Object

Title: Evaluation of treatment of ureterolithiasis with the traditional, open ureterolithotomy in comparison wiyh retroperitoneal laparoscopic ureterolithotomy

Abstract:

Study purpose The aim of the study was to compare the surgical treatment of the patients with ureterolithiasis who were subjected to retroperitoneal laparoscopic ureterolithotomy (RLU) and open ureterolithotomy (OU). Materials and methodsMaterial:Two groups were compared: RLU (30 patients) and OU (31 patients)Methods:RLU and OU groups were compared considering the following aspects:j) Operation efficiency. k) Operation time. l) Duration of drain holding in the postoperative site m) Postoperative term of stay at the hospital. n) Number and type of complications according to Clavien-Dindo classification. o) Incidence of postoperative ureter stenosis. p) Demand for analgesics. q) Patients’ postoperative quality of life. r) Cost of treatment. FindingsNo statistically significant differences between the groups were detected in terms of the efficiency, the operation time, duration of drain keeping in the postoperative site and the number of complications in both types of surgical procedure. No results were found in terms of postoperative ureter stenosis and quality of life. The postoperative term of stay at the hospital was longer in the OU group (p<0.0001). Patients in the OU group had a higher need for non-opioid analgesics (p<0.0100) and opioid analgesics (p=0.0020). Total hospitalisation cost in the RLU group was lower than in OU group (p=0.0370).ConclusionsRetroperitoneal laparoscopic ureterolithotomy is an efficient and safe method for treatment of those patients with ureteral deposits for whom open ureterolithotomy would be an alternative method.

Place of publishing:

[S.l.]

Level of degree:

2 - studia doktoranckie

Degree discipline:

urologia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Piotr L. Chłosta

Date issued:

2016

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4178

Call number:

ZB-126494

ControlNumberVIRTUA:

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Language:

pol

Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

May 24, 2021

In our library since:

Jun 28, 2017

Number of object content hits:

360

Number of object content views in PDF format

361

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4179

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ZB-126494 May 24, 2021
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