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A Prospective Comparative Study Between Minimally Invasive Percutaneous Nephrolithotomy in Supine Position and Flexible Ureteroscopy in the Management of Single Large Stone in the Proximal Ureter
Zhang, Yi; Yu, Cheng-fan; Jin, Shi-hua; Zhu, He; Na, Yan-qun
刊名UROLOGY
2014-05-01
DOI10.1016/j.urology.2013.11.034
83期:5页:999-1002
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]FREE RATES ; CALCULI
英文摘要

OBJECTIVE To investigate the difference and relative advantages between minimally invasive percutaneous nephrolithotomy (MPCNL) in supine position and flexible ureteroscopy (FURS) in the management of surgically indicated single large stone in the proximal ureter.

METHODS Patients with single large stone in the proximal ureter with slight to moderate hydronephrosis were prospectively selected and assigned into groups of MPCNL and FURS on the basis of the patient′s choice. Demographic data, operative duration, postoperative hospital stay, complication rate, and stone-free rate were recorded and compared.

RESULTS From October 2010 to May 2012, 76 such patients were consecutively included into the study. No significant difference was found in preoperative demographics, including age, sex, and severity of hydronephrosis. Stone size was 15.6 +/- 2.5 and 14.9 +/- 2.3 mm (P =.349), operative duration 49.3 +/- 11.7 and 67.2 +/- 17.3 minutes (P <. 001), postoperative hospital stay 4.2 +/- 1.1 and 1.8 +/- 0.8 days (P <. 001), stone-free rate (residual <= 3 mm) 93.7% and 84.1% (P = .198), and complication rate over grade II (modified Clavien system) 12.5% and 6.8% (P = .398) in MPCNL and FURS groups respectively.

CONCLUSION Both MPCNL in supine position and FURS are effective and safe surgical options for patients with single large stone in the proximal ureter, when indicated. FURS is associated with faster recovery and less invasiveness than MPCNL in supine position. UROLOGY 83: 999-1002, 2014. (C) 2014 Elsevier Inc.

语种英语
WOS记录号WOS:000334742800011
引用统计
被引频次:15[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66423
专题北京大学首钢医院_泌尿外科
作者单位Peking Univ, Shougang Hosp, Wu Jieping Urol Ctr, Beijing 100144, Peoples R China
推荐引用方式
GB/T 7714
Zhang, Yi,Yu, Cheng-fan,Jin, Shi-hua,et al. A Prospective Comparative Study Between Minimally Invasive Percutaneous Nephrolithotomy in Supine Position and Flexible Ureteroscopy in the Management of Single Large Stone in the Proximal Ureter[J]. UROLOGY,2014,83(5):999-1002.
APA Zhang, Yi,Yu, Cheng-fan,Jin, Shi-hua,Zhu, He,&Na, Yan-qun.(2014).A Prospective Comparative Study Between Minimally Invasive Percutaneous Nephrolithotomy in Supine Position and Flexible Ureteroscopy in the Management of Single Large Stone in the Proximal Ureter.UROLOGY,83(5),999-1002.
MLA Zhang, Yi,et al."A Prospective Comparative Study Between Minimally Invasive Percutaneous Nephrolithotomy in Supine Position and Flexible Ureteroscopy in the Management of Single Large Stone in the Proximal Ureter".UROLOGY 83.5(2014):999-1002.
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