Ming Xu, Lu Jin, Dongrong Yang, Boxin Xue, Chuanyang Sun, Wei Tao
{"title":"软性真空辅助输尿管通路鞘与常规输尿管鞘联合一次性输尿管镜治疗肾结石的比较。","authors":"Ming Xu, Lu Jin, Dongrong Yang, Boxin Xue, Chuanyang Sun, Wei Tao","doi":"10.1007/s00240-025-01699-z","DOIUrl":null,"url":null,"abstract":"<p><p>To evaluate the safety and efficacy of the flexible vacuum-assisted ureteral access sheath combined with the single-use flexible ureteroscopy in the treatment of renal calculi. We prospectively analyzed the patients treated with single-use flexible ureteroscopy from January 2023 to December 2023, among which 113 cases were treated with flexible vacuum-assisted ureteral access sheath (FV-UAS group) and 113 cases were treated with conventional sheath (conventional sheath group). Patient data ofthe two groups were collected and recorded before and after operation. No significant differences were observed between the two groups regarding demographics and pre-operative clinical characteristics. The duration of the operation was significantly longer in the FV-UAS group (79.5 ± 6.8 min) compared to the conventional UAS group (65.2 ± 7.3 min). However, the stone free rate (SFR) at one day and one month post-operation in the FV-UAS group was 85.6% and 98.2%, respectively, significantly higher than that in the conventional UAS group (72.6%, 90.3%). Complications such as infection and urosepsis were more common in conventional UAS group. Notably, hospitalization costs were lower in the FV-UAS group. Flexible vacuum-assisted ureteral access sheath combined with flexible single-use ureteroscope is a feasible and effective method for treating renal calculi. It offers higher SFR and lower rate of infectious complications.</p>","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"37"},"PeriodicalIF":2.0000,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846721/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of flexible vacuum-assisted ureteral access sheath versus conventional sheath combined with single-use flexible ureteroscope in the treatment of renal calculi.\",\"authors\":\"Ming Xu, Lu Jin, Dongrong Yang, Boxin Xue, Chuanyang Sun, Wei Tao\",\"doi\":\"10.1007/s00240-025-01699-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>To evaluate the safety and efficacy of the flexible vacuum-assisted ureteral access sheath combined with the single-use flexible ureteroscopy in the treatment of renal calculi. We prospectively analyzed the patients treated with single-use flexible ureteroscopy from January 2023 to December 2023, among which 113 cases were treated with flexible vacuum-assisted ureteral access sheath (FV-UAS group) and 113 cases were treated with conventional sheath (conventional sheath group). Patient data ofthe two groups were collected and recorded before and after operation. No significant differences were observed between the two groups regarding demographics and pre-operative clinical characteristics. The duration of the operation was significantly longer in the FV-UAS group (79.5 ± 6.8 min) compared to the conventional UAS group (65.2 ± 7.3 min). However, the stone free rate (SFR) at one day and one month post-operation in the FV-UAS group was 85.6% and 98.2%, respectively, significantly higher than that in the conventional UAS group (72.6%, 90.3%). Complications such as infection and urosepsis were more common in conventional UAS group. Notably, hospitalization costs were lower in the FV-UAS group. Flexible vacuum-assisted ureteral access sheath combined with flexible single-use ureteroscope is a feasible and effective method for treating renal calculi. It offers higher SFR and lower rate of infectious complications.</p>\",\"PeriodicalId\":23411,\"journal\":{\"name\":\"Urolithiasis\",\"volume\":\"53 1\",\"pages\":\"37\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-02-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846721/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urolithiasis\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00240-025-01699-z\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urolithiasis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00240-025-01699-z","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Comparison of flexible vacuum-assisted ureteral access sheath versus conventional sheath combined with single-use flexible ureteroscope in the treatment of renal calculi.
To evaluate the safety and efficacy of the flexible vacuum-assisted ureteral access sheath combined with the single-use flexible ureteroscopy in the treatment of renal calculi. We prospectively analyzed the patients treated with single-use flexible ureteroscopy from January 2023 to December 2023, among which 113 cases were treated with flexible vacuum-assisted ureteral access sheath (FV-UAS group) and 113 cases were treated with conventional sheath (conventional sheath group). Patient data ofthe two groups were collected and recorded before and after operation. No significant differences were observed between the two groups regarding demographics and pre-operative clinical characteristics. The duration of the operation was significantly longer in the FV-UAS group (79.5 ± 6.8 min) compared to the conventional UAS group (65.2 ± 7.3 min). However, the stone free rate (SFR) at one day and one month post-operation in the FV-UAS group was 85.6% and 98.2%, respectively, significantly higher than that in the conventional UAS group (72.6%, 90.3%). Complications such as infection and urosepsis were more common in conventional UAS group. Notably, hospitalization costs were lower in the FV-UAS group. Flexible vacuum-assisted ureteral access sheath combined with flexible single-use ureteroscope is a feasible and effective method for treating renal calculi. It offers higher SFR and lower rate of infectious complications.
期刊介绍:
Official Journal of the International Urolithiasis Society
The journal aims to publish original articles in the fields of clinical and experimental investigation only within the sphere of urolithiasis and its related areas of research. The journal covers all aspects of urolithiasis research including the diagnosis, epidemiology, pathogenesis, genetics, clinical biochemistry, open and non-invasive surgical intervention, nephrological investigation, chemistry and prophylaxis of the disorder. The Editor welcomes contributions on topics of interest to urologists, nephrologists, radiologists, clinical biochemists, epidemiologists, nutritionists, basic scientists and nurses working in that field.
Contributions may be submitted as full-length articles or as rapid communications in the form of Letters to the Editor. Articles should be original and should contain important new findings from carefully conducted studies designed to produce statistically significant data. Please note that we no longer publish articles classified as Case Reports. Editorials and review articles may be published by invitation from the Editorial Board. All submissions are peer-reviewed. Through an electronic system for the submission and review of manuscripts, the Editor and Associate Editors aim to make publication accessible as quickly as possible to a large number of readers throughout the world.