COMPARISON OF RETROGRADE INTRARENAL SURGERY AND PERCUTANEOUS NEPHROLITHOTOMY IN MULTIPLE CALYCEAL STONES: A MATCH PAIR ANALYSIS OF 190 CASES
Küçük Resim Yok
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Iniestares, S.A.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVES: The current nephrolithiasis guidelines have no recommendation about multiple calyceal stones treatment. We aimed to compare the results of two effective methods of RIRS and PNL operations in the treatment of multicalyx stones. METHODS: Data of patients who underwent RIRS or PNL for multicalyx stones between September 2014 and May 2019 in our clinic were evaluated retrospectively. In both groups, stone-free and complication rates, hospital stay, scopy times, and operation times were examined. In RIRS group, the number of sessions and total stone-free rates at the end of each session were evaluated separately. RESULTS: A total of 162 patients in the RIRS group, and 103 patients in the PNL group were evaluated. After the match pair 1:1, data of 95 patients were selected in each group. Stone burden, number, density, ASA scores, BMI were similar in both groups. At the end of the first session RIRS, 59 (62.1%) patients became stone-free, while in the PNL group 73 (76.8%) patients (p: 0.027). The statistical analysis showed that the stone-free rates obtained in the second sessions in the RIRS group were similar to those of the PNL group. After a total of 124 sessions of RIRS, a stone-free rate of 81.1% was achieved by 1.3 sessions on average. CONCLUSION: At least two session of RIRS is as effective as PNL on multiple calyceal stones. Stage RIRS can be an alternative to PNL at multicalyceal renal stones. © 2021 Iniestares, S.A.. All rights reserved.
Açıklama
Anahtar Kelimeler
Multicalyceal renal stones, Percutaneous nephrolithotomy, Retrograde intrarenal surgery, Urolithiasis treatment
Kaynak
Archivos Espanoles de Urologia
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
74
Sayı
2
