RIRS AND MINI-PCNL IN MANAGEMENT OF KIDNEY STONE: A COMPARATIVE STUDY
DOI:
https://doi.org/10.54112/bcsrj.v2022i1.144Keywords:
Kidney Stones, older patients, Retrograde Intrarenal Surgery, minimally invasive percutaneous nephrolithotomyAbstract
To compare results of retrograde intrarenal surgery and minimally invasive percutaneous nephrolithotomy in older patients, a retrospective study was conducted at the Department of Nephrology & Urology of MMDC&Ibn-e-Sina Hospital Multan from January 2021 to January 2022. The study included 135 patients, 65 underwent M-PCNL while 70 underwent RIRS. Gender, age, BMI, ASA scores, stone location and size, ESWL history, SFR and relevant parameters were recorded. Characteristics like gender, age, BMI, stone size and location, HU and ESWL history did not vary significantly in both group (p>0.05). Mean ASA scores and the data of ASA I and ASA II in both groups was also similar (p>0.05). Postoperative Clavien complications, operation time and postoperative transfusion rate in both groups did not vary significantly (p>0.05). M-PCNL patients had greater post operative SFR values (p<0.05). Retrograde intrarenal surgery and minimally invasive percutaneous nephrolithotomy arerecommended methodsin treatment of kidney stones.
Downloads
References
Barone, B., Crocetto, F., Vitale, R., Di Domenico, D., Caputo, V., Romano, F., De Luca, L., Bada, M., Imbimbo, C., and Prezioso, D. (2020). Retrograde intra renal surgery versus percutaneous nephrolithotomy for renal stones> 2 cm. A systematic review and meta-analysis. Minerva urologica e nefrologica= The Italian journal of urology and nephrology72, 441-450. DOI: https://doi.org/10.23736/S0393-2249.20.03721-2
Besiroglu, H., Merder, E., and Dedekarginoglu, G. (2020). Percutaneous nephrolithotomy is safe and effective in aging male patients: a single center experience. The Aging Male23, 705-710. DOI: https://doi.org/10.1080/13685538.2019.1581756
Cabrera, J. D., Manzo, B. O., Torres, J. E., Vicentini, F. C., Sánchez, H. M., Rojas, E. A., and Lozada, E. (2020). Mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of 10–20 mm lower pole renal stones: a systematic review and meta-analysis. World Journal of Urology38, 2621-2628. DOI: https://doi.org/10.1007/s00345-019-03043-8
Ekici, M., Ozgur, B. C., Senturk, A. B., Aydin, C., Yaytokgil, M., and Baykam, M. M. (2018). Efficacy and reliability of retrograde intrarenal surgery in treatment of pediatric kidney stones. Cureus10. DOI: https://doi.org/10.7759/cureus.3719
Erkoc, M., and Agalarov, S. (2019). RIRS (Retrograde Intrarenal Surgery) is safe and effective in aging male patients: A single surgeon experience. DOI: https://doi.org/10.5455/annalsmedres.2019.09.546
Gu, Z., Yang, Y., Ding, R., Wang, M., Pu, J., and Chen, J. (2021). Comparison of retrograde intrarenal surgery and micro-percutaneous nephrolithotomy for kidney stones: a meta-analysis. Urologia Internationalis105, 64-70. DOI: https://doi.org/10.1159/000506716
Jain, M., Manohar, C., Nagabhushan, M., and Keshavamurthy, R. (2021). A comparative study of minimally invasive percutaneous nephrolithotomy and retrograde intrarenal surgery for solitary renal stone of 1–2 cm. Urology Annals13, 226. DOI: https://doi.org/10.4103/UA.UA_10_20
Jung, H. D., Chung, D. Y., Kim, D. K., Lee, M. H., Lee, S. W., Paick, S., Jeon, S. H., Lee, J. Y., Endourology, K. S. o., and Committee, R. R. (2022). Comparison of Ultra-Mini Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery for Renal Stones: A Systematic Review and Meta-Analysis from the KSER Update Series. Journal of clinical medicine11, 1529. DOI: https://doi.org/10.3390/jcm11061529
Keller, E. X., De Coninck, V., Doizi, S., and Traxer, O. (2020). The role of ureteroscopy for treatment of staghorn calculi: A systematic review. Asian Journal of Urology7, 110-115. DOI: https://doi.org/10.1016/j.ajur.2019.10.012
Li, Z., Zhongying, Y., Hui, L., Hanrong, Z., Qinghe, G., Yuehong, Z., Jinyu, L., and Meihong, L. (2022). Retrospective study of visualized ultra-mini percutaneous nephrolithotripsy vs. flexible ureterorenoscopy for nephrolithiasis patients with 1.5-2.5 cm kidney stones and without hydronephrosis. European Review for Medical and Pharmacological Sciences26, 3185-3191.
Ozcanli, Y. T., and Erkoc, M. (2021). The Comparison of Two Versus More Than Two Tracts Percutaneous Nephrolithotomy for the Management of Staghorn Calculi/Staghorn Bobrek Taslarinin Yonetiminde Iki ve Ikiden Fazla Giris Perkutan Nefrolitotominin Karsilastirilmasi. Bagcilar Medical Bulletin6, 37-42. DOI: https://doi.org/10.4274/BMB.galenos.2020.09.058
Özçift, B., and Tiryaki, H. T. (2020). Comparison of miniaturized percutaneous nephrolithotomy and retrograde intrarenal surgery: Which is more effective for 10-20 mm renal stones in children? Archivos españoles de urología73, 643-650.
Türk, C., Petřík, A., Sarica, K., Seitz, C., Skolarikos, A., Straub, M., and Knoll, T. (2016). EAU guidelines on interventional treatment for urolithiasis. European urology69, 475-482. DOI: https://doi.org/10.1016/j.eururo.2015.07.041
Wang, W., Ge, Y., Wang, Z., Wang, L., Li, J., and Tian, Y. (2019). Comparing micropercutaneous nephrolithotomy and retrograde intrarenal surgery in treating 1–2 cm solitary renal stones in pediatric patients younger than 3 years. Journal of pediatric urology15, 517. e1-517. e6. DOI: https://doi.org/10.1016/j.jpurol.2019.06.010
Zhao, F.-Z., Li, J., Tang, L., Li, C.-M., Zhang, Y., Wang, W.-Y., Chen, N., and Tian, Y. (2020). Comparison of efficacy and safety of minimally invasive procedures for 10–20 mm pediatric renal Stones—A bayesian network meta-analysis. Journal of Pediatric Urology16, 771-781. DOI: https://doi.org/10.1016/j.jpurol.2020.08.019
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 M AKHTAR, MU KHAN, HM USMAN, QH RAZA, N ASLAM, MS ULLAH
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
