术前JJ支架直径对逆行肾内手术的影响:一项研究小组研究。

IF 1.1 4区 医学 Q3 SURGERY
Mehmet Fatih Şahin, Oktay Özman, Kerem Teke, Muhammet Fatih Şimşekoğlu, Murat Akgül, Cem Başataç, Önder Çınar, Hakan Çakır, Duygu Sıddıkoğlu, Cenk Murat Yazıcı, Eyüp Burak Sancak, Barbaros Başeskioğlu, Haluk Akpınar, Bülent Önal
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引用次数: 0

摘要

导读:在逆行肾内手术(RIRS)前放置JJ支架可能会被动扩张输尿管并促进输尿管通路鞘(UAS)的植入。尽管有大量研究表明使用JJ支架的患者更容易植入UAS,但尚未有研究证实术前JJ支架直径的重要性。我们的研究探讨了术前输尿管支架口径与UAS放置和RIRS结果之间的关系。材料与方法:对655例术前双j型支架尺寸已知的患者进行RIRS分析。根据术前支架直径将患者分为两组(1组:4.8 Fr, 2组:6 Fr)。分析患者的人口学和临床资料、结石特征、手术资料、围手术期和术后并发症、住院时间、结石无结石率(SFRs)进行比较。结果:两组分别323例和332例患者。两组的人口统计数据相似。SFR、UAS插入率、住院时间和并发症之间无统计学差异。6fr JJ支架置入率高于4.8 Fr支架置入率,差异有统计学意义(P = 0.001)。支架较厚组手术时间较短(P = 0.003)。结论:我们的数据表明,虽然术前JJ支架直径对整体UAS植入成功率、并发症发生率或术后无结石状态没有显著影响,但使用6fr支架有助于放置更大口径的UAS,并可能减少手术时间。因此,尽管两种支架直径都是有效的,但选择6fr支架可以在不损害安全性或结果的情况下提供手术益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Preoperative JJ Stent Diameter on Retrograde Intrarenal Surgery: A RIRSearch Group Study.

Introduction: A JJ stent placed before retrograde intrarenal surgery (RIRS) may passively dilate the ureter and facilitate ureteral access sheath (UAS) implantation. No studies have examined the significance of preoperative JJ stent diameter, even though numerous studies have shown that UAS insertion is simpler in patients with them. Our study examines the relationship between preoperative ureteral stent caliber and UAS placement and RIRS results. Materials and Methods: A total of 655 patients with known preoperative double-J stent size before RIRS were analyzed. The patients were categorized into two groups based on their preoperative stent diameter (Group 1: 4.8 Fr and Group 2: 6 Fr). Demographic and clinical data of the patients, stone characteristics, surgical data, perioperative and postoperative complications, duration of hospitalization, and stone-free rates (SFRs) were analyzed for comparison. Results: The groups contained 323 and 332 patients. The demographic data of the two groups were similar. There was no statistically significant difference between SFR, UAS insertion rate, hospitalization time, and complications. The success rate of placing a UAS with a higher caliber was statistically significantly higher in those with a 6 Fr JJ stent than in those with a 4.8 Fr stent (P = .001). The operation time was also shorter in the group with a thicker stent (P = .003). Conclusions: Our data suggest that while the preoperative JJ stent diameter does not significantly affect overall UAS insertion success, complication rates, or postoperative stone-free status, using a 6 Fr stent facilitates the placement of larger UAS calibers and may decrease operation time. Consequently, although both stent diameters are efficacious, selecting a 6 Fr stent may provide procedural benefits without jeopardizing safety or results.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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