Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes
Introduction: Urolithiasis is a pathology with high prevalence worldwide, this leads to a high volume of surgical procedures. The management of choice for ureteral stones is semi-rigid or flexible ureteroscopy (URS / FURS) and Holmium laser lithotripsy in most cases. Objectives: To define the result...
- Autores:
-
Capera López, César Andrés
- Tipo de recurso:
- Work document
- Fecha de publicación:
- 2020
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/75531
- Acceso en línea:
- https://repositorio.unal.edu.co/handle/unal/75531
- Palabra clave:
- Medicina y salud
Urolitiasis
Uréter
Ureteroscopia
Litotricia
Láser
Holmium
Urolithiasis
Ureter
Ureteroscopy
Lithotripsy
Laser
Holmium
- Rights
- openAccess
- License
- Atribución-NoComercial 4.0 Internacional
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Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| dc.title.alternative.spa.fl_str_mv |
Laser endoscopic ureterolithotomy in management of large ureteral stones |
| title |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| spellingShingle |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes Medicina y salud Urolitiasis Uréter Ureteroscopia Litotricia Láser Holmium Urolithiasis Ureter Ureteroscopy Lithotripsy Laser Holmium |
| title_short |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| title_full |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| title_fullStr |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| title_full_unstemmed |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| title_sort |
Ureterolitotomía endoscópica láser en el manejo de cálculos ureterales grandes |
| dc.creator.fl_str_mv |
Capera López, César Andrés |
| dc.contributor.advisor.spa.fl_str_mv |
Puentes Bernal, Andrés Felipe Donoso Donoso, Wilfredo |
| dc.contributor.author.spa.fl_str_mv |
Capera López, César Andrés |
| dc.contributor.researchgroup.spa.fl_str_mv |
Grupo de investigación e innovación en Urología - Universidad Nacional de Colombia |
| dc.subject.ddc.spa.fl_str_mv |
Medicina y salud |
| topic |
Medicina y salud Urolitiasis Uréter Ureteroscopia Litotricia Láser Holmium Urolithiasis Ureter Ureteroscopy Lithotripsy Laser Holmium |
| dc.subject.proposal.spa.fl_str_mv |
Urolitiasis Uréter Ureteroscopia Litotricia Láser Holmium |
| dc.subject.proposal.eng.fl_str_mv |
Urolithiasis Ureter Ureteroscopy Lithotripsy Laser Holmium |
| description |
Introduction: Urolithiasis is a pathology with high prevalence worldwide, this leads to a high volume of surgical procedures. The management of choice for ureteral stones is semi-rigid or flexible ureteroscopy (URS / FURS) and Holmium laser lithotripsy in most cases. Objectives: To define the results, risks and complications of Holmium laser endoscopic ureterolithotomy for ureteral stones ≥1.5 cm. Materials and methods: Descriptive cross-sectional study in patients with ureteral stones ≥1.5 cm, led to endoscopic ureterolithotomy with Holmium laser in a medical center specialized in urolithiasis from January 1, 2009 to December 31, 2017. Results: 1444 Holmium laser lithotripsies were performed in the analyzed period, 43 of these procedures in ureteral stones ≥ 1.5 cm. The stone-free rate was 67.4%, average surgery time 64.7 minutes, reoperation rate 9.3% and complications 9.3%. There was no statistically significant difference in complications and stone-free rate between 1.5-1.9 cm and ≥2 cm, however, the reintervention rate for stones ≥2cm was 23.5%, greater than those <2 cm 0% p 0.009. Conclusions: Urethral stones ≥1.5 cm are rare, the outcomes after surgical management with URS / FURS appear to be worse in stones ≥2cm. |
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2020 |
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2020-01-28T16:54:07Z |
