雙鏡聯合手術於複雜性結石的應用

王啟暐¹、何承勳^{1, 2}

¹新光吳火獅紀念醫院外科部泌尿科

²輔仁大學醫學系

Endoscopic Combined Intrarenal Surgery for complex stones

Chi-Wei Wang¹, Chen-Hsun Ho^{1, 2}

¹ Division of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

² School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan

Purpose:

This study is a retrospective single-arm, single-center investigation conducted from August 2020 to September 2023. Its purpose was to examine the demographic and clinical characteristics, length of hospital stay, operative times, and stone clearance rate of patients undergoing Endoscopic Combined Intrarenal Surgery (ECIRS).

Materials and Methods:

This retrospective study examined patients who underwent ECIRS from August 2020 to September 2023. Preoperatively, all patients underwent stone assessments using computed tomography or X-rays. Postoperatively, stone clearance rates were calculated using X-rays. A stone-free rate was defined as stones not visible on imaging or those measuring less than 0.3 cm.

Results:

Between August 2020 and September 2023, a total of 44 patients underwent ECIRS at our institution, including two cases of bilateral ECIRS. The average length of hospitalization time was 3.05 days ± 1.7 days, with a postoperative average of 1.68 days ± 0.9 days. The average operative time was 133 minutes ± 56 minutes. The average age of the patients was 59.93 years. The stone-free rate was 88.6%.

Conclusion:

The data presented in this study demonstrate that ECIRS provides an effective approach for stone treatment, with a high stone clearance rate and a short postoperative hospital stay of approximately 1.68 days. Moreover, there were no significant postoperative complications. As a surgical method for complex stones, ECIRS appears to be more advantageous compared to traditional approaches.