Research progress of flexible ureteroscopy in the treatment of upper
urinary tract calculi

doi:10.3760/cma.j.issn.1007-1245.2022.06.037

Abstract

Abstract:

With the continuous innovation and improvement of flexible ureteroscope and its auxiliary equipment in recent years, flexible ureteroscope is more and more widely used in clinic. It has been commonly used for the treatment of upper urinary tract calculi in the past, and now it is also used for ablation of ureteral tumors, incision of ureterostenosis, incision and internal drainage of parapelvic cyst, and so on. Flexible ureteroscope enters the body through the natural cavity to fully realize minimally invasive examination and treatment. At present, the electronic flexible ureteroscope, which is widely used in clinic, has the advantages of clear imaging of surgery field, good flexibility of deflection, and with working channel, thereby has a unique advantage in the treatment of upper urinary tract calculi. Moreover, with the development and application of disposable electronic flexible ureteroscope and robot-assisted flexible ureteroscope system, the safe and rapid development of flexible ureteroscopic surgery is further promoted.

Key words: Flexible ureteroscopy, Robot-assisted flexible ureteroscope system, Upper urinary tract calculi, Indication

摘要： 随着近几年输尿管软镜及其辅助设备的不断创新改进，临床上对于输尿管软镜的应用也越来越广泛。从以往常见的逆行输尿管腔内碎石取石，到现在应用于输尿管腔内肿瘤消融、输尿管狭窄镜下切开、肾盂旁囊肿切开内引流等。输尿管软镜经人体自然腔道进入体内，充分实现微创下的检查和治疗，现临床上应用较多的电子输尿管软镜更是以其术野成像清晰、偏转柔韧性好、兼有工作通道等优点，在上尿路结石的治疗中独占优势。而且，随着一次性电子输尿管软镜和机器人辅助输尿管软镜系统的开发应用，更是进一步推动了输尿管软镜手术的安全和快速发展。

关键词: 输尿管软镜, 机器人辅助输尿管软镜系统, 上尿路结石, 适应证

Yang Libin, Xu Hanbiao. Research progress of flexible ureteroscopy in the treatment of upper urinary tract calculi[J]. International Medicine and Health Guidance News, 2022, 28(6): 880-883.

杨礼宾, 许汉标. 输尿管软镜治疗上尿路结石的研究进展[J]. 国际医药卫生导报, 2022, 28(6): 880-883.

References

[1] Liu R, Su W, Gong J, et al. Noncontrast computed tomography factors predictive of extracorporeal shock wave lithotripsy outcomes in patients with pancreatic duct stones[J]. Abdom Radiol (NY), 2018,43(12):3367- 3373. DOI:10.1007/s00261-018-1639-4.

[2] 安宇, 黄建林, 廖勇, 等. 经皮肾镜碎石取石术联合逆行输尿管软镜手术治疗女性鹿角形肾结石[J]. 山东医药, 2016,56(3):68-70. DOI: 10.3969/j.issn.1002-266X.2016.03.027.

[3] Marshall VF. Fiber optics in urology[J]. J Urol, 1964,91(1):110-114. DOI: 10.1016/s0022-5347(17)64066-7.

[4] Dore B, Orget J, Grange P, et al. Flexible ureteroscopy. Diagnostic and therapeutic significance. Apropos of 15 cases[J]. Ann Urol (Paris), 1989, 23(5):377-382.

[5] Secker A, Rassweiler J, Neisius A. Future perspectives of flexible ureteroscopy[J]. Curr Opin Urol, 2019,29(2):113-117. DOI:10.1097/MOU.0000000000000575.

[6] Delvecchio FC, Auge BK, Brizuela RM, et al. Assessment of stricture formation with the ureteral access sheath[J]. Urology, 2003,61(3):518-522. DOI:10.1016/s0090- 4295(02)02433-0.

[7] Babjuk M, Burger M, Compérat EM, et al. European Association of Urology Guidelines on non-muscle-invasive bladder cancer (TaT1 and carcinoma in situ) - 2019 update[J]. Eur Urol, 2019, 76(5):639-657. DOI:10.1016/j.eururo.2019.08.016.

