Comparison of percutaneous nephrolithotomy and flexible ureterorenoscopy in management of calyceal diverticular calculi

doi:10.3877/cma.j.issn.1674-3253.2019.05.007

Abstract

Abstract:

Objective

To investigate the clinical effect of percutaneous nephrolithotomy (PCNL) and flexible ureterorenoscopy (F-URS) in the management of caliceal diverticular calculi.

Methods

A retrospective review was performed on 20 patients with caliceal diverticular calculi who underwent PCNL and 18 patients with caliceal diverticular calculi who underwent F-URS between June 2010 and July 2017. The following parameters such as operative time, blood loss, hospitalization time in postoperative, surgical complications and success rate were analyzed.

Results

Comparing to the PCNL group, F-URS group has advantages in the average operation time, estimated blood loss and mean hospitalization time in postoperative (P<0.05). There were no differences of the incidence of surgical complications, the success rate, the stone free rate and the improvement rate of diverticulum between PCNL group and F-URS group (P>0.05).

Conclusion

Both PCNL and F-URS are effective for caliceal diverticular calculi.

Key words: Caliceal diverticular calculi, Percutaneous nephrolithotomy, Flexible ureterorenoscopy

Chen Ding, Hongbo Shi, Xiaosong Sun, Bin Chen, Rui Wang, Xiaoli Liu, Ji Zhou. Comparison of percutaneous nephrolithotomy and flexible ureterorenoscopy in management of calyceal diverticular calculi[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(05): 313-316.

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References 17

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组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	术后住院时间（d，±s）	并发症发生率（%）	碎石成功率（%）	完全清石率（%）	憩室改善率（%）
PCNL组	20	68±16	51±15	6.1±1.1	10.0	90.0	90	60
F-URS组	18	57±15	22±90	3.7±0.9	16.7	77.8	66.7	50
统计值	?	t=2.179	t=7.124	t=7.310	-	-	-	-
P值	?	0.019	P<0.01	P<0.01	0.653	0.395	0.117	0.745

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	术后住院时间（d，±s）	并发症发生率（%）	碎石成功率（%）	完全清石率（%）	憩室改善率（%）
PCNL组	20	68±16	51±15	6.1±1.1	10.0	90.0	90	60
F-URS组	18	57±15	22±90	3.7±0.9	16.7	77.8	66.7	50
统计值	?	t=2.179	t=7.124	t=7.310	-	-	-	-
P值	?	0.019	P<0.01	P<0.01	0.653	0.395	0.117	0.745

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