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2020-01-28T16:54:07Z |
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2020-01-25 2020-01-25 |
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Documento de trabajo |
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info:eu-repo/semantics/workingPaper |
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Capera-López CA. (2020). Ureterolitotomía endoscópica láser en el manejo de los cálculos ureterales grandes. Universidad Nacional de Colombia. Bogotá, Colombia. |
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https://repositorio.unal.edu.co/handle/unal/75531 |
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Capera-López CA. (2020). Ureterolitotomía endoscópica láser en el manejo de los cálculos ureterales grandes. Universidad Nacional de Colombia. Bogotá, Colombia. |
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https://repositorio.unal.edu.co/handle/unal/75531 |
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spa |
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spa |
| dc.relation.references.spa.fl_str_mv |
Stamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int 2003;63:1817–23. Raheem OA, Khandwala YS, Sur RL, Ghani KR, Denstedt JD. Burden of Urolithiasis: Trends in Prevalence, Treatments, and Costs. Eur Urol Focus. 2017 Feb;3(1):18-26. Antonelli JA, Maalouf NM, Pearle MS, Lotan Y. Use of the National Health and Nutrition Examination Survey to calculate the impact of obesity and diabetes on cost and prevalence of urolithiasis in 2030. Eur Urol 2014;66:724–9. Ludwig WW, Matlaga BR. Urinary Stone Disease: Diagnosis, Medical Therapy, and Surgical Management. Med Clin North Am. 2018 Mar;102(2):265-277. Baş O, Tuygun C, Dede O, Sarı S, Çakıcı MÇ, Öztürk U, Göktuğ G, İmamoğlu A. Factors affecting complication rates of retrograde flexible ureterorenoscopy: analysis of 1571 procedures-a single-center experience. World J Urol. 2017 May;35(5):819-826. Geavlete P, Georgescu D, Niţă G, Mirciulescu V, Cauni V. Complications of 2735 retrograde semirigid ureteroscopy procedures: a single-center experience. J Endourol. 2006 Mar;20(3):179-85. Osther PJS. Risks of flexible ureterorenoscopy: pathophysiology and prevention. Urolithiasis. 2018 Feb;46(1):59-67. Wu T, Duan X, Chen S, Yang X, Tang T, Cui S. Ureteroscopic Lithotripsy versus Laparoscopic Ureterolithotomy or Percutaneous Nephrolithotomy in the Management of Large Proximal Ureteral Stones: A Systematic Review and Meta-Analysis. Urol Int. 2017;99(3):308-319. Tugcu V, Resorlu B, Sahin S, Atar A, Kocakaya R, Eksi M, Tasci AI. Flexible Ureteroscopy versus Retroperitoneal Laparoscopic Ureterolithotomy for the Treatment of Proximal Ureteral Stones >15 mm: A Single Surgeon Experience. Urol Int. 2016;96(1):77-82. Torricelli FC, Monga M, Marchini GS, Srougi M, Nahas WC, Mazzucchi E. Semi-rigid ureteroscopic lithotripsy versus laparoscopic ureterolithotomy for large upper ureteral stones: a meta - analysis of randomized controlled trials. Int Braz J Urol. 2016 Jul-Aug;42(4):645-54. Khaladkar S, Modi J, Bhansali M, Dobhada S, Patankar S. Which is the best option to treat large (>1.5 cm) midureteric calculi? J Laparoendosc Adv Surg Tech A. 2009 Aug;19(4):501-4. Farooq Qadri SJ, Khan N, Khan M. Retroperitoneal laparoscopic ureterolithotomy--a single centre 10 year experience. Int J Surg. 2011;9(2):160-4. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205-13. Kumar A, Vasudeva P, Nanda B, Kumar N, Jha SK, Singh H. A Prospective Randomized Comparison Between Laparoscopic Ureterolithotomy and Semirigid Ureteroscopy for Upper Ureteral Stones >2 cm: A Single-Center Experience. J Endourol. 2015 Nov;29(11):1248-52. Basiri A, Simforoosh N, Ziaee A, Shayaninasab H, Moghaddam SM, Zare S. Retrograde, antegrade, and laparoscopic approaches for the management of large, proximal ureteral stones: a randomized clinical trial. J Endourol. 2008 Dec;22(12):2677-80. Shao Y, Wang DW, Lu GL, Shen ZJ. Retroperitoneal laparoscopic ureterolithotomy in comparison with ureteroscopic lithotripsy in the management of impacted upper ureteral stones larger than 12 mm. World J Urol. 2015 Nov;33(11):1841-5. |
