对于大型结石进行的逆相对跨腹膜腹腔镜皮埃洛利索托米的比较分析
Hamid Pakmanesh1, Mazyar Zahir2, Alireza Farshi3
1Department of Urology, Kerman University of Medical Sciences, Kerman, Iran.
Urolithiasis
|October 9, 2024
概括
逆腹腔镜腹腔镜皮脂切除术 (RLP) 提供较低的风险的术后发烧相比,跨腹腔镜腹腔镜皮脂切除术 (TLP) 大型结石. 这两种方法在石头清除和其他并发症方面都显示出类似的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎石病的管理方法
背景情况:
- laparoscopic pyelolithotomy 是对大型脏盆腔结石的关键治疗方法.
- 逆皮管 (RLP) 和跨皮管 (TLP) 方法是常见的腹腔镜技术.
- 需要进一步阐明RLP和TLP之间的比较结果和并发症概况.
研究的目的:
- 为了比较RLP与TLP治疗大结石的结果和并发症.
- 为了评估手术持续时间,住院时间,无石头率和术后并发症.
主要方法:
- 对273名为脏骨盆结石而进行腹腔镜皮叶利索托米的患者进行了回顾性队列研究.
- RLP (74个案例) 和TLP (199个案例) 的比较,包括倾向性得分匹配.
- 分析的主要指标:手术时间,住院时间,无石头率,Hb/Cr变化和并发症 (发烧,泄漏,输血,转化).
主要成果:
- 与RLP (26.5毫米) 相比,TLP组 (29.8毫米) 的石头大小显著更大.
- 在RLP和TLP之间,手术持续时间和住院时间是可比的.
- 手术后发烧在TLP (21.6%) 比RLP (0.0%) 显著更为普遍,在倾向性得分匹配 (18.9%与0.0%) 后,这一发现是一致的.
结论:
- RLP为TLP提供了一个可行的替代方案,用于管理大型结石.
- 与TLP相比,RLP显示术后发烧的发生率明显较低.
- 整体结果,包括石头清除和其他并发症,在两个腹腔镜方法之间是相似的.
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