23 November 2023: Clinical Research
Comparative Analysis of Super-Mini Percutaneous Nephrolithotomy Combined with Flexible Ureteroscopic Lithotripsy versus Flexible Ureteroscopic Lithotripsy Alone for Treating Complex Kidney Stones: A Retrospective Study of 205 Patients
Qi Ding ABCDE* , Hailiang Zhu BCD* , Zhijiang Fan CD , Feng Li DE , Wenjian Tu BC , Xiaohua Jin CD , Bo Fan ABCDFG*DOI: 10.12659/MSM.941012
Med Sci Monit 2023; 29:e941012
Table 2 Comparison of the peri-operative indices between patients with complex kidney stones (n=205) who underwent SMP combined with FURL (Group A) (n=92) and those who underwent FURL alone (Group B) (n=113).
| Variables | Group A (n=92) | Group B (n=113) | P-value |
|---|---|---|---|
| Operation time(min) | 83.59±8.36 | 81.42±8.38 | 0.066 |
| Mean hemoglobin decline (g/L) | 11.5 (6.0–19.0) | 7.0 (0–12.0) | |
| Postoperative hospital stay (d) | 6.0 (4.0–8.0) | 3.0 (2.0–3.0) | |
| Postoperative VAS score | |||
| Postoperative 6 h | 2.20±0.74 | 1.93±0.62 | |
| Postoperative 12 h | 1.01±0.56 | 0.92±0.50 | 0.226 |
| Postoperative 24 h | 0.16±0.37 | 0.12±0.32 | 0.322 |
| Postoperative SFR at day 3 | 85.87% | 72.57% | |
| Postoperative SFR at day 90 | 94.57% | 90.27% | 0.254 |
| Re-treatment ratio | 3 (3.26%) | 12 (10.62%) | 0.044 |
| Retreatment method | |||
| FURL | 0 | 3 | |
| ESWL | 3 | 7 | |
| SMP | 0 | 2 | |
| EQ | 83.16% | 65.61% | – |
| VAS – visual analogue scale; SFR – stone free rate; FURL – flexible ureteroscopic lithotripsy; ESWL – extracorporeal shock wave lithotripsy; SMP – super-mini-percutaneous nephrolithotomy; EQ – efficiency quotient; SMP – super-mini percutaneous nephrolithotomy. | |||