• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Evaluation of the role of preoperative Double-J ureteral stenting in retroperitoneal laparoscopic pyelolithotomy.
【24h】

Evaluation of the role of preoperative Double-J ureteral stenting in retroperitoneal laparoscopic pyelolithotomy.

机译：评估术前双J输尿管支架在腹膜后腹腔镜肾盂切开术中的作用。

获取原文
获取原文并翻译 | 示例
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Since the first retroperitoneal laparoscopic pyelolithotomy (RPPL) was reported by Gaur and associates in 1994, its technique has improved considerably. The applicability and indications of the procedure are expanding with advances in technology, expertise, and experience. To date, there has been no prospective study in the literature about the role of preoperative Double-J (D-J) ureteral stenting in patients who undergo RPPL. This study is an endeavor to evaluate the role of preoperative D-J stenting in RPPL. METHODS: The study included 184 patients, who were randomized into 2 groups. Group A included 95 patients, who underwent RPPL with D-J stenting. Group B included 89 patients, who underwent RPPL without D-J stenting. In group A, D-J stents were inserted under local anesthesia preoperatively, on the side of surgery. Complications during surgery and during the postoperative period were carefully recorded. RESULTS: The duration of drainage and volume in group A was significantly lower than in group B. The duration of postoperative stay was significantly reduced in group A (mean 3.3 vs. 5.74 days). The analgesic requirement in group A also was significantly lower than in group B (mean 378.95 vs. 558.99 mg). No statistically significant difference existed between the two groups, in terms of minor intraoperative and postoperative complications (25.3% vs. 29.2%; p < or = 0.547). CONCLUSIONS: D-J stenting and type of renal pelvis influenced the results, i.e., duration of drainage, analgesic requirement, and duration of stay, in patients undergoing RPPL. However, there was no significant difference in operative time, intraoperative blood loss, and postoperative complications. D-J stent group had significant increase in the rate of urinary tract infection postoperatively.
机译：背景：自1994年Gaur及其同事报道了首例腹膜后腹腔镜肾盂切开术（RPPL）以来，其技术得到了很大的改进。随着技术，专业知识和经验的进步，该程序的适用性和适应症也在不断扩大。迄今为止，文献中尚无关于术前Double-J（D-J）输尿管支架在接受RPPL的患者中的作用的前瞻性研究。这项研究旨在评估术前D-J支架在RPPL中的作用。方法：该研究包括184例患者，随机分为两组。 A组包括95例患者，他们接受了RPPL和D-J支架置入术。 B组包括89例未经D-J支架置入术的RPPL。在A组中，术前在手术侧在局部麻醉下插入D-J支架。仔细记录手术期间和术后的并发症。结果：A组的引流时间和体液量显着低于B组。A组的术后住院时间显着缩短（平均3.3天与5.74天）。 A组的镇痛需要量也显着低于B组（分别为378.95和558.99 mg）。两组在术中和术后轻微并发症方面无统计学差异（25.3％vs. 29.2％; p <或= 0.547）。结论：D-J支架置入术和肾盂类型影响了RPPL患者的结果，即引流时间，止痛要求和住院时间。但是，手术时间，术中失血量和术后并发症没有显着差异。 D-J支架组术后尿路感染率显着增加。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号