Comparison of retrograde intrarenal surgery and mini-percutaneous nephrolithotomy in management of lower-pole renal stones with a diameter of smaller than 15 mm

Kirac M., Bozkurt O. F., TUNÇ L., Guneri C., Unsal A., Biri H.

UROLITHIASIS, cilt.41, sa.3, ss.241-246, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 3
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1007/s00240-013-0552-0
  • Dergi Adı: UROLITHIASIS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.241-246
  • Anahtar Kelimeler: Flexible ureteroscopy, Mini-PNL, Stone, Safety, SHOCK-WAVE LITHOTRIPSY, FLEXIBLE URETEROSCOPY, RANDOMIZED-TRIAL, LASER LITHOTRIPSY, 2 CM, OUTCOMES, CALCULI
  • Gazi Üniversitesi Adresli: Evet

Özet

The aim of this study was to compare the outcomes of retrograde intrarenal surgery (RIRS) and miniaturized percutaneous nephrolithotomy (mini-PNL) in management of lower-pole renal stones with a diameter smaller than 15 mm. Between December 2009 and July 2012, the patients with the diagnosis of lower-pole stones were evaluated by ultrasonography, intravenous pyelography and computed tomography. The records of 73 evaluable patients who underwent mini-PNL (n = 37) or RIRS (n = 36) for lower-pole (LP) stones with diameter smaller than 15 mm were reviewed retrospectively. Of the 73 patients, 37 underwent mini-PNL and 36 underwent RIRS. The stone-free rates were 89.1 and 88.8 % for mini-PNL and RIRS groups, respectively. The mean operation time was 53.7 +/- A 14.5 in the mini-PNL group but 66.4 +/- A 15.8 in the RIRS group (P = 0.01). The mean fluoroscopy times and hospitalization times were significantly higher in the mini-PNL group. There was no major complication in any patient. RIRS and mini-PNL are safe and effective methods for treatment of LP calculi with a diameter smaller than 15 mm. RIRS is a non-invasive and feasible treatment option, and has also short hospitalization time, low morbidity and complication rate. It may be an alternative of mini-PNL in the treatment LP calculi with smaller than 15 mm.