Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

N.A.

Makale detayları

Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Yazarlar:

N.A.

Yayıncı:

Kafkas University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001289351

pISSN:

2146-2631

Anahtar kelimeler:

Özet:

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

Makale detayları

Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Yazarlar:

N.A.

Yayıncı:

Kafkas University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001289351

pISSN:

2146-2631

access sheath

renal stones

retrograde intrarenal surgery

Sayı

Makale detayları

Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Yazarlar: N.A.

Yayıncı: Kafkas University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001289351

pISSN: 2146-2631

access sheath

renal stones

retrograde intrarenal surgery

Sayı

Yazarlar:

N.A.

Yayıncı:

Kafkas University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001289351

pISSN:

2146-2631