What Is the Ideal Treatment for 20-30 mm Kidney Stones? Comparative Outcomes of 1197 Patients

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dc.authoridBöyük, Abubekir/0000-0002-0746-2377
dc.authoridTefik, Tzevat/0000-0002-1398-8332
dc.authoridYitgin, Yasin/0000-0003-1111-6941
dc.authoridBabayigit, Muammer/0000-0002-9619-684X
dc.authoridKiremit, Murat Can/0000-0002-6676-9205
dc.authoridkaragoz, mehmet ali/0000-0002-0144-2041
dc.authoridIbis, Muhammed Arif/0000-0001-8581-2101
dc.authorwosidBöyük, Abubekir/ABE-9490-2020
dc.authorwosidbabayigit, muammer/IAQ-7213-2023
dc.authorwosidTefik, Tzevat/A-6374-2013
dc.authorwosidYitgin, Yasin/ABE-9487-2020
dc.contributor.authorIbis, Muhammed Arif
dc.contributor.authorGokce, Mehmet Ilker
dc.contributor.authorGoekhan, Okan
dc.contributor.authorKaragoz, Mehmet Ali
dc.contributor.authorYitgin, Yasin
dc.contributor.authorBabayigit, Muammer
dc.contributor.authorBoeyuek, Abubekir
dc.date.accessioned2024-05-19T14:40:19Z
dc.date.available2024-05-19T14:40:19Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground: The purpose of this study is to compare the efficacy and safety of extracorporeal shockwave lithotripsy (SWL), retrograde intrarenal surgery (RIRS), mini-percutaneous nephrolithotomy (mPNL), and standard-percutaneous nephrolithotomy (stPNL) for the treatment of 20-30 mm kidney stones.Methods: The records of 1197 patients (SWL = 149, RIRS = 205, mPNL = 525, and stPNL = 318) from 8 centers were reviewed retrospectively. Four procedures were compared for stone-free rates (SFRs), auxiliary treatment, and associated complications.Results: Initial SFRs were 43.6%, 54.6%, 86.7%, and 87.7% in SWL, RIRS, mPNL, and stPNL, respectively (P < .001), whereas the final SFRs were 71.8%, 80%, 90.5%, and 89.6% (P < .001). The rate of auxiliary treatment in the groups was 38.3%, 26.8%, 5%, and 4.4%, respectively (P < .001). The initial and final SFRs in the mPNL and stPNL groups were higher than those in SWL and RIRS groups (P < .001). The rate for auxiliary treatment was lower in the mPNL and stPNL groups (P < .001). The operation time was longer in the RIRS group (P = .005). According to the Clavien-Dindo classification, the complication rate in the SWL group was lower than that in the surgical approaches (P < .001); however, no statistical difference was detected between RIRS, mPNL, and stPNL groups. mPNL and stPNL had a higher success rate than RIRS or SWL for treating 20-30 mm kidney stones.Conclusion: In the treatment of 2-3 cm renal stones, RIRS and PNL were more effective than SWL to obtain a better SFR and less auxiliary treatment rate. Compared with RIRS, mPNL and stPNL provided a higher SFR with similar complication rates.en_US
dc.identifier.doi10.1089/lap.2022.0513
dc.identifier.endpage548en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue6en_US
dc.identifier.pmid36827462en_US
dc.identifier.scopus2-s2.0-85163913551en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage542en_US
dc.identifier.urihttps://doi.org10.1089/lap.2022.0513
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4943
dc.identifier.volume33en_US
dc.identifier.wosWOS:000944714000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectComplication Ratesen_US
dc.subjectExtracorporeal Shockwave Lithotripsyen_US
dc.subjectMini-Percutaneous Nephrolithotomyen_US
dc.subjectRetrograde Intrarenal Surgeryen_US
dc.subjectStandard-Percutaneous Nephrolithotomyen_US
dc.subjectStone-Free Ratesen_US
dc.titleWhat Is the Ideal Treatment for 20-30 mm Kidney Stones? Comparative Outcomes of 1197 Patientsen_US
dc.typeArticleen_US

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