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Derechos reservados - Universidad Nacional de Colombia |
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Atribución-NoComercial 4.0 Internacional |
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Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de ColombiaAcceso abiertohttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Puentes Bernal, Andrés Felipef51560be-af02-4724-818a-9c32f6572e4b-1Donoso Donoso, Wilfredoac5b08dc-2255-45ff-a899-e5cc517a1cd2-1Capera López, César Andrés3ddee982-3f44-4c67-8e59-353d78a0f64aGrupo de investigación e innovación en Urología - Universidad Nacional de Colombia2020-01-28T16:54:07Z2020-01-28T16:54:07Z2020-01-252020-01-25Capera-López CA. (2020). Ureterolitotomía endoscópica láser en el manejo de los cálculos ureterales grandes. Universidad Nacional de Colombia. Bogotá, Colombia.https://repositorio.unal.edu.co/handle/unal/75531Introduction: Urolithiasis is a pathology with high prevalence worldwide, this leads to a high volume of surgical procedures. The management of choice for ureteral stones is semi-rigid or flexible ureteroscopy (URS / FURS) and Holmium laser lithotripsy in most cases. Objectives: To define the results, risks and complications of Holmium laser endoscopic ureterolithotomy for ureteral stones ≥1.5 cm. Materials and methods: Descriptive cross-sectional study in patients with ureteral stones ≥1.5 cm, led to endoscopic ureterolithotomy with Holmium laser in a medical center specialized in urolithiasis from January 1, 2009 to December 31, 2017. Results: 1444 Holmium laser lithotripsies were performed in the analyzed period, 43 of these procedures in ureteral stones ≥ 1.5 cm. The stone-free rate was 67.4%, average surgery time 64.7 minutes, reoperation rate 9.3% and complications 9.3%. There was no statistically significant difference in complications and stone-free rate between 1.5-1.9 cm and ≥2 cm, however, the reintervention rate for stones ≥2cm was 23.5%, greater than those <2 cm 0% p 0.009. Conclusions: Urethral stones ≥1.5 cm are rare, the outcomes after surgical management with URS / FURS appear to be worse in stones ≥2cm.Introducción: La urolitiasis es una patología con alta prevalencia a nivel mundial, esto conlleva a un alto volumen de procedimientos quirúrgicos. El manejo de elección para cálculos ureterales es la ureteroscopia semirrígida o flexible (ULE/ULEF) y litotricia con láser Holmium en la mayoría de los casos. Objetivos: Definir los resultados, riesgos y complicaciones de la ureterolitotomía endoscópica con láser Holmium para cálculos ureterales ≥1.5 cm. Materiales y métodos: Estudio descriptivo de corte transversal en pacientes con cálculos ureterales ≥1.5 cm, llevados a ureterolitotomía endoscópica con láser Holmium en un centro médico especializado en urolitiasis desde el 01 de enero de 2009 al 31 de diciembre de 2017. Resultados: Se realizaron 1444 litotricias con láser Holmium en el periodo analizado, 43 de estos procedimientos en cálculos ureterales ≥ 1.5 cm. La tasa libre de cálculos fue del 67.4%, tiempo promedio de cirugía 64.7 minutos, tasa de reintervención del 9.3% y complicaciones 9.3%. No hubo diferencia estadísticamente significativa en complicaciones y tasa libre de cálculos entre 1.5-1.9 cm y ≥2 cm, sin embargo, la tasa de reintervención para cálculos ≥2cm fue del 23.5%, mayor que los <2 cm 0% p 0.009. Conclusiones: