Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique
Kidney stone disease affects 5% of the population and is associated with non-negligible morbidity. Retrograde intrarenal surgery and percutaneous nephrolithotomy are the treatments of choice. We analyzed the results from our patients who underwent retrograde intrarenal surgery at controlled pressure...
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| Veröffentlicht in: | Archivos españoles de urología 2023-03, Vol.76 (2), p.107-113 |
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| creator | Gayarre Abril, Paula Beltrán, Benjamín Blasco Gascón, Daniel Hijazo Ríos, Jorge Subirá Póves, Victoria Capapé Chamorro, Carlos Blanco Gracia, Maria Rut Sieso Benito, Francisco Xavier Elizalde Baquero, Gonzalo Abril Lasfuentes, Patricia Carrera Zuazu, Jorge Rioja |
| description | Kidney stone disease affects 5% of the population and is associated with non-negligible morbidity. Retrograde intrarenal surgery and percutaneous nephrolithotomy are the treatments of choice. We analyzed the results from our patients who underwent retrograde intrarenal surgery at controlled pressure.
We conducted an observational, descriptive, retrospective study of 403 patients who underwent retrograde intrarenal surgery at the Hospital Clínico Universitario Lozano Blesa (Zaragoza, Spain) between January 2013 and December 2019.
The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm
(maximum volume, 38.3 cm
). A total of 70 patients (17.3%) developed postoperative Clavien-Dindo complications-64 minor (91.4%) and 6 major (8.6%). In addition, 28 patients (6.9%) presented with an early complication ( |
| doi_str_mv | 10.56434/j.arch.esp.urol.20237602.11 |
| format | Article |
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We conducted an observational, descriptive, retrospective study of 403 patients who underwent retrograde intrarenal surgery at the Hospital Clínico Universitario Lozano Blesa (Zaragoza, Spain) between January 2013 and December 2019.
The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm
(maximum volume, 38.3 cm
). A total of 70 patients (17.3%) developed postoperative Clavien-Dindo complications-64 minor (91.4%) and 6 major (8.6%). In addition, 28 patients (6.9%) presented with an early complication (<3 months), with urinary tract infection and pyelonephritis being the most common. The stone-free rate was 69.0%, with a retreatment rate of 4.7%.
Sex was statistically significantly related to the onset of minor Clavien postoperative complications (
= 0.001). Similarly, corticosteroid use was associated with the onset of major Clavien complications (
= 0.030). Neither surgical time nor stone volume was found to be statistically significantly related to the onset of Clavien postoperative complications or early complications.</description><identifier>ISSN: 0004-0614</identifier><identifier>DOI: 10.56434/j.arch.esp.urol.20237602.11</identifier><identifier>PMID: 37139615</identifier><language>eng</language><publisher>Spain</publisher><subject>Humans ; Kidney Calculi - surgery ; Nephrolithotomy, Percutaneous ; Postoperative Complications - epidemiology ; Pyelonephritis ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Archivos españoles de urología, 2023-03, Vol.76 (2), p.107-113</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37139615$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gayarre Abril, Paula</creatorcontrib><creatorcontrib>Beltrán, Benjamín Blasco</creatorcontrib><creatorcontrib>Gascón, Daniel Hijazo</creatorcontrib><creatorcontrib>Ríos, Jorge Subirá</creatorcontrib><creatorcontrib>Póves, Victoria Capapé</creatorcontrib><creatorcontrib>Chamorro, Carlos Blanco</creatorcontrib><creatorcontrib>Gracia, Maria Rut Sieso</creatorcontrib><creatorcontrib>Benito, Francisco Xavier Elizalde</creatorcontrib><creatorcontrib>Baquero, Gonzalo Abril</creatorcontrib><creatorcontrib>Lasfuentes, Patricia Carrera</creatorcontrib><creatorcontrib>Zuazu, Jorge Rioja</creatorcontrib><title>Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique</title><title>Archivos españoles de urología</title><addtitle>Arch Esp Urol</addtitle><description>Kidney stone disease affects 5% of the population and is associated with non-negligible morbidity. Retrograde intrarenal surgery and percutaneous nephrolithotomy are the treatments of choice. We analyzed the results from our patients who underwent retrograde intrarenal surgery at controlled pressure.
We conducted an observational, descriptive, retrospective study of 403 patients who underwent retrograde intrarenal surgery at the Hospital Clínico Universitario Lozano Blesa (Zaragoza, Spain) between January 2013 and December 2019.
The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm
(maximum volume, 38.3 cm
). A total of 70 patients (17.3%) developed postoperative Clavien-Dindo complications-64 minor (91.4%) and 6 major (8.6%). In addition, 28 patients (6.9%) presented with an early complication (<3 months), with urinary tract infection and pyelonephritis being the most common. The stone-free rate was 69.0%, with a retreatment rate of 4.7%.
