A study on the clinical application of a patented perfusion and suctioning platform and ureteral access sheath in the treatment of large ureteral stones below L4 level

Purpose The purpose of the study was to evaluate the efficacy and safety of a patented perfusion and suctioning platform and ureteral access sheath in the treatment of large ureteral stones (≥ 1.5 cm) below L4 level. Methods We recruited 122 patients with large ureteral stones below L4 level at our...

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Veröffentlicht in:International urology and nephrology 2019-02, Vol.51 (2), p.207-213
Hauptverfasser: Du, Chuance, Song, Leming, Wu, Xiaoyuan, Deng, Xiaolin, Yang, Zhongsheng, Zhu, Xianxin, Zhu, Lunfeng, He, Junrong
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container_end_page 213
container_issue 2
container_start_page 207
container_title International urology and nephrology
container_volume 51
creator Du, Chuance
Song, Leming
Wu, Xiaoyuan
Deng, Xiaolin
Yang, Zhongsheng
Zhu, Xianxin
Zhu, Lunfeng
He, Junrong
description Purpose The purpose of the study was to evaluate the efficacy and safety of a patented perfusion and suctioning platform and ureteral access sheath in the treatment of large ureteral stones (≥ 1.5 cm) below L4 level. Methods We recruited 122 patients with large ureteral stones below L4 level at our hospital from December 2014 to June 2017. The patients were randomly divided into the study and control groups. Multiple operative and perioperative parameters were compared between the two groups. Results The study group had shorter operation time, less cases of postoperative fever, lower serum levels of PCT, IL-6 and BET within 24 h after surgery, as well as less number of cases receiving secondary surgery than the control group. Moreover, the former had a significantly higher stone clearance rate than the latter ( P  
doi_str_mv 10.1007/s11255-018-2049-9
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Methods We recruited 122 patients with large ureteral stones below L4 level at our hospital from December 2014 to June 2017. The patients were randomly divided into the study and control groups. Multiple operative and perioperative parameters were compared between the two groups. Results The study group had shorter operation time, less cases of postoperative fever, lower serum levels of PCT, IL-6 and BET within 24 h after surgery, as well as less number of cases receiving secondary surgery than the control group. Moreover, the former had a significantly higher stone clearance rate than the latter ( P  &lt; 0.05; t -test or χ 2 test). Conclusions The patented perfusion and suctioning platform and ureteral access sheath are safe and effective in treating large ureteral stones (≥ 1.5 cm) below L4 level.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-018-2049-9</identifier><identifier>PMID: 30536191</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Female ; Fever ; Fever - diagnosis ; Fever - etiology ; Humans ; Interleukin 6 ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Operative Time ; Patients ; Perfusion ; Perfusion - adverse effects ; Perfusion - instrumentation ; Perfusion - methods ; Postoperative Complications - diagnosis ; Serum levels ; Suction - adverse effects ; Suction - instrumentation ; Suction - methods ; Suctioning ; Surgery ; Treatment Outcome ; Ureter - diagnostic imaging ; Ureter - surgery ; Ureteral Calculi - diagnosis ; Ureteral Calculi - physiopathology ; Ureteral Calculi - surgery ; Ureteroscopy - adverse effects ; Ureteroscopy - methods ; Urinary Tract Infections - diagnosis ; Urinary Tract Infections - etiology ; Urologic Surgical Procedures - adverse effects ; Urologic Surgical Procedures - instrumentation ; Urologic Surgical Procedures - methods ; Urology ; Urology - Original Paper</subject><ispartof>International urology and nephrology, 2019-02, Vol.51 (2), p.207-213</ispartof><rights>The Author(s) 2018</rights><rights>International Urology and Nephrology is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods We recruited 122 patients with large ureteral stones below L4 level at our hospital from December 2014 to June 2017. The patients were randomly divided into the study and control groups. Multiple operative and perioperative parameters were compared between the two groups. Results The study group had shorter operation time, less cases of postoperative fever, lower serum levels of PCT, IL-6 and BET within 24 h after surgery, as well as less number of cases receiving secondary surgery than the control group. Moreover, the former had a significantly higher stone clearance rate than the latter ( P  &lt; 0.05; t -test or χ 2 test). 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Methods We recruited 122 patients with large ureteral stones below L4 level at our hospital from December 2014 to June 2017. The patients were randomly divided into the study and control groups. Multiple operative and perioperative parameters were compared between the two groups. Results The study group had shorter operation time, less cases of postoperative fever, lower serum levels of PCT, IL-6 and BET within 24 h after surgery, as well as less number of cases receiving secondary surgery than the control group. Moreover, the former had a significantly higher stone clearance rate than the latter ( P  &lt; 0.05; t -test or χ 2 test). Conclusions The patented perfusion and suctioning platform and ureteral access sheath are safe and effective in treating large ureteral stones (≥ 1.5 cm) below L4 level.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>30536191</pmid><doi>10.1007/s11255-018-2049-9</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Female
Fever
Fever - diagnosis
Fever - etiology
Humans
Interleukin 6
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Operative Time
Patients
Perfusion
Perfusion - adverse effects
Perfusion - instrumentation
Perfusion - methods
Postoperative Complications - diagnosis
Serum levels
Suction - adverse effects
Suction - instrumentation
Suction - methods
Suctioning
Surgery
Treatment Outcome
Ureter - diagnostic imaging
Ureter - surgery
Ureteral Calculi - diagnosis
Ureteral Calculi - physiopathology
Ureteral Calculi - surgery
Ureteroscopy - adverse effects
Ureteroscopy - methods
Urinary Tract Infections - diagnosis
Urinary Tract Infections - etiology
Urologic Surgical Procedures - adverse effects
Urologic Surgical Procedures - instrumentation
Urologic Surgical Procedures - methods
Urology
Urology - Original Paper
title A study on the clinical application of a patented perfusion and suctioning platform and ureteral access sheath in the treatment of large ureteral stones below L4 level
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