Analysis of co mplications followi ng se mirigi d ureteroscopy lithotri psy for the treat ment of ureteral stones
Zhang Peixin
Jia Hongliang
Ma Hesuti
Pu Chuenlin
Zhang Jianjun
Tang Mao
Tang Zhetian
Li Ming
Li Yun
Abstract：Objective :To revie wi ntraoperati ve co mplicati ons foll o wi ng ureteroscopy lithotri psy (URL )accordi ng to our experience with URL i n the treat ment of ureteral stones and stratify i ntraoperati ve co mplicati ons foll o wi ng URL accordi ng to the modified Satava classificati on syste m.Methods :The cli nical data of 1 563 patients (877 males and 686 fe males )were retrospecti vel y .Intraoperati ve co mplicati ons were recorded accordi ng to modified Satava clas-sificati on syste m.Grade 1 co mplicati ons i ncl uded i nci dents without consequences for the patients ;grade 2 co mplica-ti ons ,which are treated i ntraoperati vel y with endoscopic surgery (grade 2a )or required endoscopic re-treat ment (grade 2 b );and grade 3 co mplicati ons i ncl uded i nci dents requiri ng open or laparoscopic surgery .Results :The stones were co mpletel y re moved i n 1 348 (86.3 %).The overall i nci dence of i ntraoperati ve co mplicati ons was 1 3.8 %.The most co mmon co mplicati ons were proxi mal stone mi grati on (4.6 %),mucosal i nj ury (3.8 %),bleedi ng (2.3 %), i nability to reach stone (2 .1 %),ureteral perforati on (1 .1 5 %)and ureteral avulsi on (0.1 3 %),mucosal tears or false-route (3.1 5 %).Accordi ng to modified Satava classificati on syste m,grade 1 accounted for 4.9 %,grade 2a for 4.6 %,grade 2 b for 3.74 %,and grade 3 for 0.56 % respecti vel y .Conclusions :Modified Satava classificati on is a quick and si mple syste m for usi ng to descri b the severity of i ntraoperati ve URL co mplicati ons and this gradi ng sys-te m will hel p to co mpare for the available surgical outco mes fro m different centers .
Keywords：ureteroscopy lithotri psyureteral stonesco mplicati onsmodified satava classificati on syste m
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 84-87 )