“Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session

Liatsikos, Evangelos; Kapoor, Rakesh; Lee, Benjamin; Jabbour, Michel E.; Barbalias, George A.; Smith, Arthur D.

doi:10.1016/j.eururo.2005.08.009

Cited by 79 publications

(40 citation statements)

References 17 publications

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“…Bleeding requiring blood transfusion is a 75 Karakoç et major complication, and the reported incidence is 0.8-45%. [21][22][23] Akman et al [19] reported that when the duration of surgery exceeded 58 min, the need for blood transfusion increased in patients with PCNL. In our study, two of 86 patients with PCNL had bleeding that required blood transfusion; however, blood transfusion was not required in any of the patients with RIRS despite a long duration of operations.…”

Section: Discussionmentioning

confidence: 99%

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

Karakoç

Karakeçi

Ozan

et al. 2015

Turkish Journal of Urology

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Objective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) in the treatment of kidney stones greater than 2 cm and to compare its results with those of percutaneous nephrolithotomy (PCNL). Material and methods:We retrospectively analyzed a total of 143 patients: 86 patients (53 males and 33 females) who underwent PCNL and 57 patients (37 males and 20 females) who underwent RIRS between October 2009 and October 2013. Results:The mean duration of operation was 100.26±33.26 min in the RIRS group and 75.55±21.5 min in the PCNL group (p<0.001). The hospital stay was significantly shorter in the RIRS group (1.56±0.8 vs. 4.57±2.1 days in the RIRS and PCNL groups, respectively; p<0.001). Stone-free rates after one session were 66.6% and 91.8% of the RIRS and PCNL groups, respectively. The stone-free rate of the RIRS group improved to 87.7% after the second session. Blood transfusions were required in two patients in the PCNL group. Complication rates were higher in the PCNL group. Conclusion:This study revealed that RIRS can be an alternative to PCNL in the treatment of kidney stones with a diameter of 2-4 cm especially in patients with comorbidities.

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Section: Discussionmentioning

confidence: 99%

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

Karakoç

Karakeçi

Ozan

et al. 2015

Turkish Journal of Urology

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“…[18][19][20][21][22][23][24] The higher incidence of blood transfusion found in our study may be associated with longer duration of procedure in our study, difference in the level of expertise of surgeons, longer duration of renal calculi which have led to fibrosis and difficult PCNL and finally, the level of haemodilution. In our study, we have used the difference in the irrigation and effluent fluid to assess the amount of fluid absorbed and degree of haemodilution.…”

Section: Side Effectsmentioning

confidence: 56%

Comparative study of electrolytes and metabolic changes during percutaneous nephrolithotomy: spinal vs. general anaesthesia

Gupta

Prakash

Singh³

et al. 2014

Int J Clin Trials

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“…Micali et al [9] concluded that indications for laparoscopy included stones associated with anatomical abnormalities requiring reconstruction and calculi for which endourological procedures had failed. Percutaneous stone removal was still suggested as the first-line treatment option for the management of kidney calculi by the American Urological Association Nephrolithiasis Clinical Guidelines panel [10]. However, it is hard to treat upper-middle ureteral stones if the distance from the pelviureteral junction is longer.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Sun¹,

Peng

2012

Urol Int

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Objectives: To report and discuss the role of the treatment of ipsilateral renal and upper middle ureteral stones in patients by combing retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy. Patients and Methods: Eleven patients associated with ipsilateral renal and upper middle ureteral stones underwent combing retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy after failure of shockwave or ureteroscopy lithotripsy. Their data were analyzed retrospectively including stone burden, perioperative complications and outcomes. Results: All the patients underwent retroperitoneal laparoscopic ureterolithotomy and tubeless mini-percutaneous nephrolithotomy successfully. Surgical time ranged from 80 to 160 min with a mean of 118 min. The mean hospital stay was 4 days (3-7 days). The mean length of retroperitoneal urinary drainage was 3 days (2-6 days). There were minor complications in 3 (27.2%) patients. The stone-free rate was 82% (9 patients). Two patients had a residual calyceal fragment that was treated with shockwave lithotripsy. All of them were followed up for 3-24 months. Renal function was improved in different degree. Conclusion: In carefully selected patients, combining retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy can treat ipsilateral renal and upper middle ureteral calculi by a single procedure with advantages of high stone-free rate, safety, reliability, rapid recovery and less complications.

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“Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session

Cited by 79 publications

References 17 publications

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

Comparative study of electrolytes and metabolic changes during percutaneous nephrolithotomy: spinal vs. general anaesthesia

Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

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