Comparison of flexible ureterorenoscopy and laparoscopic ureterolithotomy methods for proximal ureteric stones greater than 10 mm

Cavildak I. K., NALBANT İ., Tuygun C., Ozturk U., Goksel Goktug H. N., Bakirtas H., ...Daha Fazla

Urology Journal, cilt.13, sa.1, ss.2484-2489, 2016 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 1
  • Basım Tarihi: 2016
  • Dergi Adı: Urology Journal
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.2484-2489
  • Anahtar Kelimeler: ureteral calculi, surgery, laparoscopy, adverse effects, lithotripsy, postoperative complications, ureterolithiasis, treatment outcome, ureteroscopy, methods, URETEROSCOPIC LITHOTRIPSY, MANAGEMENT, CALCULI, CM
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

Purpose: To examine the outcomes and compare the effectiveness of laparoscopic ureterolithotomy and flexible ureterorenoscopy (FURS) in patients with proximal ureteral stones larger than 10 mm in diameter. Materials and Methods: In total, 150 patients who underwent laparoscopic ureterolithotomy and FURS because of ureteral stones in our urology clinic from January 2010 to June 2015 were retrospectively analyzed. The patients were divided into 2 groups: 70 patients who underwent laparoscopic ureterolithotomy (Group 1) and 80 patients who underwent FURS (Group 2). Success rates and complications were compared. Results: The success rates were 95.7% and 90.0% in Groups 1 and 2, respectively; there was no statistically significant difference between the groups. No statistically or clinically significant complications occurred in either group. Conclusion: Laparoscopic ureterolithotomy and FURS are both effective and reliable for the treatment of proximal ureteral stones. However, considering the shorter operation and hospitalization times and the management of situations that require secondary interventions, we suggest that FURS, as a minimally invasive method, may be the first choice in the treatment of proximal ureteral stones.