The safety and efficacy of MPR-CTU combined with precise intraoperative ultrasonography guided flexible ureteroscope in the treatment of renal cystic disease

Wang,Rongjiang; Wang,Ning; Tang,Jianer; Chen,Yu; Gao,Jianguo

doi:10.3892/etm.2017.5379

The safety and efficacy of MPR-CTU combined with precise intraoperative ultrasonography guided flexible ureteroscope in the treatment of renal cystic disease

Authors:
- Rongjiang Wang
- Ning Wang
- Jianer Tang
- Yu Chen
- Jianguo Gao
View Affiliations

Affiliations: Department of Urology, The First Affiliated Hospital of Huzhou Teacher's College, Huzhou, Zhejiang 313000, P.R. China
Published online on: October 27, 2017 https://doi.org/10.3892/etm.2017.5379
Pages: 283-287
Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The safety and efficacy of multi‑planar reconstruction (MPR) image post-processing technique‑computed tomography (CT) urography (CTU) combined with precise intraoperative ultrasonography guided flexible ureteroscope in renal cyst incision and drainage in the treatment of cystic diseases of kidney were evaluated. A total of 68 patients were randomly divided into control and observation group (n=34). All the patients were treated with renal cyst incision and drainage under flexible ureteroscope. The control group was under ultrasound guidance. The observation group was combined with MPR-CTU, the safety and efficacy was compared. There was no significant difference between the two groups in the success rate and the time of cyst treatment (P>0.05). The incidence of intraoperative and postoperative complications of the observation group was significantly lower than that of the control group. After 1 month follow-up, the total effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion MPR-CTU technique combined with intraoperative ultrasonography to guide cyst incision and drainage under flexible ureteroscope for renal cystic disease has a high safety and efficacy, and it is worthy of clinical application.

View Figures

View References

1	Mao X, Xu G, Wu H and Xiao J: Ureteroscopic management of asymptomatic and symptomatic simple parapelvic renal cysts. BMC Urol. 15:482015. View Article : Google Scholar : PubMed/NCBI
2	Xu L, Rong Y, Wang W, Lian H, Gan W, Yan X, Li X and Guo H: Percutaneous radiofrequency ablation with contrast-enhanced ultrasonography for solitary and sporadic renal cell carcinoma in patients with autosomal dominant polycystic kidney disease. World J Surg Oncol. 14:1932016. View Article : Google Scholar : PubMed/NCBI
3	Rahbari-Oskoui F, Mittal A, Mittal P and Chapman A: Renal relevant radiology: Radiologic imaging in autosomal dominant polycystic kidney disease. Clin J Am Soc Nephrol. 9:406–415. 2014. View Article : Google Scholar : PubMed/NCBI
4	Ramanathan S, Kumar D, Khanna M, Al Heidous M, Sheikh A, Virmani V and Palaniappan Y: Multi-modality imaging review of congenital abnormalities of kidney and upper urinary tract. World J Radiol. 8:132–141. 2016. View Article : Google Scholar : PubMed/NCBI
5	Chapman AB and Wei W: Imaging approaches to patients with polycystic kidney disease. Semin Nephrol. 31:237–244. 2011. View Article : Google Scholar : PubMed/NCBI
6	Pallwein-Prettner L, Flöry D, Rotter CR, Pogner K, Syré G, Fellner C, Frauscher F, Aigner F, Krause FS and Fellner F: Assessment and characterisation of common renal masses with CT and MRI. Insights Imaging. 2:543–556. 2011. View Article : Google Scholar : PubMed/NCBI
7	Rule AD, Sasiwimonphan K, Lieske JC, Keddis MT, Torres VE and Vrtiska TJ: Characteristics of renal cystic and solid lesions based on contrast-enhanced computed tomography of potential kidney donors. Am J Kidney Dis. 59:611–618. 2012. View Article : Google Scholar : PubMed/NCBI
8	Ta MH, Rao P, Korgaonkar M, Foster SF, Peduto A, Harris DC and Rangan GK: Pyrrolidine dithiocarbamate reduces the progression of total kidney volume and cyst enlargement in experimental polycystic kidney disease. Physiol Rep. 2:e121962014. View Article : Google Scholar : PubMed/NCBI
9	Dell KM: The spectrum of polycystic kidney disease in children. Adv Chronic Kidney Dis. 18:339–347. 2011. View Article : Google Scholar : PubMed/NCBI
10	Saigusa T and Bell PD: Molecular pathways and therapies in autosomal-dominant polycystic kidney disease. Physiology (Bethesda). 30:195–207. 2015.PubMed/NCBI
11	Ali TA, Abdelaal MA, Enite A and Badran YA: Ultrasound-guided percutaneous sclerotherapy of simple renal cysts with n-butyl cyanoacrylate and iodized oil mixture as an outpatient procedure. Urol Ann. 8:51–55. 2016. View Article : Google Scholar : PubMed/NCBI
12	Akoh JA: Current management of autosomal dominant polycystic kidney disease. World J Nephrol. 4:468–479. 2015. View Article : Google Scholar : PubMed/NCBI
13	Yu JH, Du Y, Li Y, Yang HF, Xu XX and Zheng HJ: CT-guided sclerotherapy for simple renal cysts: Value of ethanol concentration monitoring. Korean J Radiol. 15:80–86. 2014. View Article : Google Scholar : PubMed/NCBI
14	Ars E, Bernis C, Fraga G, Martínez V, Martins J, Ortiz A, Rodríguez-Pérez JC, Sans L and Torra R: Spanish working group on inherited kidney disease: Spanish guidelines for the management of autosomal dominant polycystic kidney disease. Nephrol Dial Transplant. 29:95–105. 2014. View Article : Google Scholar
15	Agarwal M, Agrawal MS, Mittal R and Sachan V: A randomized study of aspiration and sclerotherapy versus laparoscopic deroofing in management of symptomatic simple renal cysts. J Endourol. 26:561–565. 2012. View Article : Google Scholar : PubMed/NCBI
16	Riella C, Czarnecki PG and Steinman TI: Therapeutic advances in the treatment of polycystic kidney disease. Nephron Clin Pract. 128:297–302. 2014. View Article : Google Scholar : PubMed/NCBI
17	Millar M, Tanagho YS, Haseebuddin M, Clayman RV, Bhayani SB and Figenshau RS: Surgical cyst decortication in autosomal dominant polycystic kidney disease. J Endourol. 27:528–534. 2013. View Article : Google Scholar : PubMed/NCBI
18	Papatsoris AG, Kachrilas S, Howairis ME, Masood J and Buchholz N: Novel technologies in flexible ureterorenoscopy. Arab J Urol. 9:41–46. 2011. View Article : Google Scholar : PubMed/NCBI
19	Luo Q, Zhang X, Chen H, Liu Z, Chen X, Dai Y and Zhao Z: Treatment of renal parapelvic cysts with a flexible ureteroscope. Int Urol Nephrol. 46:1903–1908. 2014. View Article : Google Scholar : PubMed/NCBI
20	Zhao Q, Huang S, Li Q, Xu L, Wei X, Huang S, Li S and Liu Z: Treatment of parapelvic cyst by internal drainage technology using ureteroscope and Holmium laser. West Indian Med J. 64:230–235. 2015.
21	Basiri A, Hosseini SR, Tousi VN and Sichani MM: Ureteroscopic management of symptomatic, simple parapelvic renal cyst. J Endourol. 24:537–540. 2010. View Article : Google Scholar : PubMed/NCBI