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International Urology and Nephrology

, Volume 51, Issue 11, pp 1955–1960 | Cite as

Analysis of the clinical effect and long-term follow-up results of retroperitoneal laparoscopic ureterolithotomy in the treatment of complicated upper ureteral calculi (report of 206 cases followed for 10 years)

  • Keyi Wang
  • Guangchun Wang
  • Heng Shi
  • Haimin Zhang
  • Jianhua Huang
  • Jiang Geng
  • Lei Yin
  • Tianrun Huang
  • Bo PengEmail author
Urology - Original Paper
  • 110 Downloads

Abstract

Purpose

To summarize the experience of retroperitoneal laparoscopic ureterolithotomy (RLU) in the treatment of upper ureteral calculi and long-term follow-up results and compare them with ureteroscopic lithotomy (URL) and percutaneous nephrolithotomy (PCNL).

Methods

The clinical data of 585 patients with complex upper ureteral calculi who met the inclusion criteria from January 2006 to December 2017 were retrospectively analyzed. There were 206 cases treated with RLU, 201 cases treated with URL and 178 cases treated with PCNL. The operation time, hospitalization time, stone clearance rate, incidence of postoperative complications and recurrence rate were observed and compared among the three groups.

Results

Among 585 eligible patients, 206 cases were treated with RLU, 201 cases were treated with URL and 178 cases were treated with PCNL. The stone clearance rate (98.54%), postoperative complication types and rate (0.97%) in the RLU group were superior to those in the URL group and the PCNL group (P < 0.05). There was no significant difference in the recurrence rate (3.88%) between the RLU group and the other two groups (P > 0.05).

Conclusion

Retroperitoneal laparoscopic ureterolithotomy has many advantages in the treatment of upper ureteral calculi, including high stone clearance rate, less complications especially in ureteral stricture. Retroperitoneal laparoscopic ureterolithotomy is also safe to treat upper ureteral calculi accompanied with severe urinary tract infection.

Keywords

Retroperitoneal laparoscopic ureterolithotomy Ureteroscopic lithotripsy Percutaneous nephrolithotomy Upper ureteral calculi Curative effects 

Abbreviations

RLU

Retroperitoneal laparoscopic ureterolithotomy

URL

Ureteroscopic lithotomy

PCNL

Percutaneous nephrolithotomy

ESWL

Extracorporeal shock wave lithotripsy

UAS

Ultrasonically activated scalpel

IVU

Intravenous urography

Notes

Acknowledgements

The authors are grateful for the invaluable support and useful discussions with other members of the Urological department.

Author contributions

KW, GW and BP designed the research. HZ and JH acquired the data. KW, LY, HS and JG analyzed the results. KW and GW wrote the article. BP revised and provided critical comments. All authors read and approved the final manuscript.

Funding

This work was supported by the National Natural Science Foundation of China (Grant No. 81870517).

Compliance with ethical standards

Conflict of interest

The authors of this manuscript have no conflict of interest.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  • Keyi Wang
    • 1
  • Guangchun Wang
    • 1
  • Heng Shi
    • 1
  • Haimin Zhang
    • 1
  • Jianhua Huang
    • 1
  • Jiang Geng
    • 1
  • Lei Yin
    • 1
  • Tianrun Huang
    • 2
  • Bo Peng
    • 1
    Email author
  1. 1.Department of Urology, Shanghai Tenth People’s Hospital, School of MedicineTongji UniversityShanghaiChina
  2. 2.Department of Urology, North Huashan HospitalFudan UniversityShanghaiChina

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