Is access sheath essential for safety and effective retrograde intrarenal stone surgery ?

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dc.authoridYasin Yitgin / 0000-0003-1111-6941en_US
dc.authoridAyhan Karaköse / 0000-0003-3905-1772en_US
dc.authorscopusidAyhan Karaköse / 35769525800
dc.authorscopusidYasin Yitgin / 56562977600
dc.authorwosidYasin Yitgin / ABE-9487-2020
dc.authorwosidAyhan Karaköse / CXJ-8166-2022
dc.contributor.authorYitgin, Yasin
dc.contributor.authorYitgin, Emine
dc.contributor.authorVerep, Samed
dc.contributor.authorGasimov, Kamranbay
dc.contributor.authorTefik, Tzevat
dc.contributor.authorKaraköse, Ayhan
dc.date.accessioned2021-10-13T06:19:19Z
dc.date.available2021-10-13T06:19:19Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: To evaluate the results of retrograde intrarenal surgery (RIRS) with flexible ureteroscope (f-URS), using ureteral access sheath and without the sheath. Study Design: Descriptive study. Place and Duration of the Study: Kesan State Hospital, Edirne, Turkey, between February 2019 and May 2020. Methodology: Patients treated with RIRS for renal and proximal ureteral stone were evaluated. Two groups were formed that used ureteral access sheath or not. Operation and fluoroscopy times, postoperative complications and stone-free rates were compared. Results: Group 1 consisted of 51 patients were operated with, using ureteral access sheath; and Group 2 having 62 patients, were operated without using ureteral access sheath. The mean volume of the stones was 1135 mm3 (73-7491 mm3) in the group without access sheath and 1273 mm3 (251-3635 mm3) in the group with access sheath. The mean operation time was 55 minutes (20-115 min) in the group without access sheath, and 70 minutes (30-125 min) in the group with access sheath. Postoperative febrile UTI was found in 5 (8%) of the patients without access sheath, and in 4 (8%) of the patients with access sheath (p=0.733). The stone-free rate of the patients with radiological controls was 58 (93%) in the group without access sheath and 46 (90%) in the group with access sheath (p=0.306). Fluoroscopy timings were 2.7 seconds (0-8 sec) in the group without access sheath and 8.4 seconds (2-20 sec) in the group with access sheath (p=0.001). Conclusion: UAS usage has no marked impact on SFR, complication rate and operation time. RIRS can be performed safely and effectively without using UAS.en_US
dc.identifier.citationYitgin, Y., Yitgin, E., Verep, S., Gasimov, K., Tefik, T., & Karakose, A. (2021). Is Access Sheath Essential for Safety and Effective Retrograde Intrarenal Stone Surgery?. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 31(10), 1202–1206. https://doi.org/10.29271/jcpsp.2021.10.1202en_US
dc.identifier.doi10.29271/jcpsp.2021.10.1202en_US
dc.identifier.endpage1206en_US
dc.identifier.issue10en_US
dc.identifier.pmid34601842en_US
dc.identifier.scopus2-s2.0-85116546461en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1202en_US
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2021.10.1202
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2139
dc.identifier.volume31en_US
dc.identifier.wosWOS:000704374800013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYitgin, Yasin
dc.institutionauthorKaraköse, Ayhan
dc.language.isoenen_US
dc.publisherMedGenen_US
dc.relation.ispartofJournal of the College of Physicians and Surgeons Pakistanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFlexible Ureteroscopeen_US
dc.subjectITO Scoreen_US
dc.subjectUreteral Access Sheathen_US
dc.subjectIntrarenal Stonesen_US
dc.titleIs access sheath essential for safety and effective retrograde intrarenal stone surgery ?en_US
dc.typeArticleen_US

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