Original Articles
A Randomized Controlled Trial: Double-J Stented versus Stentless Laparoscopic Ureterolithotomy | |
Dr. Akriti, Dr. Jayanta Kumar Das, Dr. G. Rangad | |
Introduction:Ureteric stents have been used for over five decades but recent meta-analyses reported thatstentless surgery was non-inferior to those performed with stents.Since the evidence is not clearcut and only a few randomizedcontrolledtrials are reported, hence this researchwas taken up using CONSORT guidelines at a tertiary hospital in Shillong, Meghalaya during 2020-21 Methods: The study was registered at the ICMR Clinical Trial Registry, approved by the Institution Review Board. All patients age18 years and above, with upper or mid ureteric calculus ≥ 1 cm who consented to participate in the trial were included.Pregnant Patients and those who had stone associated with ipsilateral ureteric stricture or ipsilateral renal stones were excluded.EligiblePatients were prospectively allocated to either group based ona confidential list for random allocation prepared ahead of the trial.Operating surgeons were informed of the choice prior to surgery. Patient were followed postoperatively up to 3 months.All Outcomes were assessed blindly. Results: Both groups were similar in age, gender, size of calculi and location as well as otherclinical and radiological features.Follow-upshowed the drain quality and quantity were similar and usually became minimal by third postoperative day. Post operative complications were not statistically significant. Conclusion:Stentless Laparoscopic ureterolithotomy is non inferior to use of DJ stent. |
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