Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience

Objective:We aimed to present the outcomes of patients with symptomatic kidney stones treated with percutaneous nephrolithotomy (PNL) or retrograde intrarenal surgery (RIRS).Methods:The medical records of patients with symptomatic renal calculi treated with PNL or RIRS between November 2010 and May...

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Main Authors: Muzaffer AKÇAY, Abdulkadir TEPELER, Muhammed TOSUN, İsmail BAŞIBÜYÜK, Fatih ELBİR, Sina KARDAŞ, Tolga AKMAN, Abdullah ARMAĞAN, Ali İhsan TAŞÇI
Format: Article
Language:English
Published: Galenos Publishing House 2016-08-01
Series:Bezmiâlem Science
Subjects:
Online Access: http://bezmialemscience.org/archives/archive-detail/article-preview/current-minimal-nvasive-surgery-treatment-for-kidn/20335
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author Muzaffer AKÇAY
Abdulkadir TEPELER
Muhammed TOSUN
İsmail BAŞIBÜYÜK
Fatih ELBİR
Sina KARDAŞ
Tolga AKMAN
Abdullah ARMAĞAN
Ali İhsan TAŞÇI
author_facet Muzaffer AKÇAY
Abdulkadir TEPELER
Muhammed TOSUN
İsmail BAŞIBÜYÜK
Fatih ELBİR
Sina KARDAŞ
Tolga AKMAN
Abdullah ARMAĞAN
Ali İhsan TAŞÇI
author_sort Muzaffer AKÇAY
collection DOAJ
description Objective:We aimed to present the outcomes of patients with symptomatic kidney stones treated with percutaneous nephrolithotomy (PNL) or retrograde intrarenal surgery (RIRS).Methods:The medical records of patients with symptomatic renal calculi treated with PNL or RIRS between November 2010 and May 2015 were obtained. Demographic characteristics such as age; sex; BMI; stone size and location; and perioperative data including operation, fluoroscopy, and hospitalization time; and success and complication rates were assessed.Results:Standard (n:336), mini-PNL (n:51), ultramini-PNL (n:37) and microperc (n:47) were performed for 471 renal units. RIRS was the treatment method for 290 renal unites. In the PNL group, the mean patient age was 44.5 (1–83) years and BMI was 26.9 kg/m2. The mean stone size was 27.6 mm. In the RIRS group, the mean age and BMI were 47.1 (1–86) years and 25.1 kg/m2, respectively. The mean operation, fluoroscopy, and hospitalization times were 70.0 (20–240) min, 45.1 (17–610) s, and 2.4 (1–20) days, respectively, in the PNL group. On the other hand, the mean operation, fluoroscopy, and hospitalization times were 62.5 (40–180) min, 29.8 (0–96) s, and 26.4 (12–120) h, respectively, in the RIRS group. Whine stone free status was achieved in 88% in the PNL group; this rate was lower (80%) in the RIRS group.Conclusion:Both PNL and RIRS are efficient minimally invasive methods with low morbidity and high success rates for the treatment of symptomatic kidney stone disease.
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spelling doaj.art-883fe144d04c4858bd05c00a5cb5512e2023-02-15T16:17:46ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732016-08-0142384210.14235/bs.2016.63813049054Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem ExperienceMuzaffer AKÇAY0Abdulkadir TEPELER1Muhammed TOSUN2İsmail BAŞIBÜYÜK3Fatih ELBİR4Sina KARDAŞ5Tolga AKMAN6Abdullah ARMAĞAN7Ali İhsan TAŞÇI8 Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey Objective:We aimed to present the outcomes of patients with symptomatic kidney stones treated with percutaneous nephrolithotomy (PNL) or retrograde intrarenal surgery (RIRS).Methods:The medical records of patients with symptomatic renal calculi treated with PNL or RIRS between November 2010 and May 2015 were obtained. Demographic characteristics such as age; sex; BMI; stone size and location; and perioperative data including operation, fluoroscopy, and hospitalization time; and success and complication rates were assessed.Results:Standard (n:336), mini-PNL (n:51), ultramini-PNL (n:37) and microperc (n:47) were performed for 471 renal units. RIRS was the treatment method for 290 renal unites. In the PNL group, the mean patient age was 44.5 (1–83) years and BMI was 26.9 kg/m2. The mean stone size was 27.6 mm. In the RIRS group, the mean age and BMI were 47.1 (1–86) years and 25.1 kg/m2, respectively. The mean operation, fluoroscopy, and hospitalization times were 70.0 (20–240) min, 45.1 (17–610) s, and 2.4 (1–20) days, respectively, in the PNL group. On the other hand, the mean operation, fluoroscopy, and hospitalization times were 62.5 (40–180) min, 29.8 (0–96) s, and 26.4 (12–120) h, respectively, in the RIRS group. Whine stone free status was achieved in 88% in the PNL group; this rate was lower (80%) in the RIRS group.Conclusion:Both PNL and RIRS are efficient minimally invasive methods with low morbidity and high success rates for the treatment of symptomatic kidney stone disease. http://bezmialemscience.org/archives/archive-detail/article-preview/current-minimal-nvasive-surgery-treatment-for-kidn/20335 Minimally invasivePNLRIRS
spellingShingle Muzaffer AKÇAY
Abdulkadir TEPELER
Muhammed TOSUN
İsmail BAŞIBÜYÜK
Fatih ELBİR
Sina KARDAŞ
Tolga AKMAN
Abdullah ARMAĞAN
Ali İhsan TAŞÇI
Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience
Bezmiâlem Science
Minimally invasive
PNL
RIRS
title Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience
title_full Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience
title_fullStr Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience
title_full_unstemmed Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience
title_short Current Minimal Invasive Surgery Treatment for Kidney Stones: Bezmialem Experience
title_sort current minimal invasive surgery treatment for kidney stones bezmialem experience
topic Minimally invasive
PNL
RIRS
url http://bezmialemscience.org/archives/archive-detail/article-preview/current-minimal-nvasive-surgery-treatment-for-kidn/20335
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