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学科主题: 临床医学
题名:
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
作者: Zhang, Yi; Yu, Cheng-fan; Jin, Shi-hua; Zhu, He; Na, Yan-qun
刊名: UROLOGY
发表日期: 2014-05-01
DOI: 10.1016/j.urology.2013.11.034
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66423
Appears in Collections:北京大学首钢医院_泌尿外科_期刊论文

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作者单位: Peking Univ, Shougang Hosp, Wu Jieping Urol Ctr, Beijing 100144, Peoples R China

Recommended Citation:
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.
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