A comparison of antegrade percutaneous and laparoscopic approaches in the treatment of proximal ureteral stones
Yükleniyor...
Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hindawi Publishing Corporation
Erişim Hakkı
Attribution 3.0 Unported (CC BY 3.0)
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Purpose. To compare the effectiveness and safety of retroperitoneal laparoscopic ureterolithotomy (RLU) and percutaneous antegrade ureteroscopy (PAU) in which we use semirigid ureteroscopy in the treatment of proximal ureteral stones. Methods. Fifty-eight patients with large, impacted stones who had a history of failed shock wave lithotripsy (SWL) and, retrograde ureterorenoscopy (URS) were included in the study between April 2007 and April 2014. Thirty-seven PAU and twenty-one RLU procedures were applied. Stone-free rates, operation times, duration of hospital stay, and follow-up duration were analyzed. Results. Overall stone-free rate was 100% for both groups. There was no significant difference between both groups with respect to postoperative duration of hospital stay and urinary leakage of more than 2 days. PAU group had a greater amount of blood loss (mean hemoglobin drops for PAU group and RLU group were 1.6 ± 1.1 g/dL versus 0.5 ± 0.3 g/dL, resp.; P=0.022). RLU group had longer operation time (for PAU group and RLU group 80.1 ± 44.6 min versus 102.1 ± 45.5 min, resp.; P=0.039). Conclusions. Both PAU and RLU appear to be comparable in the treatment of proximal ureteral stones when the history is notable for a failed retrograde approach or SWL. The decision should be based on surgical expertise and availability of surgical equipment. © 2014 Hikmet Topaloglu et al.
Açıklama
Anahtar Kelimeler
[Belirlenecek]
Kaynak
BioMed Research International
WoS Q Değeri
N/A
Scopus Q Değeri
Q1
Cilt
2014
Sayı
Künye
Topaloğlu, H., Karakoyunlu, N., Sarı, S., Özok, H. U., Sağnak, L., Ersoy, H. (2014). A comparison of antegrade percutaneous and laparoscopic approaches in the treatment of proximal ureteral stones. BioMed Research International, 2014.
