A comparison of antegrade percutaneous and laparoscopic approaches in the treatment of proximal ureteral stones

dc.contributor.authorTopaloğlu, Hikmet
dc.contributor.authorKarakoyunlu, Ahmet Nihat
dc.contributor.authorSarı, Sercan
dc.contributor.authorÖzok, Hakkı Uğur
dc.contributor.authorSağnak, Levent
dc.contributor.authorErsoy, Hamit
dc.date.accessioned2019-05-13T09:07:53Z
dc.date.available2019-05-13T09:07:53Z
dc.date.issued2014
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractPurpose. 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.
dc.identifier.citationTopaloğlu, 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.
dc.identifier.doi10.1155/2014/691946
dc.identifier.issn2314-6133
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1155/2014/691946
dc.identifier.urihttps://hdl.handle.net/11491/1892
dc.identifier.volume2014en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherHindawi Publishing Corporation
dc.relation.ispartofBioMed Research International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 3.0 Unported (CC BY 3.0)*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/*
dc.subject[Belirlenecek]en_US
dc.titleA comparison of antegrade percutaneous and laparoscopic approaches in the treatment of proximal ureteral stones
dc.typeArticle

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