Los cálculos uretrales ≥1.5 cm son poco frecuentes, los desenlaces posteriores al manejo quirúrgico con ULE/ULEF parecen ser peores en cálculos ≥2cm.Especialista en Urología. Línea de Investigación: Endourología28application/pdfspaMedicina y saludUrolitiasisUréterUreteroscopiaLitotriciaLáserHolmiumUrolithiasisUreterUreteroscopyLithotripsyLaserHolmiumUreterolitotomía endoscópica láser en el manejo de cálculos ureterales grandesLaser endoscopic ureterolithotomy in management of large ureteral stonesDocumento de trabajoinfo:eu-repo/semantics/workingPaperinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_8042Texthttp://purl.org/redcol/resource_type/WPUniversidad Nacional de Colombia - Sede BogotáUniversidad Nacional de Colombia - Sede BogotáStamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int 2003;63:1817–23.Raheem OA, Khandwala YS, Sur RL, Ghani KR, Denstedt JD. Burden of Urolithiasis: Trends in Prevalence, Treatments, and Costs. Eur Urol Focus. 2017 Feb;3(1):18-26.Antonelli JA, Maalouf NM, Pearle MS, Lotan Y. Use of the National Health and Nutrition Examination Survey to calculate the impact of obesity and diabetes on cost and prevalence of urolithiasis in 2030. Eur Urol 2014;66:724–9.Ludwig WW, Matlaga BR. Urinary Stone Disease: Diagnosis, Medical Therapy, and Surgical Management. Med Clin North Am. 2018 Mar;102(2):265-277.Baş O, Tuygun C, Dede O, Sarı S, Çakıcı MÇ, Öztürk U, Göktuğ G, İmamoğlu A. Factors affecting complication rates of retrograde flexible ureterorenoscopy: analysis of 1571 procedures-a single-center experience. World J Urol. 2017 May;35(5):819-826.Geavlete P, Georgescu D, Niţă G, Mirciulescu V, Cauni V. Complications of 2735 retrograde semirigid ureteroscopy procedures: a single-center experience. J Endourol. 2006 Mar;20(3):179-85.Osther PJS. Risks of flexible ureterorenoscopy: pathophysiology and prevention. Urolithiasis. 2018 Feb;46(1):59-67.Wu T, Duan X, Chen S, Yang X, Tang T, Cui S. Ureteroscopic Lithotripsy versus Laparoscopic Ureterolithotomy or Percutaneous Nephrolithotomy in the Management of Large Proximal Ureteral Stones: A Systematic Review and Meta-Analysis. Urol Int. 2017;99(3):308-319.Tugcu V, Resorlu B, Sahin S, Atar A, Kocakaya R, Eksi M, Tasci AI. Flexible Ureteroscopy versus Retroperitoneal Laparoscopic Ureterolithotomy for the Treatment of Proximal Ureteral Stones >15 mm: A Single Surgeon Experience. Urol Int. 2016;96(1):77-82.Torricelli FC, Monga M, Marchini GS, Srougi M, Nahas WC, Mazzucchi E. Semi-rigid ureteroscopic lithotripsy versus laparoscopic ureterolithotomy for large upper ureteral stones: a meta - analysis of randomized controlled trials. Int Braz J Urol. 2016 Jul-Aug;42(4):645-54.Khaladkar S, Modi J, Bhansali M, Dobhada S, Patankar S. Which is the best option to treat large (>1.5 cm) midureteric calculi? J Laparoendosc Adv Surg Tech A. 2009 Aug;19(4):501-4.Farooq Qadri SJ, Khan N, Khan M. Retroperitoneal laparoscopic ureterolithotomy--a single centre 10 year experience. Int J Surg. 2011;9(2):160-4.Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205-13.Kumar A, Vasudeva P, Nanda B, Kumar N, Jha SK, Singh H. A Prospective Randomized Comparison Between Laparoscopic Ureterolithotomy and Semirigid Ureteroscopy for Upper Ureteral Stones >2 cm: A Single-Center Experience. J Endourol. 2015 Nov;29(11):1248-52.Basiri A, Simforoosh N, Ziaee A, Shayaninasab H, Moghaddam SM, Zare S. Retrograde, antegrade, and laparoscopic approaches for the management of large, proximal ureteral stones: a randomized clinical trial. J Endourol. 2008 Dec;22(12):2677-80.Shao Y, Wang DW, Lu GL, Shen ZJ. Retroperitoneal laparoscopic ureterolithotomy in comparison with ureteroscopic lithotripsy in the management of impacted upper ureteral stones larger than 12 mm. 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