Observation of the effect of flexible suction ureteral access sheath in one-stage operation of complex renal calculi

doi:10.3969/j.issn.1006-7795.2024.05.018

Abstract

Abstract: Objective To observe the clinical effect of flexible suction ureteral access sheath in one-stage operation of complex renal calculi. Methods A total of 120 patients with complicated renal calculi who admitted to Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, were randomly divided into two groups, 60 in the observation group and 60 in the control group. The patients in the observation group were treated with the flexible suction ureteral access sheath, the patients in the control group were treated with ordinary ureter sheath. The average operation time, stone-free rate, infection index, bleeding and average hospital stay were compared between the two groups. Results The average surgical time of the observation group patients was (58.81±15.60) minutes, the stone free rate was 91.67% (55/60), the white blood cell （WBC） count was (7.43±0.52) × 10⁹/L, the procalcitonin (PCT) was (0.96±0.10) ng/mL, and the inpatient days was 2 (2， 3) days. Compared with the control group, the difference was statistically significant (P<0.001). There was no statistically significant difference in the decline of hemoglobin (HGB) between the two groups (P=0.075). Conclusions Application of the flexible suction ureteral access sheath in one-stage operation of complex renal calculi can significantly increase the stone-free rate, reduce the average operation time and hospital stay, and reduce the incidence of infection.

Key words: flexible suction ureteral access sheath, complex renal calculi, one-stage operation

CLC Number:

Zhang Quandong, Liu Hui. Observation of the effect of flexible suction ureteral access sheath in one-stage operation of complex renal calculi[J]. Journal of Capital Medical University, 2024, 45(5): 864-869.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2024.05.018

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2024/V45/I5/864

References

［1］Zhang J J, Xiao N, Huang K, et al. Effect of percutaneous nephrolithotripsy under guidance of B-ultrasound for the treatment of complex renal calculi［J］. J Pak Med Assoc, 2022, 72(6): 1198－1200.
［2］Choi Y S, Sorkhi S R, Cho H J, et al. A comparative analysis between flexible ureteroscopic lithotripsy and tubeless percutaneous nephrolithotomy in the treatment of >15 mm Non-Obstructing proximal ureteral stones［J］. J Clin Med, 2023, 12(24): 7541.
［3］Keles A, Arikan O, Hamid-Zadai, et al. Exploring the impact of digital health literacy on quality of life in patients undergoing retrograde intrarenal surgery for kidney stone treatment: a prospective, single-center study［J］. Urolithiasis, 2024, 52(1): 77.
［4］Tasaka S, Kohada Y, Ikeda M, et al. Utility of the modified 5-item frailty index as a predictor of postoperative febrile urinary tract infection in patients who underwent ureteroscopy with laser lithotripsy［J］. World J Urol, 2024, 42(1): 323.
［5］Fernández Baltar C, Gude Sampedro F, Pérez Fentes D. Does success in percutaneous nephrolithotomy depend only on stone size? Analysis of the predictive capacity for success and complications of the current nephrolithometry scoring systems and their relationship with the stone surface［J］. Actas Urol Esp (Engl Ed), 2024, 48（8）：603-610.
［6］Choo M S, Cho S Y. The era of robotic flexible ureteroscopic management of urinary calculi and the domain of ‘surgeons’ in the endoscopic surgical procedures［J］. Investig Clin Urol, 2022, 63(6): 589－591.
［7］Li D, Chen L, Lun X L, et al. Actively extracting kidney stones combined dusting technique can improve SFR of moderate-complexity kidney stones in fURL［J］. Int Urol Nephrol, 2024, 56(8): 2547－2553.
［8］Zeng J, Zhang L, Chen X F, et al. The treatment option for calyceal diverticulum stones: flexible ureteroscopy lithotripsy (FURL) or all-seeing needle-assisted percutaneous nephrolithotomy (PCNL)?［J］. Urolithiasis, 2022, 50(6): 743－749.
［9］Zheng C J, Xiong B, Wang H Z, et al. Retrograde intrarenal surgery versus percutaneous nephrolithotomy for treatment of renal stones >2 cm: a meta-analysis［J］. Urol Int, 2014, 93(4): 417－424.
［10］Asutay M K, Lattarulo M, Liourdi D, et al. Does ureteral access sheath have an impact on ureteral injury?［J］. Urol Ann, 2022, 14(1): 1－7.
［11］Ripa F, Tokas T, Griffin S, et al. Role of pediatric ureteral access sheath and outcomes related to flexible ureteroscopy and laser stone fragmentation: a systematic review of literature［J］. Eur Urol Open Sci, 2022, 45: 90－98.
［12］Belle J D, Chen R, Srikureja N, et al. Does the novel Thulium fiber laser have a higher risk of urothelial thermal injury than the conventional Holmium laser in an in vitro study?［J］. J Endourol, 2022, 36(9): 1249－1254.
［13］Tefik T, Ergül R B, Osther P, et al. The relationship between the force applied and perceived by the surgeon during ureteral access sheath placement: ex-vivo experimental model［J］. World J Urol, 2024, 42(1): 329.
［14］Zhu Z W, Cui Y, Zeng F, et al. Comparison of suctioning and traditional ureteral access sheath during flexible ureteroscopy in the treatment of renal stones［J］. World J Urol, 2019, 37(5): 921－929.
［15］Liu M H, Cui Z X, Zhu Z W, et al. Development of a nomogram predicting the infection stones in kidney for better clinical management: a retrospective study［J］. J Endourol, 2022, 36(7): 947－953.

