Clinical application of novel integrated suctioning semi-rigid ureteroscopic lithotripsy.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-12-01 Epub Date: 2023-06-27 DOI:10.1080/13645706.2023.2225599

Qiliang Zhai, Jianqiang Zhang, Qiang Wei, Min Zeng, Leming Song, Yifan Zhang, Maierhaba Maheremu, Mayao Luo, Zhuofan Xu, Difu Fan

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引用次数: 0

Abstract

Introduction: Urinary calculi are frequently encountered in urology. Traditionally, the lack of a perfect water injection and drainage system means the observation field is affected during ureteroscopy. Here, we explored the effect and clinical value of a new integrated suctioning semi-rigid ureteroscopic lithotripsy (URSL) for treating ureteral calculi.

Material and methods: A total of 180 patients were successfully enrolled in this study (60 in each group). Group A included patients who underwent a traditional semi-rigid URSL, group B included patients who underwent a suctioning semi-rigid URSL with a sheath being connected to a vacuum device, and group C included patients who underwent a new type of suctioning integrated rigid URSL with a novel designed ureteroscope.

Results: In total, 164 cases of URSL were completed in one stage. Compared with group A, group C had a higher stone-clearance rate at 30 days postoperatively, shorter operation time, and fewer hospitalization days (p < .05); compared with group B, group C had a higher one-stage operation success rate, shorter operation time, and fewer hospitalization days (p < .05).

Conclusions: Comparatively, the new suctioning integrated semi-rigid URSL is advantageous for treating upper urinary calculi, considering the reduced operation time, length of hospital stay, and low invasiveness.

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新型集成抽吸式半刚性输尿管镜碎石术的临床应用。

导言：泌尿外科经常会遇到尿路结石。传统上，由于缺乏完善的注水和引流系统，输尿管镜检查时的观察视野会受到影响。在此，我们探讨了新型一体化抽吸式半硬性输尿管镜碎石术（URSL）治疗输尿管结石的效果和临床价值：本研究共成功招募了 180 名患者（每组 60 名）。A组包括接受传统半硬性输尿管镜碎石术的患者，B组包括接受抽吸式半硬性输尿管镜碎石术的患者，其鞘管与真空装置相连，C组包括接受新型抽吸式一体化硬性输尿管镜碎石术的患者，其输尿管镜设计新颖：结果：共有 164 例尿路插管术在一个阶段内完成。与 A 组相比，C 组术后 30 天结石清除率更高，手术时间更短，住院天数更少（P P 结论）：比较而言，考虑到手术时间缩短、住院时间缩短和低侵入性，新型抽吸式一体化半硬性尿路结石切除术在治疗上尿路结石方面具有优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.