All-Seeing-Access Sheath: A Novel Fluoroscopy-Free Placement&#x0D;     Technique in Retrograde Intrarenal Surgery

Ekıcı, Musa; Özgür, Berat Cem; Şentürk, Aykut Buğra; Ekici, Arzu; Aydın, Cemil; Baykam, Mehmet Murat

doi:10.29271/jcpsp.2019.03.263

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…Regarding stone free rate (SFR), we had 20 cases stone free (66.7%), 7 cases with residual fragments (5-7 mm) (23.3%) and 3 cases with failed procedure (10%) in Pusen group but, in LithoVue group, we had 24 cases stone free (80%), 4 cases with residual fragment (13.3%) and 2 cases with failed procedure (6.7%). In the study done by Ekici et al, 2019 the SFR was 67% after the first session of FURS and 90% after second session [11]. This was similar to our study as the stone free rate ranged from 67 to 80%.…”

Section: Discussionsupporting

confidence: 92%

A single center comparative study of two single use digital flexible ureteroscopy in the management of renal stones less than 2 cm

et al. 2023

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Purpose For renal stones < 2 cm, guidelines recommend the use of retrograde intrarenal surgery as a first line treatment option. Many available single use flexible ureteroscopy were found. We aim to compare the effectiveness of two single use flexible ureteroscopy; Pusen Uscope 3011 versus LithoVue in the management of renal stones less than 2 cm. Methods Our study prospectively included 60 patients equally divided in to two groups: Pusen group and LithoVue group during the period from June 2020 to June 2021. The included patients were above 18 years old. Perioperative details as operative time, fluoroscopy time, hospital stay, and complications were recorded. Stone free rate was assessed. Base purchase cost was also compared. Results There was no statistically significant difference between the two groups regarding age, gender, and body mass index (BMI), stones size, side, number and location. The perioperative evaluation and outcome had no statistically significant differences between the two groups regarding the operative time, hospital stay, access sheath use, and stone free rate or radiation exposure. Among all cases, we had 49 cases (81.6%) with no postoperative complications (21 cases for Pusen group and 28 cases for LithoVue group). The incidence of postoperative complications was significantly higher among Pusen group than LithoVue group (p = 0.02). Initial purchase cost for both FURS had no significant difference (P = 0.86). Conclusion RIRS can be performed effectively with Pusen 3011 and LithoVue single use flexible ureteroscopy in patients diagnosed with renal calculi < 2 cm with superior outcomes with LithoVue.

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Section: Discussionsupporting

confidence: 92%

A single center comparative study of two single use digital flexible ureteroscopy in the management of renal stones less than 2 cm

et al. 2023

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“…In addition, some Authors described the technique of wearing UAS on semi-rigid or flexible URS (12)(13).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of fluoroscopy-free retrograde intrarenal surgery and predictive factors of stone-free

Aydın

Guctas

Sekerci

et al. 2021

Arch Ital Urol Androl

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Objective: To evaluate the outcomes of flouroscopy-free retrograde intrarenal surgery (ffRIRS) and to investigate the factors that may affect stone-free rate. Materials and methods: The charts of patients who underwent ffRIRS between January 2017 and August 2019 were reviewed retrospectively. Patients with missing preoperative imaging and patients with kidney anomalies were excluded from the study. Age, gender, stone size, stone localization, stone density, laterality, operation time, stone-free rate, complications and auxiliary procedures were recorded and analyzed. Results: Study group involved 44 (43.1%) female and 58 (56.8%) male patients. Stone-free rate in a single-session ffRIRS were found to be correlated with stone localization (p = 0.003), stone volume (p = 0.004), and stone density (p = 0.009) but not with age (p = 0.950). Patients with multiple calyceal stones and a stone burden over 520 mm3 were found to be less stone-free. The complication rate in female gender (n = 7) was significantly higher compared to male (n = 1) (p = 0.011). No major complications such as ureteral injury or avulsion were observed. Overall, 13 patients (12.7%) needed auxiliary procedures. The operation time seemed to be affected by stone size and gender (p = 0.005; p = 0.044, respectively). Conclusions: Stone-free rate in ffRIRS were found to be affected by stone density, size, and localization. Patients with multiple caliceal stones and high stone burden (< 520 mm3) have been found to have low stone-free rate, so one can speculate that having fluoroscopy assistance in RIRS might help us to improve surgical success.

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Fluoroless Endourological Surgery for Stone Disease: a Review of the Literature—Tips and Tricks

et al. 2020

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All-Seeing-Access Sheath: A Novel Fluoroscopy-Free Placement Technique in Retrograde Intrarenal Surgery

Cited by 5 publications

References 17 publications

A single center comparative study of two single use digital flexible ureteroscopy in the management of renal stones less than 2 cm

A single center comparative study of two single use digital flexible ureteroscopy in the management of renal stones less than 2 cm

Outcomes of fluoroscopy-free retrograde intrarenal surgery and predictive factors of stone-free

Fluoroless Endourological Surgery for Stone Disease: a Review of the Literature—Tips and Tricks

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