahmed Issam Ali⁴  Mohamed S. Elbadry⁴  Ehab R. Tawfiek⁴  Ahmed Z. Anwar⁴  Tarek K. H. Fathelbab⁴  Mostafa S. Elsharkawy⁴ 

[1] Department of Urology, School of Medicine, Alexandria University Hospital, Alexandria University;

[2] Department of Urology, School of Medicine, Benha University Hospital, Benha University;

[3] Department of Urology, School of Medicine, Beni-Suef University Hospital, Beni-Suef University;

[4] Department of Urology, School of Medicine, Minia University Hospital, Minia University;

关键词: Ureteroscopy;    Laparoscopy;    Lithotripsy;    Laser;    Upper ureter;    Stone;   

DOI  :  10.1186/s12301-019-0003-4

来源: DOAJ

【 摘 要 】

Abstract Background Different treatment options were used to treat upper ureteral calculi. The aim of our study is to compare the stone-free rate and postoperative outcomes between semirigid ureteroscope with holmium laser lithotripsy and laparoscopic ureterolithotomy for the management of large solitary upper ureteral stones. Sixty-seven patients with a solitary upper ureteral stone who had LU or semirigid ureteroscopy in the period between January 2014 and March 2017 were included in our study. Out of the sixty-seven patients, 37 patients had semirigid ureteroscopy and holmium laser lithotripsy (Group A) and 30 patients had laparoscopic ureterolithotomy (Group B). Both groups were compared regarding operative time, intraoperative complications, need for auxiliary procedures, hospital stays, postoperative complications and stone-free rate. Results The mean stone size was 1.84 ± 0.12 cm in Group A and 1.79 ± 0.17 cm in Group B, P value = 0.2. The mean operative time was 61.5 ± 3.5 min in Group A and 63 ± 4.2 min in Group B, P value = 0.13. Stone migration was recorded in five cases (14%) in Group A while no cases in Group B had stone migration. Flexible ureteroscope was used as an auxiliary measure in five patients (14%) in Group A at the same session. No auxiliary measures were used in the LU group. Conclusion The stone-free rates after semirigid URS and laser lithotripsy are comparable to those following LU, especially when flexible URS is used to manage migrating stone fragments at the same session.

【 授权许可】

Unknown