Mini-PCNL (percutaneous nephrolithotomy) versus FURSL (flexible ureteroscopy and laser lithotripsy): A head-to-head comparison in treating calyceal diverticulum stones: A prospective randomized study.
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引用次数: 0
Abstract
Purpose: To compare the efficacy and safety of mini-percutaneous nephrolithotomy versus flexible ureteroscopy with laser lithotripsy in the management of calyceal diverticulum stones.
Methods: The study performed a prospective analysis of 91 patients with confirmed calyceal diverticulum stones in Saudi Arabia from January 2020 to June 2024. A total of 78 patients with CD (calyceal diverticulum) stones were randomly divided into two groups: Group A (n = 39) FURSL and Group B (n = 39) mini-PCNL. The study analyzed patient demographics, stone complexity, operative parameters, postoperative results, and postoperative outcomes, including stone-free rates, operative time, hospital stay, complication rates, and recovery time.
Results: Both groups showed similar baseline characteristics and surgical feasibility, with the mini-PCNL group showing a higher SFR (84.62% vs 71.79%), but not statistically significant. Hospital stay was significantly shorter in the FURSL group (17.31 ± 3.06 h vs 30.03 ± 7.18 h; p < 0.001). Patients undergoing FURSL returned to normal activity sooner (5.1 ± 1.37 days vs 8.03 ± 1.05 days; p < 0.05). Complication rates were low and nearly similar across groups.
Conclusions: Both mini-PCNL and FURSL are effective strategies for treating calyceal diverticulum stones. Notably, mini-PCNL offers superior stone-free rates, while FURSL offers shorter operative times, hospital stays, and fast recovery.
目的：比较微型经皮肾镜取石术与输尿管软镜联合激光碎石术治疗肾盏憩室结石的疗效和安全性。方法：本研究对沙特阿拉伯2020年1月至2024年6月确诊的91例肾盏憩室结石患者进行了前瞻性分析。78例肾盏憩室结石患者随机分为两组：A组（n = 39） FURSL和B组（n = 39） mini-PCNL。该研究分析了患者人口统计学、结石复杂性、手术参数、术后结果和术后结果，包括结石清除率、手术时间、住院时间、并发症发生率和恢复时间。结果：两组基线特征和手术可行性相似，mini-PCNL组SFR更高（84.62% vs 71.79%），但无统计学意义。FURSL组住院时间明显缩短（17.31±3.06 h vs 30.03±7.18 h）；结论：mini-PCNL和FURSL均是治疗肾盏憩室结石的有效策略。值得注意的是，mini-PCNL提供优越的无结石率，而FURSL提供更短的手术时间，住院时间和快速恢复。
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