Randomized study of percutaneous ureteroscopic plasma column electrode decortication and laparoscopic decortication in managing simple renal cyst
| Autor: | Bohan Wang, Guojun Gao, Guiting Lin, Chengrong Zhang, Guobao Sun, Weiguang Liu, Bao Li, Yuansheng Sun |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Percutaneous Urology medicine.medical_treatment laparoscopic decortication law.invention renal cyst 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine Plasma column Hemopneumothorax business.industry Stent Decortication medicine.disease Surgery plasma column electrode (PCE) Catheter Percutaneous ureteroscopy Reproductive Medicine 030220 oncology & carcinogenesis Shock (circulatory) Original Article 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Translational Andrology and Urology |
| ISSN: | 2223-4691 2223-4683 |
| DOI: | 10.21037/tau.2018.03.08 |
| Popis: | Background To assess the safety and efficacy of a novel technology referred to as percutaneous ureteroscopic plasma column electrode (PCE) by comparing laparoscopic decortication in the management of simple renal cyst (SRC). Methods Between March 2016 and June 2017, 53 patients with SRCs were randomized to divided into two groups, the PCE group (24 patients), or laparoscope group (29 patients). The operative time, blood loss, days of drainage, catheter, and hospital stay and complications were compared with the two groups. All patients were followed- up to 6 months after treatment. Results No patients had intraoperative complications such as hemopneumothorax, adjacent organ injury, infection or hemorrhage shock. In the PCE group and laparoscope group: the mean operation time was 34.1±8.2 vs. 58.4±16.7 min (P0.05). The mean intra-urethral indwelling catheter time was 2.1±0.88 vs. 2.0±1.15 d (P>0.05). The mean postoperative hospital stay was 3.0±1.7 vs. 3.7±1.53 (P>0.05). One patient in electrode group was suffered from rupture of the collecting system during the operation, and was treated by indwelling D-J stent. During follow up, no cysts recurrence was found. Conclusions Percutaneous ureteroscopic PCE decortication is a safe, minimally invasive and effective therapy to treat SRCs, with equal efficacy and advantages in shortening the operation time and reducing the amount of intraoperative bleeding compared with laparoscopic decortication. |
| Databáze: | OpenAIRE |
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