Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study

Purpose: To evaluate the utility and safety of laparoendoscopic single-site surgery (LESS) in comparison with conventional laparoscopic (CL) surgery for the treatment of upper urinary tract stones. Material and Methods: Between June 2011 and May 2012, 20 patients with upper urinary tract stones wer...

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Main Authors:	Juhyun, Park, Seung, Bae Lee, Sung, Yong Cho, Chang, Wook Jeong, Hwancheol, Son, Yong, Hyun Park, Hyeon, Hoe Kim, Ab Rashid, Islah Munjih, Hyeon, Jeong
Format:	Article
Language:	English
Published:	UROL & NEPHROL RES CTR-UNRC 2016
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://irep.iium.edu.my/56349/ http://irep.iium.edu.my/56349/ http://irep.iium.edu.my/56349/1/56349_Comparison%20of%20the%20Efficacy.pdf

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recordtype	eprints
spelling	iium-563492017-07-18T07:17:29Z http://irep.iium.edu.my/56349/ Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study Juhyun, Park Seung, Bae Lee Sung, Yong Cho Chang, Wook Jeong Hwancheol, Son Yong, Hyun Park Hyeon, Hoe Kim Ab Rashid, Islah Munjih Hyeon, Jeong R Medicine (General) RC Internal medicine Purpose: To evaluate the utility and safety of laparoendoscopic single-site surgery (LESS) in comparison with conventional laparoscopic (CL) surgery for the treatment of upper urinary tract stones. Material and Methods: Between June 2011 and May 2012, 20 patients with upper urinary tract stones were included in this prospective randomized study. The patients were assigned into the LESS group or CL group in a one-on-one manner using a random table. The clinical parameters were evaluated in the immediate postoperative period, and the stone clearance rate was evaluated via non-contrast computer tomography at one month postoper- atively. Results: There were no significant differences in patient demographics or preoperative stone sizes between the two groups. The perioperative parameters, including operative time, estimated blood loss, postoperative pain scores, length of hospital stay, and changes in renal function, were comparable. No transfusions or open conversions were required in either group. The incidence of residual stones was lower in the LESS group (1 case) than in the CL group (2 cases). However, this difference was not statistically significant. Conclusions: For large and impacted upper ureteral stones, the effectiveness and safety of LESS were equivalent to those of CL. Further randomized control trials with larger sample sizes are needed to strengthen the conclusions of this study. UROL & NEPHROL RES CTR-UNRC 2016 Article PeerReviewed application/pdf en http://irep.iium.edu.my/56349/1/56349_Comparison%20of%20the%20Efficacy.pdf Juhyun, Park and Seung, Bae Lee and Sung, Yong Cho and Chang, Wook Jeong and Hwancheol, Son and Yong, Hyun Park and Hyeon, Hoe Kim and Ab Rashid, Islah Munjih and Hyeon, Jeong (2016) Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study. UROLOGY JOURNAL, 13 (4). pp. 2759-2764. ISSN 1735-1308 E-ISSN 1735-546X http://www.urologyjournal.org/index.php/uj/issue/view/79/showToc
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Juhyun, Park Seung, Bae Lee Sung, Yong Cho Chang, Wook Jeong Hwancheol, Son Yong, Hyun Park Hyeon, Hoe Kim Ab Rashid, Islah Munjih Hyeon, Jeong Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
description	Purpose: To evaluate the utility and safety of laparoendoscopic single-site surgery (LESS) in comparison with conventional laparoscopic (CL) surgery for the treatment of upper urinary tract stones. Material and Methods: Between June 2011 and May 2012, 20 patients with upper urinary tract stones were included in this prospective randomized study. The patients were assigned into the LESS group or CL group in a one-on-one manner using a random table. The clinical parameters were evaluated in the immediate postoperative period, and the stone clearance rate was evaluated via non-contrast computer tomography at one month postoper- atively. Results: There were no significant differences in patient demographics or preoperative stone sizes between the two groups. The perioperative parameters, including operative time, estimated blood loss, postoperative pain scores, length of hospital stay, and changes in renal function, were comparable. No transfusions or open conversions were required in either group. The incidence of residual stones was lower in the LESS group (1 case) than in the CL group (2 cases). However, this difference was not statistically significant. Conclusions: For large and impacted upper ureteral stones, the effectiveness and safety of LESS were equivalent to those of CL. Further randomized control trials with larger sample sizes are needed to strengthen the conclusions of this study.
format	Article
author	Juhyun, Park Seung, Bae Lee Sung, Yong Cho Chang, Wook Jeong Hwancheol, Son Yong, Hyun Park Hyeon, Hoe Kim Ab Rashid, Islah Munjih Hyeon, Jeong
author_facet	Juhyun, Park Seung, Bae Lee Sung, Yong Cho Chang, Wook Jeong Hwancheol, Son Yong, Hyun Park Hyeon, Hoe Kim Ab Rashid, Islah Munjih Hyeon, Jeong
author_sort	Juhyun, Park
title	Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
title_short	Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
title_full	Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
title_fullStr	Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
title_full_unstemmed	Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
title_sort	comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study
publisher	UROL & NEPHROL RES CTR-UNRC
publishDate	2016
url	http://irep.iium.edu.my/56349/ http://irep.iium.edu.my/56349/ http://irep.iium.edu.my/56349/1/56349_Comparison%20of%20the%20Efficacy.pdf
first_indexed	2023-09-18T21:19:28Z
last_indexed	2023-09-18T21:19:28Z
_version_	1777411784851849216

Comparison of the efficacy and safety of laparoendoscopic single-site surgery with conventional laparoscopic surgery for upper ureter or renal pelvis stones in a single institution: a randomized controlled study

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