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Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique
Gayarre Abril, Paula; Blasco Beltrán, Benjamín; Hijazo Gascón, Daniel; Subirá Ríos, Jorge; Capapé Póves, Victoria; Blanco Chamorro, Carlos; Sieso Gracia, Maria Rut; Elizalde Benito, Francisco Xavier; Abril Baquero, Gonzalo; Carrera Lasfuentes, Patricia; Rioja Zuazu, Jorge.
Affiliation
  • Gayarre Abril, Paula; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Blasco Beltrán, Benjamín; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Hijazo Gascón, Daniel; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Subirá Ríos, Jorge; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Capapé Póves, Victoria; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Blanco Chamorro, Carlos; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Sieso Gracia, Maria Rut; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Elizalde Benito, Francisco Xavier; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Abril Baquero, Gonzalo; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Carrera Lasfuentes, Patricia; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
  • Rioja Zuazu, Jorge; University Clinic Hospital “Lozano Blesa”. Urology Service. Zaragoza. Spain
Arch. esp. urol. (Ed. impr.) ; 76(2): 107-113, 28 mar. 2023. tab
Article in En | IBECS | ID: ibc-219636
Responsible library: ES1.1
Localization: ES15.1 - BNCS
ABSTRACT

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 (AU)
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Collection: 06-national / ES Database: IBECS Main subject: Surgical Procedures, Operative / Kidney Calculi / Operative Time Limits: Adult / Aged / Female / Humans / Male Language: En Journal: Arch. esp. urol. (Ed. impr.) Year: 2023 Document type: Article
Search on Google
Collection: 06-national / ES Database: IBECS Main subject: Surgical Procedures, Operative / Kidney Calculi / Operative Time Limits: Adult / Aged / Female / Humans / Male Language: En Journal: Arch. esp. urol. (Ed. impr.) Year: 2023 Document type: Article
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