Role of Flexible Cystoscopy in Laparoscopic Stone Surgery
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Purpose
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.
| Condition |
|---|
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Kidney Calculi; Ureteral Calculi |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Retrospective |
| Official Title: | The Role of Flexible Cystoscopy in Laparoscopic Stone Surgery: a Single Surgeon Experience |
- the presence of residual stones [ Time Frame: intravenous pyelogram at 12 weeks postoperatively ] [ Designated as safety issue: No ]We judged the success when there is no residual stone in the intravenous pyelogram at 12 weeks postoperatively
- stone numbers and sizes, surgical approach, insertion of a DJ ureteral catheter, and use of a flexible cystoscopy, etc [ Time Frame: Retrospective review of data ] [ Designated as safety issue: No ]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
| Enrollment: | 80 |
| Study Start Date: | January 2005 |
| Study Completion Date: | August 2010 |
| Primary Completion Date: | August 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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surgery without using a flexible cystoscopy
surgery without using a flexible cystoscopy: patients who did not undergo a flexible cystoscopy during laparoscopic stone surgery
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|
surgery with using a flexible cystoscopy
surgery with using a flexible cystoscopy: patients who underwent a flexible cystoscopy during laparoscopic stone surgery
|
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.
Eligibility| Ages Eligible for Study: | 20 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
71 patients with complex renal stones and large or impacted ureter stones. All the patients underwent laparoscopic pyelolithotomies with concomitant calyceal stone removal or ureterolithotomy using a flexible cystoscopy or not.
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
Contacts and Locations| Korea, Republic of | |
| Seoul National University Boramae Hospital | |
| Seoul, Korea, Republic of | |
| Principal Investigator: | Sung Yong Cho, M.D. | Seoul National University Hospital |
More Information
No publications provided
| Responsible Party: | Seoul National University Boramae Hospital |
| ClinicalTrials.gov Identifier: | NCT01277198 History of Changes |
| Other Study ID Numbers: | lapastone, flexible cysto in laparo |
| Study First Received: | January 13, 2011 |
| Last Updated: | January 13, 2011 |
| Health Authority: | Korea: Institutional Review Board |
Keywords provided by Seoul National University Hospital:
|
kidney calculi ureteral calculi cystoscopes laparoscopes |
Additional relevant MeSH terms:
|
Calculi Kidney Calculi Ureteral Calculi Ureterolithiasis Pathological Conditions, Anatomical Nephrolithiasis |
Kidney Diseases Urologic Diseases Urolithiasis Urinary Calculi Ureteral Diseases |
ClinicalTrials.gov processed this record on May 21, 2013