دورية أكاديمية
One-stage efficacy of single tract minimally invasive ECIRS in the improved prone frog split-leg position for staghorn stones
العنوان: | One-stage efficacy of single tract minimally invasive ECIRS in the improved prone frog split-leg position for staghorn stones |
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المؤلفون: | Changyi Liu, Biqiong Zheng, Jinfeng Wen, Houping Mao, Tao Jiang, Qin Chen, Wenwei Chen, Hua Zhang, Yanfeng He, Rui Gao |
المصدر: | BMC Urology, Vol 22, Iss 1, Pp 1-7 (2022) |
بيانات النشر: | BMC, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Diseases of the genitourinary system. Urology |
مصطلحات موضوعية: | Single tract, Minimally invasive, Endoscopic combined intrarenal surgery, Percutaneous nephroscopy, Stone free rate, Improved prone frog split-leg position, Diseases of the genitourinary system. Urology, RC870-923 |
الوصف: | Abstract Objective To explore the feasibility, safety, and effectiveness of single tract minimally invasive endoscopic combined intrarenal surgery (stmECIRS) in the improved prone frog split-leg position for staghorn stones. Method A total of 83 patients with staghorn stones were retrospectively reviewed between January 2018 and June 2021. According to surgical procedure and position, patients were divided into a group of single tract minimally invasive percutaneous nephroscopy (stmPNL) in the prone position and a group of stmECIRS in the improved prone frog split-leg position (turned to the prone position after preset the flexible ureteroscope sheath in lithotomy position, meanwhile, bend both hips and knees to be frog abduction). Demographic characteristics, laboratory tests, stone characters, surgical information, stone-free rate (SFR), and perioperative complications were observed and analyzed. Results There were no significant differences in demographic characteristics, changes level of Scr and Hb, stone size, radiation density, length of hospital stay, and operation time between the two groups. One-stage SFR in the stmECIRS group was significantly higher than that in the stmPNL group (84.4% vs. 57.9%) (P = 0.007), only 2 patients required blood transfusion after surgery (P = 0.862), and other postoperative complications were not statistically significant (P = 0.345). Conclusions StmECIRS in improved prone frog split-leg position has a higher one-stage SFR than stmPNL for staghorn renal stones, and without complications increased, which is a safe, efficient and feasible treatment. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1471-2490 |
Relation: | https://doaj.org/toc/1471-2490 |
DOI: | 10.1186/s12894-022-01003-w |
URL الوصول: | https://doaj.org/article/8ceb4e343708404ca91ff4bcd84f806c |
رقم الأكسشن: | edsdoj.8ceb4e343708404ca91ff4bcd84f806c |
قاعدة البيانات: | Directory of Open Access Journals |
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