Comparative study of laparoscopic cystolithotomy and electro-resectoscopic holmium laser lithotripsy for the treatment of bladder stone

Abstract

Objective To compare the clinical efficacy of laparoscopic cystolithotomy and electro-resectoscopic holmium laser lithotripsy for the treatment of bladder stone. Methods Sixty-one cases with complicated bladder stones in our hospital from January 2014 to March 2017 were chosen.And all patients were randomly divided into the study group (29 cases)and the control group (32 cases). The study group was treated with laparoscopic cystolithotomy, while the control group was treated with electro-resectoscopic holmium laser lithotripsy.The operation time, the time of indwelling catheter, the rate of stone clearance and postoperative complications rate were compared between the two groups. Results There was no significant difference between the two groups in the time of indwelling catheter and hospitalization(P>0.05). The operation time of the study group was shorter than that of the control group(P<0.05). The rate of stone clearance of the study group was higher than that of the control group(P<0.05). The incidence of urinary tract infection, urethral stricture and other complications in the study group were lower than those in the control group(P<0.05). Conclusions The laparoscopic cystolithotomy has many advantages, such as short operation time, less complications, higher stone clearance rate, and so on. It is worthy of clinical application. Key words: Urinary Bladder Calculi; Lithotripsy, Laser; Lasers, Solid-State; Holmium; Laparoscopy; Electrosurgery