Treatment of ureteropelvic junction obstruction in patients with renal calculi via laparoscopic pyeloplasty and flexible vacuum-assisted ureteral access sheath ureteroscopy: a multicenter retrospective observational study

被引:2
作者
Mi, Yang [1 ]
Kang, Zhiqin [2 ]
Wang, Jingyu [1 ]
Yan, Liang [1 ]
Zhang, Jun [3 ]
机构
[1] Shanxi Bethune Hosp, Shanxi Acad Med Sci, Dept Urol, Taiyuan, Shanxi, Peoples R China
[2] Shanxi Bethune Hosp, Shanxi Acad Med Sci, Dept Emergency, Taiyuan, Shanxi, Peoples R China
[3] Shanxi Med Univ, Hosp 1, 85 Jiefangnan Rd, Taiyuan 0300001, Shanxi, Peoples R China
关键词
Ureteropelvic junction obstruction; Laparoscopic pyeloplasty; Flexible ureteroscopy; Flexible vacuum-assisted ureteral access sheath; PERCUTANEOUS NEPHROLITHOTOMY; DISMEMBERED PYELOPLASTY;
D O I
10.1186/s12894-024-01453-4
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
Background Ureteropelvic junction obstruction (UPJO) is a common obstructive disease of the urinary tract. UPJO patients commonly exhibit coexistent renal calculi. The main aim of therapy is to relieve the obstruction and remove the stones at the same time.Methods This retrospective study included 110 patients diagnosed with UPJO coexisting with multiple renal calculi at Shanxi Bethune Hospital and the First Hospital of Shanxi Medical University between March 2016 and January 2022. Patients were divided according to the methods used for dealing with UPJO and renal calculi. In Group A, patients underwent traditional open pyeloplasty and pyelolithotomy. In Group B, patients underwent percutaneous nephrolithotomy first and then laparoscopic pyeloplasty. In Group C, patients underwent flexible cystoscopy to remove stones and then laparoscopic pyeloplasty. In Group D, patients underwent flexible vacuum-assisted ureteral access sheath (FV-UAS)assisted flexible ureteroscopy (f-URS) and underwent laparoscopic pyeloplasty. The stones were broken up using a holmium laser. The pyeloplasty success rate, stone clearance rate, operation time, bleeding amount, complication occurrence rate, postsurgical pain, length of stay, and hospitalization cost were compared between the groups. The follow-up period was at least 2 years.Results The use of f-URS and the FV-UAS, significantly increased the renal stone clearance rate and significantly reduced the complication incidence and operation time in UPJO patients with multiple coexisting renal calculi.Conclusions Laparoscopic pyeloplasty combined with f-URS and FV-UAS is safe and effective for treating UPJO in patients complicated by renal caliceal stones.Trial registration Retrospectively registered.
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页数:8
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共 14 条
  • [1] Concomitant Percutaneous Nephrolithotomy and Transperitoneal Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction Complicated by Stones
    Agarwal, Anshuman
    Varshney, Anil
    Bansal, B. S.
    [J]. JOURNAL OF ENDOUROLOGY, 2008, 22 (10) : 2251 - 2255
  • [2] A Simple Modification for the Usage of Flexible Cystoscope in Modified Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction with Renal Calculi: A Flexible Guiding Tube
    Hong, Peng
    Li, Ziao
    Zhu, Dongdong
    Zhuang, Liyan
    Yang, Kunlin
    Hao, Han
    Li, Xuesong
    Zhou, Liqun
    [J]. UROLOGIA INTERNATIONALIS, 2019, 102 (03) : 262 - 268
  • [3] Robot-assisted pyeloplasty and pyelolithotomy in patients with ureteropelvic junction stenosis
    Jensen, Pernille Hammershoj
    Berg, Kasper Drimer
    Azawi, Nessn H.
    [J]. SCANDINAVIAN JOURNAL OF UROLOGY, 2017, 51 (04) : 323 - 328
  • [4] Kadihasanoglu M, 2019, INT BRAZ J UROL, V45, P965, DOI [10.1590/S1677-5538.IBJU.2018.0781, 10.1590/s1677-5538.ibju.2018.0781]
  • [5] Percutaneous nephrolithotomy: technique
    Knoll, Thomas
    Daels, Francisco
    Desai, Janak
    Hoznek, Andras
    Knudsen, Bodo
    Montanari, Emanuele
    Scoffone, Cesare
    Skolarikos, Andreas
    Tozawa, Keiichi
    [J]. WORLD JOURNAL OF UROLOGY, 2017, 35 (09) : 1361 - 1368
  • [6] Murphy Declan, 2005, J Minim Access Surg, V1, P181, DOI 10.4103/0972-9941.19265
  • [7] Current indications for open stone surgery in the treatment of renal and ureteral calculi
    Paik, ML
    Wainstein, MA
    Spirnak, JP
    Hampel, N
    Resnick, MI
    [J]. JOURNAL OF UROLOGY, 1998, 159 (02) : 374 - 378
  • [8] Primary non-refluxive megaureter in children: single-center experience and follow-up of 212 patients
    Rubenwolf, P.
    Herrmann-Nuber, J.
    Schreckenberger, M.
    Stein, R.
    Beetz, R.
    [J]. INTERNATIONAL UROLOGY AND NEPHROLOGY, 2016, 48 (11) : 1743 - 1749
  • [9] Ureteropelvic obstruction and renal stones: etiology and treatment
    Skolarikos, Andreas
    Dellis, Andreas
    Knoll, Thomas
    [J]. UROLITHIASIS, 2015, 43 (01) : 5 - 12
  • [10] Stone Burden Measurement by 3D Reconstruction on Noncontrast Computed Tomography Is Not a More Accurate Predictor of Stone-Free Rate After Percutaneous Nephrolithotomy Than 2D Stone Burden Measurements
    Tailly, Thomas
    Nadeau, Brandon R.
    Violette, Philippe D.
    Bao, Yige
    Amann, Justin
    Nott, Linda
    Denstedt, John D.
    Razvi, Hassan
    [J]. JOURNAL OF ENDOUROLOGY, 2020, 34 (05) : 550 - 557