Laparoscopic Ureterolithotomy as a Primary Modality for Large Proximal Ureteral Calculi: Comparison to Rigid Ureteroscopic Pneumatic Lithotripsy
DC Field | Value | Language |
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dc.contributor.author | Ko, Young Hwii | - |
dc.contributor.author | Kang, Sung Gu | - |
dc.contributor.author | Park, Jae Young | - |
dc.contributor.author | Bae, Jae Hyun | - |
dc.contributor.author | Kang, Seok Ho | - |
dc.contributor.author | Cho, Dae Yeon | - |
dc.contributor.author | Park, Hong Seok | - |
dc.contributor.author | Cheon, Jun | - |
dc.contributor.author | Lee, Jeong Gu | - |
dc.contributor.author | Kim, Je Jong | - |
dc.date.accessioned | 2021-09-07T16:37:53Z | - |
dc.date.available | 2021-09-07T16:37:53Z | - |
dc.date.created | 2021-06-14 | - |
dc.date.issued | 2011-01 | - |
dc.identifier.issn | 1092-6429 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/113397 | - |
dc.description.abstract | Objective: To define the role of laparoscopic ureterolithotomy (LU) as a primary modality for large proximal ureteral stones, we compared the outcomes of primary LU with those of ureterorenoscopy (URS), the currently established modality in this circumstance. Materials and Methods: Among 71 patients who underwent LU in our institution between February 2005 and January 2010, 32 patients with stone size over 1.5 cm who underwent LU as a primary modality without prior shockwave lithotripsy or URS and for whom LU was conducted as a separate procedure were exclusively enrolled. Based on preoperative characteristics of patients and stones, this patient group was matched with the URS group (n - 32, rigid pneumatic lithotripter) during the same period. Results: The LU group and the URS group were similar in age, gender distribution, body mass index, stone size (18.1 +/- 4.2 versus 17.9 +/- 3.6 mm; P = .88), and stone location. Members of the LU group required a longer operative time (118 +/- 53 versus 59 +/- 41 minutes; P < .001) and hospital stay (5.9 +/- 2.1 versus 3.4 +/- 2.4 days; P < .001) and had greater blood loss (155 +/- 62 mL). However, stone clearance rate (no remnant stone in postoperative X-ray of the kidney, ureter, and bladder) in a single session was marginally higher in the LU group (93.8% versus 68.8%; P = .06). Total complication rate was not significant and was slightly higher in the URS group (12.5% versus 21.9%, P = .51). Stone migration into the kidney (n = 2 versus 5), ureteral perforation (n = 0 versus 3), open conversion (n = 1 versus 2), and ureteral stricture (n = 1 versus 2), as long-term complications, occurred more frequently in the URS group. Conclusions: For large proximal ureteral stones, LU can be conducted safely as a first-line procedure without increase of complication rate, compared with conventional URS. Although LU required a prolonged operative time and a longer hospital stay and blood loss was greater, our data showed an advantage of LU in high clearance rate in a single procedure. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | MARY ANN LIEBERT, INC | - |
dc.subject | EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY | - |
dc.subject | SEMIRIGID URETERORENOSCOPE | - |
dc.subject | RETROPERITONEAL APPROACH | - |
dc.subject | LASER LITHOTRIPSY | - |
dc.subject | WAVE LITHOTRIPSY | - |
dc.subject | 2007 GUIDELINE | - |
dc.subject | MANAGEMENT | - |
dc.subject | STONES | - |
dc.subject | HOLMIUM | - |
dc.subject | TRANSPERITONEAL | - |
dc.title | Laparoscopic Ureterolithotomy as a Primary Modality for Large Proximal Ureteral Calculi: Comparison to Rigid Ureteroscopic Pneumatic Lithotripsy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Ko, Young Hwii | - |
dc.contributor.affiliatedAuthor | Kang, Sung Gu | - |
dc.contributor.affiliatedAuthor | Park, Jae Young | - |
dc.contributor.affiliatedAuthor | Bae, Jae Hyun | - |
dc.contributor.affiliatedAuthor | Kang, Seok Ho | - |
dc.contributor.affiliatedAuthor | Park, Hong Seok | - |
dc.contributor.affiliatedAuthor | Cheon, Jun | - |
dc.contributor.affiliatedAuthor | Lee, Jeong Gu | - |
dc.contributor.affiliatedAuthor | Kim, Je Jong | - |
dc.identifier.doi | 10.1089/lap.2010.0340 | - |
dc.identifier.scopusid | 2-s2.0-79951717278 | - |
dc.identifier.wosid | 000287309100002 | - |
dc.identifier.bibliographicCitation | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.21, no.1, pp.7 - 13 | - |
dc.relation.isPartOf | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | - |
dc.citation.title | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | - |
dc.citation.volume | 21 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 7 | - |
dc.citation.endPage | 13 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY | - |
dc.subject.keywordPlus | SEMIRIGID URETERORENOSCOPE | - |
dc.subject.keywordPlus | RETROPERITONEAL APPROACH | - |
dc.subject.keywordPlus | LASER LITHOTRIPSY | - |
dc.subject.keywordPlus | WAVE LITHOTRIPSY | - |
dc.subject.keywordPlus | 2007 GUIDELINE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | STONES | - |
dc.subject.keywordPlus | HOLMIUM | - |
dc.subject.keywordPlus | TRANSPERITONEAL | - |
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