Статья

RIRS with Vacuum‐Assisted Ureteral Access Sheath versus MPCNL for the Treatment of 2‐4 cm Renal Stone

Dehui LaiCollege of Materials Science and Engineering, Key Lab of Guangdong Province for High Property and Functional Polymer Materials, South China University of Technology, Guangzhou, ChinaYongzhong HeMinimally Invasive Technique and Product Translational Center, Guangzhou Medical University, Guangzhou, Guangdong, ChinaXun LiMinimally Invasive Technique and Product Translational Center, Guangzhou Medical University, Guangzhou, Guangdong, ChinaMeiling ChenMinimally Invasive Technique and Product Translational Center, Guangzhou Medical University, Guangzhou, Guangdong, ChinaXingrong ZengCollege of Materials Science and Engineering, Key Lab of Guangdong Province for High Property and Functional Polymer Materials, South China University of Technology, Guangzhou, China

2020en

ABI

Аннотация

Objective . Comparison of outcomes between RIRS with vacuum‐assisted ureteral access sheath (V‐UAS) and MPCNL in the treatment of renal stone. Materials and Methods . 28 patients with 2‐4 cm renal stone were treated using RIRS with 14/16 F V‐UAS. The outcomes were compared to those who underwent MPCNL with 16 F Amplatz sheath using a matched‐pair analysis in a 1 : 2 scenario. Matching criteria included stone size, location and laterality, gender, age, BMI, and degree of hydronephrosis. Patients’ demographics, perioperative and postoperative characteristics, complications, stone‐free rate (SFR), and auxiliary procedures were compared. Results . Mean operative times for the RIRS and MPCNL groups were 72.4 ± 21.3 minutes and 67.4 ± 25 minutes ( P = 0.042). Postoperative pain was significantly less in the RIRS group. The initial SFR was 50% for the RIRS group and 73.2% for the MPCNL group ( P = 0.035). The final SFR at postoperative three months improved to 89.3% for the RIRS group and 92.9% for the MPCNL group ( P = 0.681). The auxiliary procedure rates were higher in the RIRS group (42.9% vs. 25%, P = 0.095). The overall complication rate in the RIRS group was lower, but the significant difference was not found. Conclusion . In the treatment of 2‐4 cm renal stone, using V‐UAS in RIRS can improve surgical efficiency with lower postoperative early pain scores. Comparing with MPCNL, its initial SFR was more depressed, and there is still a trend towards requiring more auxiliary procedures to achieve comparable final SFR.

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Идентификаторы

DOI: 10.1155/2020/8052013

Цитирования и источники

Цитирований: 2Использованных источников: 0

Показатели — AkademScholar