Sex was statistically significantly related to the onset of minor Clavien postoperative complications (
= 0.001). Similarly, corticosteroid use was associated with the onset of major Clavien complications (
= 0.030). Neither surgical time nor stone volume was found to be statistically significantly related to the onset of Clavien postoperative complications or early complications.</description><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Nephrolithotomy, Percutaneous</subject><subject>Postoperative Complications - epidemiology</subject><subject>Pyelonephritis</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0004-0614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1Lw0AQhvegaK3-BdmDBy-JO7vZzQYEKfUTKorW87JNpjU1TepOgtRfb9TqaWDmeeeFh7ETELE2iUrOlrEP-WuMtI670FSxFFKlRsgYYIcNhBBJJAwk--yAaCmEsqD1HttXKajMgB6wt8sGiU_LFXJfF_y5_ER-79sWAy9r_oRtaBbBF8jv6jb4gLWv-HMXFhg2F_2ZuqolPuq3GyqJv1BZL7jnk-YjegxI1AXkU8xf6_K9w0O2O_cV4dF2DtnL9dV0fBtNHm7uxqNJlEuTtFGmtFXepjOwkICGAgo7wwSNyO08mxezVGKKUKTaZlYqa60GY9AYleWmJ9SQnf7-XYemr6XWrUrKsap8jU1HTlqR6UTqTPbo-S-ah4Yo4NytQ7nyYeNAuB_Fbum-FbtesftW7P4UO4A-frxt6mYrLP7Df37VF_P2fmo</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Gayarre Abril, Paula</creator><creator>Beltrán, Benjamín Blasco</creator><creator>Gascón, Daniel Hijazo</creator><creator>Ríos, Jorge Subirá</creator><creator>Póves, Victoria Capapé</creator><creator>Chamorro, Carlos Blanco</creator><creator>Gracia, Maria Rut Sieso</creator><creator>Benito, Francisco Xavier Elizalde</creator><creator>Baquero, Gonzalo Abril</creator><creator>Lasfuentes, Patricia Carrera</creator><creator>Zuazu, Jorge Rioja</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230301</creationdate><title>Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique</title><author>Gayarre Abril, Paula ; Beltrán, Benjamín Blasco ; Gascón, Daniel Hijazo ; Ríos, Jorge Subirá ; Póves, Victoria Capapé ; Chamorro, Carlos Blanco ; Gracia, Maria Rut Sieso ; Benito, Francisco Xavier Elizalde ; Baquero, Gonzalo Abril ; Lasfuentes, Patricia Carrera ; Zuazu, Jorge Rioja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c264t-93583a87b1814151d1d8be4e60c8f9fdb72e7e1d75898238885166e6639c68f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Nephrolithotomy, Percutaneous</topic><topic>Postoperative Complications - epidemiology</topic><topic>Pyelonephritis</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gayarre Abril, Paula</creatorcontrib><creatorcontrib>Beltrán, Benjamín Blasco</creatorcontrib><creatorcontrib>Gascón, Daniel Hijazo</creatorcontrib><creatorcontrib>Ríos, Jorge Subirá</creatorcontrib><creatorcontrib>Póves, Victoria Capapé</creatorcontrib><creatorcontrib>Chamorro, Carlos Blanco</creatorcontrib><creatorcontrib>Gracia, Maria Rut Sieso</creatorcontrib><creatorcontrib>Benito, Francisco Xavier Elizalde</creatorcontrib><creatorcontrib>Baquero, Gonzalo Abril</creatorcontrib><creatorcontrib>Lasfuentes, Patricia Carrera</creatorcontrib><creatorcontrib>Zuazu, Jorge Rioja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archivos españoles de urología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gayarre Abril, Paula</au><au>Beltrán, Benjamín Blasco</au><au>Gascón, Daniel Hijazo</au><au>Ríos, Jorge Subirá</au><au>Póves, Victoria Capapé</au><au>Chamorro, Carlos Blanco</au><au>Gracia, Maria Rut Sieso</au><au>Benito, Francisco Xavier Elizalde</au><au>Baquero, Gonzalo Abril</au><au>Lasfuentes, Patricia Carrera</au><au>Zuazu, Jorge Rioja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Time and Size Matter in Retrograde Intrarenal Surgery? 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We conducted an observational, descriptive, retrospective study of 403 patients who underwent retrograde intrarenal surgery at the Hospital Clínico Universitario Lozano Blesa (Zaragoza, Spain) between January 2013 and December 2019.
The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm
(maximum volume, 38.3 cm
). A total of 70 patients (17.3%) developed postoperative Clavien-Dindo complications-64 minor (91.4%) and 6 major (8.6%). In addition, 28 patients (6.9%) presented with an early complication (<3 months), with urinary tract infection and pyelonephritis being the most common. The stone-free rate was 69.0%, with a retreatment rate of 4.7%.
Sex was statistically significantly related to the onset of minor Clavien postoperative complications (
= 0.001). Similarly, corticosteroid use was associated with the onset of major Clavien complications (
= 0.030). Neither surgical time nor stone volume was found to be statistically significantly related to the onset of Clavien postoperative complications or early complications.</abstract><cop>Spain</cop><pmid>37139615</pmid><doi>10.56434/j.arch.esp.urol.20237602.11</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Humans Kidney Calculi - surgery Nephrolithotomy, Percutaneous Postoperative Complications - epidemiology Pyelonephritis Retrospective Studies Treatment Outcome |
| title | Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique |
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