Application of tip-bendable ureteral access sheath in flexible ureteroscopic lithotripsy: an initial experience of 224 cases

被引:27
作者
Liang, Hui [1 ]
Liang, Lijian [1 ]
Lin, Yiwei [2 ]
Yu, Yin [1 ]
Xu, Xiaoling [1 ]
Liang, Zihao [1 ]
Sheng, Jinmin [1 ]
Shen, Baihua [2 ]
机构
[1] Xinchang Cty Hosp Tradit Chinese Med, Dept Urol, Shaoxing, Zhejiang, Peoples R China
[2] Zhejiang Univ, Affiliated Hosp 1, Sch Med, Dept Urol, Hangzhou, Zhejiang, Peoples R China
关键词
Lithotripsy; Ureteroscopy; Ureteral access sheath; RENAL STONES; 2; CM;
D O I
10.1186/s12894-023-01347-x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
IntroductionDuring the last decades, the advent of flexible ureteroscopic lithotripsy has revolutionized the management of upper urinary tract stones. We designed a patented tip-bendable ureteral access sheath to facilitate stone clearance. Our current study reported our initial experience of 224 cases.Materials and methodsThe study is a descriptive, retrospective analysis. The initial 224 cases, operated consecutively by one surgeon during 16 months, were reviewed. The novel tip-bendable ureteral access sheath was applied in the procedure. Demographics, laboratory tests, and peri- and postoperative findings (operation duration, stone-free rate (SFR), utilization of flexible instruments and complications) were analyzed.ResutlsThe median age of the patients was 56 years and the mean stones size was 2.3 +/- 1.3 cm. There were 63 cases of upper ureteral stone, 93cases of renal stone and 68 cases of ureteral-renal stones. The mean operative time was 69.2 +/- 65.2 min. The immediate stone-free rate was 76.8% and the 1 month post-operative stone-free rate was 97.3%. Most cases(95.5%)were success in single session. Two patient experienced post-operative fever. There was no unplanned readmission. The frequency of post-operative complications was estimated at 0.89% (Clavien I).ConclusionFlexible ureteroscopic lithotripsy with tip-bendable ureteral access sheath is a safe and effective procedure, which can achieve excellent stone clearance.
引用
收藏
页数:5
相关论文
共 22 条
[1]  
Birowo Ponco, 2020, F1000Res, V9, P184, DOI 10.12688/f1000research.22448.1
[2]   A Randomized Controlled Study to Analyze the Safety and Efficacy of Percutaneous Nephrolithotripsy and Retrograde Intrarenal Surgery in the Management of Renal Stones More Than 2 cm in Diameter [J].
Bryniarski, Piotr ;
Paradysz, Andrzej ;
Zyczkowski, Marcin ;
Kupilas, Andrzej ;
Nowakowski, Krzysztof ;
Bogacki, Rafal .
JOURNAL OF ENDOUROLOGY, 2012, 26 (01) :52-57
[3]   Comparative study of the treatment of 20-30 mm renal stones with miniaturized percutaneous nephrolithotomy and flexible ureterorenoscopy in obese patients [J].
Chen, He-Qun ;
Chen, Zhi-Yong ;
Zeng, Feng ;
Li, Yang ;
Yang, Zhong-Qing ;
He, Cheng ;
He, Yao .
WORLD JOURNAL OF UROLOGY, 2018, 36 (08) :1309-1314
[4]   Risk of Sepsis in Retrograde Intrarenal Surgery: A Systematic Review of the Literature [J].
Corrales, Mariela ;
Sierra, Alba ;
Doizi, Steeve ;
Traxer, Olivier .
EUROPEAN UROLOGY OPEN SCIENCE, 2022, 44 :84-91
[5]   Ureteral Access Sheaths and Its Use in the Future: A Comprehensive Update Based on a Literature Review [J].
De Coninck, Vincent ;
Somani, Bhaskar ;
Sener, Emre Tarik ;
Emiliani, Esteban ;
Corrales, Mariela ;
Juliebo-Jones, Patrick ;
Pietropaolo, Amelia ;
Mykoniatis, Ioannis ;
Hameed, Belthangady M. Zeeshan ;
Esperto, Francesco ;
Proietti, Silvia ;
Traxer, Olivier ;
Keller, Etienne Xavier .
JOURNAL OF CLINICAL MEDICINE, 2022, 11 (17)
[6]  
EAU Guidelines, 2023, EAU ANN C MIL
[7]   The Effect of Ratio of Endoscope-Sheath Diameter on Intrapelvic Pressure During Flexible Ureteroscopic Lasertripsy [J].
Fang, Li ;
Xie, Guohai ;
Zheng, Zhong ;
Liu, Wanzhang ;
Zhu, Jiaqi ;
Huang, Ting ;
Lu, Yunfei ;
Cheng, Yue .
JOURNAL OF ENDOUROLOGY, 2019, 33 (02) :132-139
[8]  
Gauhar V, 2023, Urol, V14, DOI [10.1016/j.urology., DOI 10.1016/J.UROLOGY]
[9]   Comparison of Superpulse Thulium Fiber Laser vs Holmium Laser for Ablation of Renal Calculi in an In Vivo Porcine Model [J].
Jiang, Pengbo ;
Okhunov, Zhamshid ;
Afyouni, Andrew S. ;
Ali, Sohrab ;
Sharifi, Seyed Hossein Hosseini ;
Bhatt, Rohit ;
Brevik, Andrew ;
Ayad, Maged ;
Larson, Krista ;
Osann, Kathryn ;
Patel, Roshan M. ;
Landman, Jaime ;
Clayman, Ralph V. .
JOURNAL OF ENDOUROLOGY, 2023, 37 (03) :335-340
[10]   Ex Vivo Renal Stone Dusting: Impact of Laser Modality, Ureteral Access Sheath, and Suction on Total Stone Clearance [J].
Jiang, Pengbo ;
Peta, Akhil ;
Brevik, Andrew ;
Arada, Raphael B. ;
Ayad, Maged ;
Afyouni, Andrew S. ;
Limfueco, Luke ;
Nguyen, Nicholas ;
Palma, Anton ;
Patel, Roshan M. ;
Landman, Jaime ;
Clayman, Ralph V. .
JOURNAL OF ENDOUROLOGY, 2022, 36 (04) :499-507