[8] Dale J, Kaplan AG, Radvak D, et al. Evaluation of a novel single-use flexible ureteroscope[J]. J Endourol, 2021,35(6):903-907. DOI:10.1089/end.2016.0237.

[9] Davis NF, Quinlan MR, Browne C, et al. Single-use flexible ureteropyeloscopy: a systematic review[J]. World J Urol, 2018,36(4):529-536. DOI:10.1007/s00345-017-2131-4.

[10] Deininger S, Haberstock L, Kruck S, et al. Single-use versus reusable ureterorenoscopes for retrograde intrarenal surgery (RIRS): systematic comparative analysis of physical and optical properties in three different devices[J]. World J Urol, 2018, 36(12): 2059-2063. DOI:10.1007/s00345-018-2365-9.

[11] Rassweiler J, Fiedler M, Charalampogiannis N, et al. Robot-assisted flexible ureteroscopy: an update[J]. Urolithiasis, 2018,46(1): 69-77. DOI:10.1007/s00240-017-1024-8.

[12] Rassweiler J, Fiedler M, Charalampogiannis N, et al. Robot-assisted flexible ureteroscopy: an update[J]. Urolithiasis, 2018,46(1):69-77. DOI:10.1007/s00240- 017-1024-8.

[13] Secker A, Rassweiler J, Neisius A. Future perspectives of flexible ureteroscopy[J]. Curr Opin Urol, 2019,29(2):113-117. DOI:10.1097/MOU.0000000000000575.

[14] Traxer O, Wendt-Nordahl G, Sodha H, et al. Differences in renal stone treatment and outcomes for patients treated either with or without the support of a ureteral access sheath: The Clinical Research Office of the Endourological Society Ureteroscopy Global Study[J]. World J Urol, 2015,33(12):2137-2144. DOI:10.1007/s00345-015-1582-8.

[15] Doizi S, Knoll T, Scoffone CM, et al. First clinical evaluation of a new innovative ureteral access sheath (Re-Trace™): a European study[J]. World J Urol, 2014, 32(1): 143-147. DOI:10.1007/s00345-013-1094-3.

[16] Breda A, Emiliani E, Millán F, et al. The new concept of ureteral access sheath with guidewire disengagement: one wire does it all[J]. World J Urol, 2016,34(4):603-606. DOI:10.1007/s00345-015-1638-9.

[17] 刘佳, 张军, 谷现恩. 三通式负压吸引鞘在输尿管软镜钬激光碎石中的应用体会[J]. 中国临床医生杂志, 2020,48(11):1328-1330. DOI:10.3969/j.issn.2095-8552.2020.11.021.

[18] Traxer O, Martov AG, Ergakov DV, et al. Prospective transurethral lithotripsy study with SuperPulse fiber lase[J]. European Urology Supplements, 2019,18(1):e2222. DOI: 10.1016/S1569-9056(19)31607-0.

[19] Platonova DV, Zamyatina VA, Dymov AM, et al. Laser lithotripsy[J]. Urologiia, 2015(6):116-121.

[20] Pasqui F, Dubosq F, Tchala K, et al. Impact on active scope deflection and irrigation flow of all endoscopic working tools during flexible ureteroscopy[J]. Eur Urol, 2004, 45(1): 58-64. DOI: 10.1016/j.eururo.2003.08.013.

[21] Ozimek T, Cordes J, Gilbert N, et al. Laser fibre, rather than the stone, may harm the scope: retrospective monocentric analysis of 26 pre- and intraoperative factors of flexible ureteroscope (fURS) damage[J]. World J Urol, 2020,38(8):2035-2040. DOI:10.1007/s00345-019- 02988-0.

