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Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique.
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.
Afiliación
  • Gayarre Abril P; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Beltrán BB; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Gascón DH; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Ríos JS; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Póves VC; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Chamorro CB; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Gracia MRS; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Benito FXE; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Baquero GA; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Lasfuentes PC; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
  • Zuazu JR; Urology Service, University Clinic Hospital "Lozano Blesa", 50009 Zaragoza, Spain.
Arch Esp Urol ; 76(2): 107-113, 2023 Mar.
Article en En | MEDLINE | ID: mdl-37139615
PURPOSE: 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. MATERIALS AND METHODS: 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. RESULTS: The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm3 (maximum volume, 38.3 cm3). 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%. CONCLUSIONS: Sex was statistically significantly related to the onset of minor Clavien postoperative complications (p = 0.001). Similarly, corticosteroid use was associated with the onset of major Clavien complications (p = 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pielonefritis / Cálculos Renales / Nefrolitotomía Percutánea Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Arch Esp Urol Año: 2023 Tipo del documento: Article País de afiliación: España Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pielonefritis / Cálculos Renales / Nefrolitotomía Percutánea Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Arch Esp Urol Año: 2023 Tipo del documento: Article País de afiliación: España Pais de publicación: España