Could retrograde intrarenal surgery be a safe and effective alternative to mini-percutaneous nephrolithotomy ın the management of relatively large (20–30 mm) stones? A critical evaluation

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dc.authoridYasin Yitgin / 0000-0003-1111-6941en_US
dc.authorscopusidYasin Yitgin / 56562977600
dc.authorwosidYasin Yitgin / ABE-9487-2020
dc.contributor.authorİbiş, Muhammed Arif
dc.contributor.authorGökçe, Mehmet İlker
dc.contributor.authorBabayiğit, Muammer
dc.contributor.authorYitgin, Yasin
dc.contributor.authorKaragöz, Mehmet Ali
dc.contributor.authorBöyük, Abubekir
dc.contributor.authorVerep, Samed
dc.contributor.authorTuran, Serdar
dc.contributor.authorTefik, Tzevat
dc.contributor.authorKiremit, Murat Can
dc.contributor.authorSönmez, Mehmet Giray
dc.contributor.authorErgül, Rıfat
dc.contributor.authorGüven, Selçuk
dc.contributor.authorSarıca, Kemal
dc.date.accessioned2022-07-05T14:12:30Z
dc.date.available2022-07-05T14:12:30Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: To compare the outcomes of mini-percutaneous nephrolithotomy (mPCNL) and retrograde intrarenal surgery (RIRS) in patients with renal stones sizing 2–3 cm. Methods: A total of 566 patients from 6 institutions who underwent mPCNL (n = 440) and RIRS (n = 126) procedures were enrolled in our study. The retrospective patient cohort was reviewed and compared. Binary logistic regression analysis was performed to determine factors predicting success in the RIRS group. Results: The stone-free rates were 91.1 and 77% for the mPCNL and RIRS groups, respectively (p < 0.001). The auxiliary procedure rates were 4.5 and 39.7% in the mPCNL and RIRS groups, respectively (p < 0.001). Mean values of hemoglobin decrease, fluoroscopy time, and hospitalization time were significantly higher in the mPCNL group (p < 0.001). While the Clavien grade 1–2 complication rates were 10.9 and 34.1% (p < 0.001) in two groups, these values were 2.7 and 1.6% (p = 0.539), respectively, for Clavien grade 3–4 complication rates. Although three patients in the mPCNL group received blood transfusions, none of the patients in the RIRS groups were transfused. The stone location and stone density parameters were found to be the independent predictive factors for RIRS success. Conclusions: mPCNL provided a higher stone-free rate, less need for the auxiliary procedure, and lower complication rates compared to RIRS in patients with 2–3 cm stones. Blood loss, radiation exposure, and a hospital stay of mPCNL can be significantly reduced with the RIRS technique in selected patients. © 2022, The Author(s), under exclusive licence to Springer Nature B.V.en_US
dc.identifier.citationIbis, M. A., Gokce, M. I., Babayigit, M., Yitgin, Y., Karagoz, M. A., Boyuk, A., . . . Sarica, K. (2022). Could retrograde intrarenal surgery be a safe and effective alternative to mini-percutaneous nephrolithotomy ın the management of relatively large (20–30 mm) stones? A critical evaluation. International Urology and Nephrology, doi:10.1007/s11255-022-03255-9en_US
dc.identifier.doi10.1007/s11255-022-03255-9en_US
dc.identifier.issn0301-1623en_US
dc.identifier.scopus2-s2.0-85133030440en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1007/s11255-022-03255-9
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2965
dc.identifier.wosWOS:000817869000001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYitgin, Yasin
dc.language.isoenen_US
dc.publisherSpringer Science and Business Media B.V.en_US
dc.relation.ispartofInternational Urology and Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplication Rateen_US
dc.subjectMini-Percutaneous Nephrolithotripsyen_US
dc.subjectRetrograde Intrarenal Surgeryen_US
dc.subjectStone-free Rateen_US
dc.subjectUrolithiasisen_US
dc.titleCould retrograde intrarenal surgery be a safe and effective alternative to mini-percutaneous nephrolithotomy ın the management of relatively large (20–30 mm) stones? A critical evaluationen_US
dc.typeArticleen_US

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