Title: To Evaluate the Safety and Efficacy of the Supracostal Access for PCNL in the Treatment of Upper Ureter Calculi
Abstract: Objective To explore the safety and efficacy of upper ureter stones with supracostal approach PCNL.Methods From June 2009 to June 2011,64 patients with upper ureter calculi were treated by PCNL.Of these,34 patients were treated by supracostal approach PCNL(group A) and 30 patients by subcostal approach(group B).The operative time,efficacy and hemorrhage quantity were compared between the two groups.Results All 64 cases had the operation finished in one stage without defeat in puncturing and changing to open surgery.In group A,operation time was(55.2±9.2)min,hemorrhage quantity was(69.0±16.3)ml,one case need a second time operation,and stone-free rate was 97.1%(33/34).In group B,the operation time was(62.3±11.2)min,hemorrhage quantity was(112.5±23.5)ml,one case transfused RBC 2 U,the stone-free rate was 80.0%(24/30).Both group A and B had no significant complications.The differences between the two groups in operation time,hemorrhage quantity and stone-free rate were statistically significant(P0.05).Conclusion Supracostal access for PCNL is safe and effective in the treatment of upper ureter stones.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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