Retrograde Intrarenal Surgery in Patients Who Previously Underwent Open Renal Stone Surgery. (18th August 2015)

• Record Type: Journal Article
• Authors: Alkan, Erdal; Saribacak, Ali; Ozkanli, Ahmet Oguz; Başar, Mehmet Murad; Acar, Oguz; Balbay, Mevlana Derya
• Other Names: Lee David Academic Editor.
• Is Part Of: Minimally invasive surgery. Volume 2015(2015)
• Publication Date: 2015-08-18
• Subjects: Endoscopic surgery -- Periodicals; 617.05705
• DOI: 10.1155/2015/198765
• Languages: English
• ISSNs: 2090-1445

Abstract

Abstract : Purpose . To ascertain whether retrograde intrarenal surgery (RIRS) is as effective in patients treated previously with open renal stone surgery (ORSS) on the same kidney as in patients with no previous ORSS. Methods . There were 32 patients with renal stones who had previous ORSS and were treated with RIRS in the study group (Group 1). A total of 38 patients with renal stones who had no previous ORSS and were treated with RIRS were selected as the control group (Group 2). Recorded data regarding preoperative characteristics of the patients, stone properties, surgical parameters, outcomes, SFRs (no fragments or small fragments <4 mm), and complications between groups were compared. Results . Mean age, mean BMI, mean hospital stay, and mean operative time were not statistically different between groups. Mean stone size (10.1 ± 5.6 versus 10.3 ± 4.2;p = 0.551 ) and mean stone burden (25.4 ± 14.7 versus 23.5 ± 9.9;p = 0.504 ) were also similar between groups. After the second procedures, SFRs were 100% and 95% in groups 1 and 2, respectivelyp = 0.496 . No major perioperative complications were seen. Conclusion . RIRS can be safely and effectively performed with acceptable complication rates in patients treated previously with ORSS as in patients with no previous ORSS.