Volume 23 Issue 3
Mar.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(3): 388-391
WU Yu, FENG Feiming, XU Weiqiang, GU Mingli. Clinical study on preoperative non-retention of double J-tube in the treatment of upper renal and ureteric calculi with flexible ureteroscope[J]. Chinese Journal of General Practice, 2025, 23(3): 388-391. doi: 10.16766/j.cnki.issn.1674-4152.003910
Citation: WU Yu, FENG Feiming, XU Weiqiang, GU Mingli. Clinical study on preoperative non-retention of double J-tube in the treatment of upper renal and ureteric calculi with flexible ureteroscope[J]. Chinese Journal of General Practice, 2025, 23(3): 388-391. doi: 10.16766/j.cnki.issn.1674-4152.003910
shu

Clinical study on preoperative non-retention of double J-tube in the treatment of upper renal and ureteric calculi with flexible ureteroscope

doi: 10.16766/j.cnki.issn.1674-4152.003910

  • Department of Urology, the Second Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233000, China

Funds:

 2022AH051520

 2022byzd082

  • Received Date: 2024-03-15
    Available Online: 2025-05-14
    Abstract
  •   Objective  To explore the application prospects of preoperative non-retention of double J-tube in the treatment of upper renal and ureteric calculi with flexible ureteroscope.  Methods  A retrospective analysis was conducted on the clinical data of 100 patients with renal calculi or upper ureteric calculi treated with flexible ureteroscope in the Urology Department of the Second Affiliated Hospital of Bengbu Medical University from September 2020 to September 2022. The patients were divided into two groups based on whether a double-J stent was indwelled preoperatively. In the experimental group, 50 patients underwent flexible ureteroscope holmium laser lithotripsy in the first stage without preoperative retention of double J-tube, while the control group of 50 patients received preoperative double-J tube placement and second-stage surgical treatment. The indicators such as one-time success rate of access sheath, operation time, postoperative hospital stay, complication rate, hospitalization costs, and stone residue rate were compared between the two groups of patients.  Results  There were no statistically significant differences between the two groups in terms of the one-time success rate of the access sheath, operation time, postoperative hospital stay, and residual stone rate (P>0.05). There were also no statistically significant differences between the two groups in postoperative C-reactive protein, procalcitonin, incidence of hematuria, infection, urinary system injury, and overall complication rates (P>0.05). The hospitalization cost of the experimental group was [(14 190±148) yuan], which was lower than that of the control group [(16 770±161) yuan], and the difference was statistically significant (t=8.364, P<0.001).  Conclusion  Preoperative non-retention of double J-tube has no significant impact on the surgical success rate, operation time, postoperative hospital stay, complication rate, and stone residue rate in the treatment of upper renal and ureteric calculi with flexible ureteroscope. However, it can significantly reduce the hospitalization costs for patients, and is worth promoting clinically.

     

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