[1]	Guan Yiming, Diao Zongli, Huang Hongdong, Liu Wenhu. Impact of repeated intravenous calcium administration on vascular calcification in chronic kidney disease rats [J]. Journal of Capital Medical University, 2024, 45(5): 823-830.
[2]	Chen Xianghui , Jia Ting , Yang Ying , Li Yan , Wei Shizhuo , Wang Jiaqi , Feng Yingying , Ma Fangxia, Chen Zhao, Wang Li , Fu Rongguo , . Consistency evaluation of urine PCR and 24-h urine protein quantification in urine protein evaluation of glomerular disease patients [J]. Journal of Capital Medical University, 2024, 45(5): 831-837.
[3]	Qin Yunlong, Zhou Jin, Liu Meng, Luo Kaifa, Wang Anjing, Wang Di, Zhao Jin, Sun Shiren. Analysis of clinicopathological characteristics and prognosis of malignant hypertensive nephrosclerosis [J]. Journal of Capital Medical University, 2024, 45(5): 838-845.
[4]	Jin Qiong, Dong Dexin, Zhao Yue, Geng Yuning. Postsurgical urodynamic study of nerve-sparing radical hysterectomy in the treatment of cervical cancer [J]. Journal of Capital Medical University, 2024, 45(5): 853-857.
[5]	Yan Wei, Xiang Peng, Xie Yingwei, Zheng Yupeng, Ping Hao. Disposable flexible ureteroscopy for the treatment of ipsilateral parapelvic cyst with secondary renal calculi [J]. Journal of Capital Medical University, 2024, 45(5): 858-863.
[6]	Zhang Dakun, Zhang Hongbo, Dong Dexin, Gao Xiang, Zheng Han, Zhang Lang. Early diagnosis and treatment of urinary sepsis after ureteroscopic lithotripsy of upper urinary tract stones [J]. Journal of Capital Medical University, 2024, 45(5): 870-874.
[7]	Zhao Yue, Zhang Quandong. Chinese and Western medicine treatment for lower urinary tract dysfunctions in postmenopausal women: a systematic review [J]. Journal of Capital Medical University, 2024, 45(5): 875-880.
[8]	Bai Yu, Tian Dongli. Advance on role of adenosine type 1 receptor in renal diseases [J]. Journal of Capital Medical University, 2024, 45(3): 543-547.
[9]	Feng Yiduo, Huang Qi, Zhou Yilun. Cognitive function and risk factors in patients with chronic kidney disease [J]. Journal of Capital Medical University, 2023, 44(5): 788-794.
[10]	Xu Xiaoyi, Wang Guoqin, Cheng Hong, Zhao Zhirui, Dong Hongrui, Sun Lijun. Efficacy and influence factors of low-dose rituximab therapy in idiopathic membranous nephropathy [J]. Journal of Capital Medical University, 2022, 43(5): 680-686.
[11]	Zhao Weihao, Zhang Yani, Li Ke, Yao Tian, Jing Lanmei, Huo Yujia, Ma Xiaoqin, Wang Xin, Liu Jing, Ma Xiaotao, Fu Rongguo, Tian Lifang. Analysis of risk factors associated with bleeding events after ultrasound-guided percutaneous native renal biopsies [J]. Journal of Capital Medical University, 2022, 43(5): 694-699.
[12]	Ma Xiaotao, Zhang Yani, Cui Chenkai, Guo Zhao, Guo Meng, Shi Yue, Wu Yao, Zhao Li, Liu Jing, Zhao Weihao, Fu Rongguo, Tian Lifang. The effects of different pathological types and histological features on bleeding events after ultrasound-guided percutaneous native renal biopsies [J]. Journal of Capital Medical University, 2022, 43(5): 700-706.
[13]	Yu Tianyu, Jiang Shimin, Gao Hongmei, Zou Guming, Li Wenge. Clinical and pathological risk factors for renal prognosis in patients with biopsy-proven diabetic nephropathy classified as chronic kidney disease stage 4 [J]. Journal of Capital Medical University, 2022, 43(5): 707-712.
[14]	Guo Kanglin, Cheng Yichun, Ge Shuwang, Xu Gang. External validation of the international IgA nephropathy prediction tool in a modern Chinese cohort [J]. Journal of Capital Medical University, 2022, 43(5): 713-719.
[15]	Chen Xiaomei, Ma Yuanyuan, Nie Jing, Zhu Fengxin. Progress on the injury and repair mechanism of renal tubular epithelial cells in the transition of acute kidney injury to chronic kidney disease [J]. Journal of Capital Medical University, 2022, 43(5): 720-727.