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

dc.contributor.coauthorIbis, Muhammed Arif
dc.contributor.coauthorGokce, Mehmet Ilker
dc.contributor.coauthorBabayigit, Muammer
dc.contributor.coauthorYitgin, Yasin
dc.contributor.coauthorKaragoz, Mehmet Ali
dc.contributor.coauthorBoyuk, Abubekir
dc.contributor.coauthorVerep, Samed
dc.contributor.coauthorTuran, Serdar
dc.contributor.coauthorTefik, Tzevat
dc.contributor.coauthorSonmez, Mehmet Giray
dc.contributor.coauthorErgul, Rifat
dc.contributor.coauthorGuven, Selcuk
dc.contributor.coauthorSarica, Kemal
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorKiremit, Murat Can
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:11:15Z
dc.date.issued2022
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.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue9
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume54
dc.identifier.doi10.1007/s11255-022-03255-9
dc.identifier.eissn1573-2584
dc.identifier.issn0301-1623
dc.identifier.quartileQ3
dc.identifier.scopus2-s2.0-85133030440
dc.identifier.urihttps://doi.org/10.1007/s11255-022-03255-9
dc.identifier.urihttps://hdl.handle.net/20.500.14288/9610
dc.identifier.wos817869000001
dc.keywordsComplication rate
dc.keywordsMini-percutaneous nephrolithotripsy
dc.keywordsRetrograde intrarenal surgery
dc.keywordsStone-free rate
dc.keywordsUrolithiasis
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofInternational Urology and Nephrology
dc.subjectUrology
dc.subjectNephrology
dc.titleCould retrograde intrarenal surgery be a safe and effective alternative to mini-percutaneous nephrolithotomy in the management of relatively large (20-30 mm) stones? a critical evaluation
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorKiremit, Murat Can
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery17f2dc8e-6e54-4fa8-b5e0-d6415123a93e

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