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Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard?
- Source :
-
The Canadian journal of urology [Can J Urol] 2014 Apr; Vol. 21 (2), pp. 7207-12. - Publication Year :
- 2014
-
Abstract
- Introduction: Major kidney stones have traditionally been treated with percutaneous nephrolithotomy. However, retrograde intrarenal surgery (RIRS), which until a few years ago was considered inappropriate for this purpose, is becoming a viable, attractive alternative. The aim of the current study was to assess the efficacy and safety of RIRS combined with holmium laser lithotripsy for the treatment of stones > 2 cm in diameter in a large series of patients, reporting complications according to the Clavien-Dindo classification.<br />Materials and Methods: By retrospective analysis, we identified a total of 162 patients who were affected by stones greater than 2 cm in diameter and who had undergone RIRS. We reviewed demographic and stone characteristics, intraoperative and postoperative outcomes, and complications.<br />Results: The mean stone size was 2.7 cm +/- 0.6 cm. The primary, secondary, and tertiary stone-free rates were 66%, 80.9%, and 87.7%, respectively. The mean number of procedures per patient was 1.48. The complication rates according to the Clavien-Dindo classification were Clavien I in 20.4% of patients, Clavien II in 0%, Clavien III in 4.9%, Clavien IV in 0.6%, and Clavien V in 0%.<br />Conclusions: As an alternative to standard procedures for the treatment of renal calculi greater than 2 cm in diameter, RIRS is safe and effective, with a low complication rate.
- Subjects :
- Adult
Aged
Endoscopy methods
Female
Humans
Kidney Calculi classification
Lithotripsy, Laser adverse effects
Lithotripsy, Laser methods
Male
Middle Aged
Minimally Invasive Surgical Procedures adverse effects
Minimally Invasive Surgical Procedures methods
Retrospective Studies
Treatment Outcome
Ureteroscopy
Urologic Surgical Procedures methods
Endoscopy adverse effects
Kidney Calculi pathology
Kidney Calculi surgery
Urologic Surgical Procedures adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1195-9479
- Volume :
- 21
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Canadian journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 24775573