Li-Hong Ye1, Yong-Liang Chen, De-Shun Xu, Wang-Jiang Li. 1. Department of Urinary Surgery, Center Hospital of Shaoxing County and Shaoxing Hospital, China Medical University, Shaoxing 312030, China.
Abstract
OBJECTIVE: To compare the efficacy of minimally invasive percutaneous nephrolithotomy (PCNL), ureteroscopes supple of lens of lithotrity (URSf), ureter forcedly of lens of lithotrity (URSnf), laparoscopic ureterolithotomy and retroperitoneal laparoscopic ureterolithotomy and to explore the best methods and indications for treating the complex upper urinary tract calculi. METHODS: The distribution of cases was as follows: URSnf (n = 869), URSf (n = 56), MPCNL (n = 57), laparoscopic ureterolithotomy (n = 9) and retroperitoneal laparoscopic ureterolithotomy (n = 80). RESULTS: A successful outcome was obtained in URSnf (n = 856), URSf (n = 51), MPCNL (n = 46), laparoscopic ureterolithotomy (n = 9) and retroperitoneal laparoscopic ureterolithotomy (n = 75). And the success rate was 98.50%, 91.07%, 80.70%, 100% and 93.75% respectively. Five cases (0.47%) failed and there were not severe complication in all surgery groups. CONCLUSION: If a good indication of each approach is mastered, 5 minimally invasive are relatively safe and highly effective for most patients with complex upper urinary tract calculi.
OBJECTIVE: To compare the efficacy of minimally invasive percutaneous nephrolithotomy (PCNL), ureteroscopes supple of lens of lithotrity (URSf), ureter forcedly of lens of lithotrity (URSnf), laparoscopic ureterolithotomy and retroperitoneal laparoscopic ureterolithotomy and to explore the best methods and indications for treating the complex upper urinary tract calculi. METHODS: The distribution of cases was as follows: URSnf (n = 869), URSf (n = 56), MPCNL (n = 57), laparoscopic ureterolithotomy (n = 9) and retroperitoneal laparoscopic ureterolithotomy (n = 80). RESULTS: A successful outcome was obtained in URSnf (n = 856), URSf (n = 51), MPCNL (n = 46), laparoscopic ureterolithotomy (n = 9) and retroperitoneal laparoscopic ureterolithotomy (n = 75). And the success rate was 98.50%, 91.07%, 80.70%, 100% and 93.75% respectively. Five cases (0.47%) failed and there were not severe complication in all surgery groups. CONCLUSION: If a good indication of each approach is mastered, 5 minimally invasive are relatively safe and highly effective for most patients with complex upper urinary tract calculi.