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Asian Journal of Urology, 2023, 10(2): 172-176    doi: 10.1016/j.ajur.2021.10.001
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Analysis of the effect of holmium laser flexible ureteroscopic intrapelvic drainage in the treatment of parapelvic renal cysts
Yuanshen Mao,Wenfeng Li,Jun Da,Mingxi Xu,Yiwei Wang,Yufei Gu,Weixin Pan(),Zhong Wang()
Department of Urology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Abstract: 

Objective: To explore the efficacy, safety, and feasibility of holmium laser flexible ureteroscopic intrapelvic drainage in the treatment of parapelvic renal cysts.
Methods: From September 2012 to February 2019, a total of 18 patients, aged from 28 to 62 (mean±standard deviation [SD]: 46.50±9.14) years, were diagnosed with parapelvic renal cysts and treated by holmium laser flexible ureteroscopic intrapelvic drainage. There were 10 males and eight females. All of the parapelvic renal cysts were unilateral, and two cases were complicated with pyelolithiasis. The diameters of the cysts ranged from 4.1 cm to 8.2 cm.
Results: All the patients completed the operation successfully in one stage without conversion to open surgery; in two cases, it was difficult to find the cysts during the operation, and the localization was completed by B-ultrasound and percutaneous injection of methylene blue. The mean operative time was 33.89 (SD: 9.68; range: 22-54) min, and the mean hospitalization time was 2.67 (SD: 0.91; range: 2-5) days. Three months and 6 months of follow-up were performed after surgery. The cysts disappeared in 13 (72%) cases, and the diameter of the cysts in five (28%) cases decreased by more than 50%.
Conclusion: Holmium laser flexible ureteroscopic intrapelvic drainage in the treatment of parapelvic renal cysts is simple, safe, and effective, and can be used as the first choice for the treatment of parapelvic renal cysts.
Key words:  Flexible ureteroscopy    Holmium laser    Parapelvic renal cyst    B-ultrasound    Intrapelvic drainage
收稿日期:  2020-07-31      修回日期:  2021-02-19      接受日期:  2021-06-25      出版日期:  2023-04-20      发布日期:  2023-05-24      整期出版日期:  2023-04-20
引用本文:    
. [J]. Asian Journal of Urology, 2023, 10(2): 172-176.
Yuanshen Mao,Wenfeng Li,Jun Da,Mingxi Xu,Yiwei Wang,Yufei Gu,Weixin Pan,Zhong Wang. Analysis of the effect of holmium laser flexible ureteroscopic intrapelvic drainage in the treatment of parapelvic renal cysts. Asian Journal of Urology, 2023, 10(2): 172-176.
链接本文:  
http://www.ajurology.com/CN/10.1016/j.ajur.2021.10.001  或          http://www.ajurology.com/CN/Y2023/V10/I2/172
Patient Gender Age, year Preoperative cyst size, cm Surgical time, min Hospital stay, day Cyst size 3 months after the surgery, cm Cyst size 6 months after the surgery, cm
1 Male 45 4.8 24 2 0.5 0
2 Male 49 5.2 22 2 2 0
3 Male 38 5.8 32 4 1 1
4 Male 42 6.0 38 3 2 1
5 Male 28 4.1 24 4 2 2
6 Male 60 5.2 31 2 2 2
7 Malea 51 7.0 54 2 0 0
8 Malea 48 4.9 52 3 0 0
9 Male 62 4.3 37 2 0 0
10 Male 50 5.1 40 5 2 1
11 Female 55 7.2 39 2 0 0
12 Female 60 8.2 24 3 0 0
13 Female 43 4.5 28 3 1 0
14 Female 48 5.8 24 2 0 0
15 Female 47 6.1 37 2 2 0
16 Female 38 7.1 42 2 2 0
17 Female 31 4.5 24 3 0 0
18 Female 42 7.0 38 2 2 0
  
  
  
  
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