[22] Preminger GM, Tiselius HG, Assimos DG, et al. 2007 guideline for the management of ureteral calculi[J]. J Urol, 2007,178(6):2418-2434. DOI:10.1016/j.juro.2007.09.107

[23] Türk C, Petřík A, Sarica K, et al. EAU guidelines on diagnosis and conservative management of urolithiasis[J]. Eur Urol, 2016,69(3):468-474. DOI:10.1016/j.eururo.2015.07.040.

[24] 黄健, 郭应禄, 那彦群, 等. 中国泌尿外科和男科疾病诊断治疗指南:2019版[M]. 北京: 科学出版社, 2020: 56-60.

[25] Kumar A, Vasudeva P, Nanda B, et al. A prospective randomized comparison between shock wave lithotripsy and flexible ureterorenoscopy for lower caliceal stones ≤2 cm: a single-center experience[J]. J Endourol, 2015, 29(5): 575-579. DOI:10.1089/end. 2013. 0473.

[26] Dragos LB, Somani BK, Sener ET, et al. Which flexible ureteroscopes (digital vs. fiber-optic) can easily reach the difficult lower pole calices and have better end-tip deflection: in vitro study on K-box. A PETRA evaluation[J]. J Endourol, 2017,31(7):630-637. DOI:10.1089/end.2017. 0109.

[27] 施靖宇, 方立, 谢国海, 等. 输尿管软镜联合吸引鞘钬激光碎石术治疗6例直径2 cm以上肾结石报告[J]. 现代泌尿外科杂志, 2021,26(4):301-304,332. DOI:10.3969/j.issn.1009-8291.2021.04.006.

[28] Galal EM, Anwar AZ, El-Bab TK, et al. Retrospective comparative study of rigid and flexible ureteroscopy for treatment of proximal ureteral stones[J]. Int Braz J Urol, 2016, 42(5): 967-972. DOI:10.1590/S1677-5538.IBJU. 2015.0644.

[29] Hu H, Lu Y, He D, et al. Comparison of minimally invasive percutaneous nephrolithotomy and flexible ureteroscopy for the treatment of intermediate proximal ureteral and renal stones in the elderly[J]. Urolithiasis, 2016, 44(5): 427-434. DOI:10.1007/s00240-015-0854-5.

[30] 何小峰. 输尿管软镜钬激光碎石术、硕通镜钬激光碎石术在输尿管上段结石ESWL治疗失败患者中的应用[J]. 哈尔滨医药, 2021,41(5):14-16. DOI:10.3969/j.issn.1001-8131.2021.05.007.

[31] Kozyrakis DG, Kratiras ZK, Perikleous SK, et al. How effective is retrograde semirigid and flexible ureteroscopic lithotripsy for the treatment of large ureteral stones equal of or greater than 15 mm? Results from a single center[J]. Urol Int, 2019, 103(1): 74-80. DOI:10.1159/000499573.

[32] 高景宇,尹海军,郑硕,等.输尿管软镜钬激光碎石术治疗输尿管上段结石的疗效分析[J/OL].河北医药:1-4[2022-01-26]. http://kns.cnki.net/kcms/detail/13.1090.R.20201216.1555.002.html.

[33] Giusti G, Proietti S, Villa L, et al. Current standard technique for modern flexible ureteroscopy: tips and tricks[J]. Eur Urol, 2016,70(1):188-194. DOI:10.1016/j.eururo.2016.03.035.

[34] Netsch C, Knipper S, Bach T, et al. Impact of preoperative ureteral stenting on stone-free rates of ureteroscopy for nephroureterolithiasis: a matched-paired analysis of 286 patients[J]. Urology, 2012,80(6):1214-1219. DOI:10.1016/j.urology.2012.06.064.

[35] Assimos D, Crisci A, Culkin D, et al. Preoperative JJ stent placement in ureteric and renal stone treatment: results from the Clinical Research Office of Endourological Society (CROES) ureteroscopy (URS) Global Study[J]. BJU Int, 2016, 117(4): 648-654. DOI:10.1111/bju.13250.

Research progress of flexible ureteroscopy in the treatment of upper urinary tract calculi

输尿管软镜治疗上尿路结石的研究进展

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