Vision for the future on urolithiasis: research, management, education and training—some personal views

Rodgers, Allen L.; Trinchieri, Alberto; Ather, M Hammad; Buchholz, Noor

doi:10.1007/s00240-018-1086-2

Cited by 12 publications

(9 citation statements)

References 77 publications

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“…7,8 While miniaturized PCNL techniques can decrease complication rates, this comes with a decrease in stone-free rate. 9,10 The technological advances in flexible ureterorenoscopy have led to the miniaturization of equipment, superior vision, and improved deflective capability, 11 which enhanced the effectiveness of retrograde intrarenal surgery in managing a wider range of renal stones. A metanalysis on nine retrospective non-comparative studies including over 400 patients reported a stone-free rate from 77% to 96% with a mean number of procedures of 1.6, a mean operation time of 82 (range 28-215) minutes and a complication rate of up to 10%.…”

Section: Discussionmentioning

confidence: 99%

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones

et al. 2021

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Background To compare the clinical outcomes of laparoscopic pyelolithotomy (LP) and retrograde intrarenal surgery (RIRS) in the management of large renal pelvic stones. Patients and methods This study included patients who presented with a single renal pelvic stone sized ≥20 mm and who were treated primarily by LP or RIRS. The patients were grouped based on the surgical procedure they underwent. We retrospectively examined and compared the age, the longest axis, and the surface area of the stone, operation time, hospitalization time, complications, and stone‐free rates of the two groups. Results Of the 156 patients included in the study, 44 had LP, and 112 had RIRS. Patients who received LP (13 males, 31 females) had a median age of 54 (18‐79) years, while those who underwent RIRS (46 males, 66 females) had a median age of 54.5 (18‐79). Patients who received LP were found to have larger median stone size (30 mm vs 24 mm, P = .003), longer operation time (100 minutes vs 70 minutes, P = .007), lower complication rate (2% vs 8.9%, P = .063), longer median hospital stay (3 days vs 1 day, P < .001) and better stone‐free rate at the third month (90.9% vs 67.9%, P < .001). Conclusion LP is a safe and efficient procedure that could be used as an alternative to RIRS in managing large renal pelvic stones.

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Section: Discussionmentioning

confidence: 99%

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones

et al. 2021

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“…The technological advances in exible ureterorenoscopy have led to the miniaturization of equipment, superior vision and improved de ective capability [11], which enhanced the effectiveness of retrograde intrarenal surgery in managing a wider range of renal stones. A metanalysis on nine retrospective noncomparative studies including over 400 patients reported a stone-free rate between 77%-96% with a mean number of procedures of 1.6, a mean operation time of 82 (range 28-215) minutes and a complication rate of up to 10%.…”

Section: Discussionmentioning

confidence: 99%

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stone

Çiçek

Asi

Gunseren

et al. 2020

Preprint

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Background To compare the clinical outcomes of laparoscopic pyelolithotomy (LP) and retrograde intrarenal surgery (RIRS) in the management of large renal pelvic stones. Methods This study included patients who presented with a single renal pelvic stone sized ≥20 mm and who were treated primarily by laparoscopic pyelolithotomy or retrograde intrarenal surgery. The patients were grouped based on the surgical procedure they underwent. We retrospectively examined and compared the age, the longest axis and the surface area of the stone, operation time, hospitalization time, complications and stone-free rates of the two groups. Results Of the 156 patients included in the study, 44 had laparoscopic pyelolithotomy, and 112 had retrograde intrarenal surgery. Patients who received laparoscopic pyelolithotomy (13 males, 31 females) had a median age of 54 (18-79) years, while those who underwent retrograde intrarenal surgery (46 males, 66 females) had a median age of 54.5 (18-79). Patients who received laparoscopic pyelolithotomy were found to have larger median stone size (30 mm vs 24 mm, p=0.003), longer operation time (100 minutes vs 70 minutes, p=0.007), lower complication rate (2% vs 8.9%, p=0.063), longer median hospital stay (3 days vs 1 day, p<0.001) and better stone-free rate at the third month (90.9% vs 67.9%, p<0.001). Conclusion LP is a safe and efficient procedure that could be used as an alternative to retrograde intrarenal surgery in managing large renal pelvic stones.

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“…Newer concepts such as AR models and patient-specific simulators have also been introduced [5]. Recently, the effectiveness of various types of simulations was indicated by many authors in the subdivisions of urological surgery training, including urolithiasis [6], and the stone treatment procedure [7], prostate surgery [8], transurethral surgery [9], ureteroscopy [10], percutaneous renal access (PCA) [11], and pediatric urological surgery [12]. Additive manufacturing, or 3D printing (3DP), as it is commonly known, is a process used to create 3D objects from computer-aided designs (CAD).…”

Section: Discussionmentioning

confidence: 99%

Review of the effect of 3D medical printing and virtual reality on urology training with ‘MedTRain3DModsim’ Erasmus + European Union Project

Tatar¹,

Hurі²,

Selçuk³

et al. 2019

Turk J Med Sci

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Background/aim: It is necessary to incorporate novel training modalities in medical education, especially in surgical fields, because of the limitations of cadaveric training. Traditional medical education has many drawbacks, such as residency working hour restrictions, patient safety conflicts with the learning needs, and the lack of hands-on workshops. The MedTRain3DModsim Project aimed to produce 3-dimensional (3D) medical printed models, simulations, and innovative applications for every level of medical training using novel worldwide technologies. It was aimed herein to improve the interdisciplinary and transnational approaches, and accumulate existing experience for medical education, postgraduate studies, and specialty training. Materials and methods: This project focused on models of solid organs and the urinary system, including the kidney, prostate, ureter, and liver. With 3D medical printing, it is possible to produce a body part from inert materials in just a few hours with the standardization of medical 3D modeling. Results: The target groups of this project included medical students and residents, graduate students from engineering departments who needed medical education and surgical training, and medical researchers interested in health technology or clinical and surgical anatomy. Conclusion: It was also intended to develop a novel imaging platform for education and training by reevaluating the existing data using new software and 3D modalities. Therefore, it was believed that our methodology could be implemented in all related medical fields.

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Vision for the future on urolithiasis: research, management, education and training—some personal views

Cited by 12 publications

References 77 publications

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stone

Review of the effect of 3D medical printing and virtual reality on urology training with ‘MedTRain3DModsim’ Erasmus + European Union Project

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