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10.08.2019 | Urology - Original Paper

Analysis of the clinical effect and long-term follow-up results of retroperitoneal laparoscopic ureterolithotomy in the treatment of complicated upper ureteral calculi (report of 206 cases followed for 10 years)

verfasst von: Keyi Wang, Guangchun Wang, Heng Shi, Haimin Zhang, Jianhua Huang, Jiang Geng, Lei Yin, Tianrun Huang, Bo Peng

Erschienen in: International Urology and Nephrology | Ausgabe 11/2019

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Abstract

Purpose

To summarize the experience of retroperitoneal laparoscopic ureterolithotomy (RLU) in the treatment of upper ureteral calculi and long-term follow-up results and compare them with ureteroscopic lithotomy (URL) and percutaneous nephrolithotomy (PCNL).

Methods

The clinical data of 585 patients with complex upper ureteral calculi who met the inclusion criteria from January 2006 to December 2017 were retrospectively analyzed. There were 206 cases treated with RLU, 201 cases treated with URL and 178 cases treated with PCNL. The operation time, hospitalization time, stone clearance rate, incidence of postoperative complications and recurrence rate were observed and compared among the three groups.

Results

Among 585 eligible patients, 206 cases were treated with RLU, 201 cases were treated with URL and 178 cases were treated with PCNL. The stone clearance rate (98.54%), postoperative complication types and rate (0.97%) in the RLU group were superior to those in the URL group and the PCNL group (P < 0.05). There was no significant difference in the recurrence rate (3.88%) between the RLU group and the other two groups (P > 0.05).

Conclusion

Retroperitoneal laparoscopic ureterolithotomy has many advantages in the treatment of upper ureteral calculi, including high stone clearance rate, less complications especially in ureteral stricture. Retroperitoneal laparoscopic ureterolithotomy is also safe to treat upper ureteral calculi accompanied with severe urinary tract infection.

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Titel: Analysis of the clinical effect and long-term follow-up results of retroperitoneal laparoscopic ureterolithotomy in the treatment of complicated upper ureteral calculi (report of 206 cases followed for 10 years)
verfasst von: Keyi Wang
Guangchun Wang
Heng Shi
Haimin Zhang
Jianhua Huang
Jiang Geng
Lei Yin
Tianrun Huang
Bo Peng
Publikationsdatum: 10.08.2019
Verlag: Springer Netherlands
Erschienen in: International Urology and Nephrology / Ausgabe 11/2019
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI: https://doi.org/10.1007/s11255-019-02252-9

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Analysis of the clinical effect and long-term follow-up results of retroperitoneal laparoscopic ureterolithotomy in the treatment of complicated upper ureteral calculi (report of 206 cases followed for 10 years)

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Purpose

Methods

Results

Conclusion

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