Management of Large Proximal Ureteral Calculi : A Three-year Multicenter Experience of Simultaneous Supine Percutaneous Nephrolithotomy and Retrograde Ureterolithotripsy
PURPOSE: To share our multicenter experience using a safe and effective method for treating large proximal ure-teral calculus by simultaneous supine percutaneous nephrolithotomy (sPCNL) and retrograde ureterolithotripsy (URSL) in the Galdakao-modified supine Valdivia position.
MATERIALS AND METHODS: Between December 2014 and August 2017, all patients with large proximal ureteral stones (> 15 mm) who underwent simultaneous sPCNL and retrograde URSL at three medical centers were retro-spectively reported. The ureter stone was pushed back (retrograde) with the ureteroscope and was retrieved using forceps with a nephroscope through an Amplatz sheath. Surgical methods and outcomes were described to improve our experience and management of large proximal ureteral calculi.
RESULTS: A total of 31 patients underwent simultaneous sPCNL and retrograde URSL. The mean patient age, stone size, operating time, and postoperative hospital stay were 57 years (range, 32-74 years), 20.1 mm (range, 15.0-37.9 mm), 81 minutes (range, 30-150), and 3.2 days (range, 2-7 days), respectively. There were 10 modified Clavien grade I and five grade II complications. No blood transfusions were necessary in this series. All patients were treated with double-J stents without a nephrostomy tube. Only one patient did not achieve stone-free status because of the strict stone impaction into the ureteral wall. This patient received auxiliary URSL after two months. Thereafter, the overall stone-clearance rate at three months was 100%.
CONCLUSION: Our preliminary data showed that this modified method is safe and effective for treating large prox-imal ureteral stones.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
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| Enthalten in: |
Urology journal - 16(2019), 5 vom: 21. Okt., Seite 433-438 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chen, Yu-Chen [VerfasserIn] |
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| Anmerkungen: |
Date Completed 05.03.2020 Date Revised 05.10.2020 published: Electronic Citation Status MEDLINE |
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| doi: |
10.22037/uj.v0i0.4328 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM288441281 |
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| 100 | 1 | |a Chen, Yu-Chen |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Management of Large Proximal Ureteral Calculi |b A Three-year Multicenter Experience of Simultaneous Supine Percutaneous Nephrolithotomy and Retrograde Ureterolithotripsy |
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| 500 | |a Date Completed 05.03.2020 | ||
| 500 | |a Date Revised 05.10.2020 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: To share our multicenter experience using a safe and effective method for treating large proximal ure-teral calculus by simultaneous supine percutaneous nephrolithotomy (sPCNL) and retrograde ureterolithotripsy (URSL) in the Galdakao-modified supine Valdivia position | ||
| 520 | |a MATERIALS AND METHODS: Between December 2014 and August 2017, all patients with large proximal ureteral stones (> 15 mm) who underwent simultaneous sPCNL and retrograde URSL at three medical centers were retro-spectively reported. The ureter stone was pushed back (retrograde) with the ureteroscope and was retrieved using forceps with a nephroscope through an Amplatz sheath. Surgical methods and outcomes were described to improve our experience and management of large proximal ureteral calculi | ||
| 520 | |a RESULTS: A total of 31 patients underwent simultaneous sPCNL and retrograde URSL. The mean patient age, stone size, operating time, and postoperative hospital stay were 57 years (range, 32-74 years), 20.1 mm (range, 15.0-37.9 mm), 81 minutes (range, 30-150), and 3.2 days (range, 2-7 days), respectively. There were 10 modified Clavien grade I and five grade II complications. No blood transfusions were necessary in this series. All patients were treated with double-J stents without a nephrostomy tube. Only one patient did not achieve stone-free status because of the strict stone impaction into the ureteral wall. This patient received auxiliary URSL after two months. Thereafter, the overall stone-clearance rate at three months was 100% | ||
| 520 | |a CONCLUSION: Our preliminary data showed that this modified method is safe and effective for treating large prox-imal ureteral stones | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 700 | 1 | |a Chen, Hao-Wei |e verfasserin |4 aut | |
| 700 | 1 | |a Juan, Yung-Shun |e verfasserin |4 aut | |
| 700 | 1 | |a Lo, Ing-Shiang |e verfasserin |4 aut | |
| 700 | 1 | |a Shih, Ming-Chen Paul |e verfasserin |4 aut | |
| 700 | 1 | |a Wu, Wen-Jeng |e verfasserin |4 aut | |
| 700 | 1 | |a Jhan, Jhen-Hao |e verfasserin |4 aut | |
| 700 | 1 | |a Huang, Tsung-Yi |e verfasserin |4 aut | |
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