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Role of Flexible Cystoscopy in Laparoscopic Stone Surgery

Completed
Conditions
Kidney Calculi; Ureteral Calculi
Registration Number
NCT01277198
Lead Sponsor
Seoul National University Hospital
Brief Summary

Authors want to investigate the usefulness of flexible cystoscopy in performing laparoscopic pyelolithotomies and ureterolithotomies by comparing operative results of a single surgeon's experience.

Detailed Description

Previous trials to increase stone clearance rates have been recently reached using flexible equipment in laparoscopic surgery, however, it is not clear whether using flexible equipment is really helpful in performing pyelolithotomies and the clearance rates using flexible equipment varies 71% to 100%. Therefore, authors plan to investigate the usefulness of flexible cystoscopy in performing laparoscopic pyelolithotomies and ureterolithotomies by comparing operative results of a single surgeon's experience.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • patients with complex renal stones and large or impacted ureter stones
  • patients who underwent laparoscopic pyelolithotomies with concomitant calyceal stone removal or ureterolithotomy using a flexible cystoscopy or not
Exclusion Criteria
  • active infection, uncontrolled bleeding tendency, previous abdominal surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the presence of residual stonesintravenous pyelogram at 12 weeks postoperatively

We judged the success when there is no residual stone in the intravenous pyelogram at 12 weeks postoperatively

Secondary Outcome Measures
NameTimeMethod
stone numbers and sizes, surgical approach, insertion of a DJ ureteral catheter, and use of a flexible cystoscopy, etcRetrospective review of data

Preoperative evaluation included a complete history, physical examination, and imaging work-up such as X-ray or computed tomography (CT). Mean preoperative stone numbers and sizes were evaluated and we also evaluated operative information such as surgical approach, insertion of a DJ ureteral catheter, and use of a flexible cystoscopy

Trial Locations

Locations (1)

Seoul National University Boramae Hospital

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Seoul, Korea, Republic of

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