دورية أكاديمية
Transperitoneal Laparoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy for Treating the Patients with Staghorn Kidney Stones: A Randomized Clinical Trial.
| العنوان: | Transperitoneal Laparoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy for Treating the Patients with Staghorn Kidney Stones: A Randomized Clinical Trial. |
|---|---|
| المؤلفون: | Soltani MH; 1. Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran. mhsoltani60@gmail.com., Hossein Kashi A; 1. Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran. Ahkashi@gmail.com., Farshid S; 2. Clinical Research Development Unit of Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran . farshid.s@umsu.ac.ir., Mantegy SJ; Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran. Manteghimohammadjavad@gmail.com., Valizadeh R; 3. Student Research Committee, Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. rohvali4@gmail.com. |
| المصدر: | Urology journal [Urol J] 2021 Dec 20; Vol. 19 (1), pp. 28-33. Date of Electronic Publication: 2021 Dec 20. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Urology and Nephrology Research Center Country of Publication: Iran NLM ID: 101286676 Publication Model: Electronic Cited Medium: Internet ISSN: 1735-546X (Electronic) Linking ISSN: 17351308 NLM ISO Abbreviation: Urol J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Tehran : Urology and Nephrology Research Center |
| مواضيع طبية MeSH: | Kidney Calculi*/surgery , Laparoscopy*/adverse effects , Nephrolithotomy, Percutaneous*/adverse effects , Nephrostomy, Percutaneous*/methods , Staghorn Calculi*/surgery, Adult ; Humans ; Middle Aged ; Nephrotomy/methods ; Treatment Outcome |
| مستخلص: | Purpose: To compare the performance and outcomes of laparoscopic pyelolithotomy (LPL) versus percutaneous nephrolithotomy (PCNL) in the management of staghorn kidney stones. Materials and Methods: This study was a parallel-group randomized clinical trial study carried out on 68 patients with staghorn stones (one single piece or maximally two-piece stones with large extra renal part) over 18 years referred to Labbafinejhad Hospital. Patients were randomly divided on a ratio of 1:1 into two groups of LPL and PCNL using random allocation software. The primary outcome was the stone free rate, which was evaluated with KUB, and ultrasonography. Secondary outcomes were duration of surgery, bleeding, fever, post-operative pain, length of hospital stay, and postoperative complications. Results: The mean±SD age of patients in PCNL and LPL groups were 48.50 ± 13.33 years and 52.17 ± 15.74 years, respectively (P=.303). LPL was associated with a higher duration of surgery (196.55 ± 26.58 minutes versus 110.88 ± 34.82; P=.001). Hemoglobin drop in the PCNL group was higher than the LPL group (2.67 ± 2.61 g/dL versus -0.7912 ± 1.06 g/dL; P=.001). Stone free status was observed in 29 (85.3%) patients in the LPL group, which was significantly higher than the PCNL group (22 patients, 64.7%; P =.050). Conclusion: The results of this study indicate that LPL offers a higher stone free rate with less bleeding in patients with single particle or limited particles staghorn stones with extrarenal pelvis but is associated with a higher duration of operation. The application of LPL in patients with multiple stones carries a lower achievement and is not encouraged. |
| تواريخ الأحداث: | Date Created: 20211220 Date Completed: 20220322 Latest Revision: 20220322 |
| رمز التحديث: | 20240628 |
| DOI: | 10.22037/uj.v18i.6831 |
| PMID: | 34927230 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1735-546X |
|---|---|
| DOI: | 10.22037/uj.v18i.6831 |