Cargando…

Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts

OBJECTIVE: This study aims to investigate the efficacy and safety of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts, and to review recently published relevant literature. METHOD: This is a retrospe...

Descripción completa

Detalles Bibliográficos
Autores principales: Huang, Ting, Yang, Qing, Wu, Haixiao, Zhu, Desheng, Hu, Yang, Xu, Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375338/
https://www.ncbi.nlm.nih.gov/pubmed/35964028
http://dx.doi.org/10.1186/s12893-022-01763-0
_version_ 1784767943943389184
author Huang, Ting
Yang, Qing
Wu, Haixiao
Zhu, Desheng
Hu, Yang
Xu, Min
author_facet Huang, Ting
Yang, Qing
Wu, Haixiao
Zhu, Desheng
Hu, Yang
Xu, Min
author_sort Huang, Ting
collection PubMed
description OBJECTIVE: This study aims to investigate the efficacy and safety of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts, and to review recently published relevant literature. METHOD: This is a retrospective study in which the clinical data of 47 patients who underwent flexible ureteroscopic holmium laser incision and internal drainage of parapelvic cysts in our center from March 2017 to March 2021 were retrospectively analyzed. A literature search was conducted to review and summarize relevant reports on endoscopic treatment of parapelvic cysts published in the past 10 years. RESULTS: Among 47 patients with parapelvic cysts who underwent flexible ureteroscopic holmium laser incision and internal drainage, 12 (25.53%) cases had a typical cyst wall bulging into the collecting system under flexible ureteroscope. As the cyst wall was thin and translucent in these cases, ultrasound was not used during the operation. The cysts of the remaining 35 patients were located with the aid of intraoperative real time ultrasound, and all underwent successful operation. No serious surgical complications occurred after surgery. The patients were followed up for 12–24 months after operation. The cyst in one case was observed larger than its original size before operation, so recurrence was considered. In another two cases, the diameters of the cysts were more than half of their original diameters before operation. Thus, the efficacy was poor in the three cases. For the remaining 44 cases, there was no obvious cyst observed or the diameter of the cysts was less than half their preoperative level. CONCLUSION: The approach of ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts is safe and effective, which helps to solve the problem of localization of atypical parapelvic cysts on endoscopic findings.
format Online
Article
Text
id pubmed-9375338
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-93753382022-08-14 Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts Huang, Ting Yang, Qing Wu, Haixiao Zhu, Desheng Hu, Yang Xu, Min BMC Surg Research OBJECTIVE: This study aims to investigate the efficacy and safety of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts, and to review recently published relevant literature. METHOD: This is a retrospective study in which the clinical data of 47 patients who underwent flexible ureteroscopic holmium laser incision and internal drainage of parapelvic cysts in our center from March 2017 to March 2021 were retrospectively analyzed. A literature search was conducted to review and summarize relevant reports on endoscopic treatment of parapelvic cysts published in the past 10 years. RESULTS: Among 47 patients with parapelvic cysts who underwent flexible ureteroscopic holmium laser incision and internal drainage, 12 (25.53%) cases had a typical cyst wall bulging into the collecting system under flexible ureteroscope. As the cyst wall was thin and translucent in these cases, ultrasound was not used during the operation. The cysts of the remaining 35 patients were located with the aid of intraoperative real time ultrasound, and all underwent successful operation. No serious surgical complications occurred after surgery. The patients were followed up for 12–24 months after operation. The cyst in one case was observed larger than its original size before operation, so recurrence was considered. In another two cases, the diameters of the cysts were more than half of their original diameters before operation. Thus, the efficacy was poor in the three cases. For the remaining 44 cases, there was no obvious cyst observed or the diameter of the cysts was less than half their preoperative level. CONCLUSION: The approach of ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts is safe and effective, which helps to solve the problem of localization of atypical parapelvic cysts on endoscopic findings. BioMed Central 2022-08-13 /pmc/articles/PMC9375338/ /pubmed/35964028 http://dx.doi.org/10.1186/s12893-022-01763-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Huang, Ting
Yang, Qing
Wu, Haixiao
Zhu, Desheng
Hu, Yang
Xu, Min
Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
title Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
title_full Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
title_fullStr Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
title_full_unstemmed Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
title_short Clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
title_sort clinical efficacy of intraoperative real time ultrasound-assisted flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375338/
https://www.ncbi.nlm.nih.gov/pubmed/35964028
http://dx.doi.org/10.1186/s12893-022-01763-0
work_keys_str_mv AT huangting clinicalefficacyofintraoperativerealtimeultrasoundassistedflexibleureteroscopicholmiumlaserincisionandinternaldrainageinthetreatmentofparapelviccysts
AT yangqing clinicalefficacyofintraoperativerealtimeultrasoundassistedflexibleureteroscopicholmiumlaserincisionandinternaldrainageinthetreatmentofparapelviccysts
AT wuhaixiao clinicalefficacyofintraoperativerealtimeultrasoundassistedflexibleureteroscopicholmiumlaserincisionandinternaldrainageinthetreatmentofparapelviccysts
AT zhudesheng clinicalefficacyofintraoperativerealtimeultrasoundassistedflexibleureteroscopicholmiumlaserincisionandinternaldrainageinthetreatmentofparapelviccysts
AT huyang clinicalefficacyofintraoperativerealtimeultrasoundassistedflexibleureteroscopicholmiumlaserincisionandinternaldrainageinthetreatmentofparapelviccysts
AT xumin clinicalefficacyofintraoperativerealtimeultrasoundassistedflexibleureteroscopicholmiumlaserincisionandinternaldrainageinthetreatmentofparapelviccysts