Kombinierte flexible und semirigide Ureterorenoskopie mit Laserlithotripsie

Ebert, A.; Schafhauser, W.

doi:10.1007/s00120-008-1690-9

Cited by 2 publications

(2 citation statements)

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“…In a study involving 12 consecutive patients, 8 had total success, 3 had partial success, and 1 had residual fragments larger than 3 mm. Additionally, 88% of lower pole calyces were stone-free during the complication-free 3-month follow-up [15]. Miernik et al reported a primary stone-free rate of 63.2% and an overall computed tomography (CT) controlled stone-free rate after 3 months (including staged procedures) of 81.8% [16].…”

Section: Resultsmentioning

confidence: 99%

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Combined semirigid and flexible ureterorenoscopy for the treatment of large renal stones

Cozma,

Geavlete,

Multescu

et al. 2023

JMedLife

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Ureteroscopy is recognized as a minimally invasive and readily accessible method with low morbidity, favorable outcomes, and rapid post-interventional recovery. Recent advancements in rigid and flexible ureteroscopes have enhanced their efficiency, durability, and capability to accommodate accessory instruments. In this retrospective analysis, we evaluated 75 consecutive patients with large renal stones (stone burden between 2 and 4 cm) treated using a combination of semirigid and flexible ureteroscopy between January 1, 2020, and December 31, 2021. Stone properties and anatomical information were collected from the image archives derived from computed tomography (CT) and/or KUD radiography. Multiple ureteroscopy sessions were required for bigger stones. The length of the hospital stay, operation time, stone-free rate, preoperative and postoperative complications, and complication rates were examined. The average age of the patients was 52.7 years, with a mean stone burden of 31.45 mm. Most stones were in the renal pelvis, followed by the upper calyx. The average operative time was 56.2 minutes. After the initial ureteroscopy session, the stone clearance rate was 76%, which increased to 92% after two ureteroscopy sessions. Complication rates were evaluated using the Clavien-Dindo modified system, with an overall complication rate of 18.4%. Most of the complications were Clavien Grades I and II, with no grade V complication encountered. Large renal stones can be treated by combining semirigid and flexible ureteroscopy to reduce the operative time and protect the flexible ureteroscope.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%