At Nalı Böbrekte Retrograd İntrarenal Cerrahi Deneyimlerimiz

Two patients (33.3%) were found to be stone-free on post-operative non-contrast CT results.Conclusion: RIRS should be performed by experienced surgeons in patients with horseshoe kidney

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To share our experience with retrograde intrarenal surgery (RIRS) done in patients with horseshoe kidney anomaly.Materials and Methods: Data from 107 patients who underwent RIRS for kidney stones between 2013 and 2016 in our clinic was retrospectively analyzed and 6 patients with horseshoe kidney anomaly detected on computed tomography (CT) were included in the study.

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Key Findings & Data:Achieving stone-free status or having residual stones of ≤4 mm were considered operational success.Results: The mean age of the patients was 44.5±6.7 years.

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Conclusion & Impact:Two patients (33.3%) were found to be stone-free on post-operative non-contrast CT results.Conclusion: RIRS should be performed by experienced surgeons in patients with horseshoe kidney

🔬Design:Research Article

📍Scope:2013 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: To share our experience with retrograde intrarenal surgery (RIRS) done in patients with horseshoe kidney anomaly.Materials and Methods: Data from 107 patients who underwent RIRS for kidney stones between 2013 and 2016 in our clinic was retrospectively analyzed and 6 patients with horseshoe kidney anomaly detected on computed tomography (CT) were included in the study. Achieving stone-free status or having residual stones of ≤4 mm were considered operational success.Results: The mean age of the patients was 44.5±6.7 years. Four patients were male (66.6%) and two were female (33.3%). The mean stone size was 14.5±4.1 mm. Three patients had pelvis stones (50%) and the rest 3 (50%) had lower calyx stones. Two patients (33.3%) were found to be stone-free on post-operative non-contrast CT results.Conclusion: RIRS should be performed by experienced surgeons in patients with horseshoe kidney

Özet

Amaç: Amacımız at nalı böbrek anomalisine sahip hastalardaki retrograd intrarenal cerrahi (RIRC) deneyimlerimizi paylaşmaktır. Gereç ve Yöntem: 2013-2016 yılları arasında kliniğimizde RIRC yapılan 107 hastanın verileri geriye dönük olarak incelendi ve bilgisayarlı tomografide (BT) at nalı böbrek anomalisine sahip olduğu belirlenen 6 hasta çalışmaya dahil edildi. Tamamen taşsızlık veya 4 mm'den daha az rezidü operasyon başarısı olarak kabul edildi. Bulgular: Çalışmaya alınan hastaların yaş ortalaması 44,5±6,7 yıldı. Hastaların dört tanesi erkek (%66,6) iki tanesi kadındı (%33,3). Ortalama taş boyutu 14,5±4,1 (10-22) mm idi. Üç hastada pelvis taşı (%50) ve kalan üç hastada ise alt kaliks taşı mevcuttu. Postoperatif istenen kontrastsız BT'de iki hastada (%33,3) taşsızlık izlendi. Sonuç: At nalı böbrek anomalisine sahip hastalarda RIRC deneyimli cerrahlar tarafından uygulanmalıdır.

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Cite This Article

SÜELÖZGEN, T., İŞOĞLU, C. S., KARABIÇAK, M., YALÇIN, M. Y., YENİ, S., İLBEY, Y. Ö. (2017). At Nalı Böbrekte Retrograd İntrarenal Cerrahi Deneyimlerimiz. Journal of Urological Surgery, Cilt: 4 - Sayı: 3, 106–108. https://ajindex.com/articles/206776

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References (12)

Türk C, Knoll T, Petrik A, Sarica K, Skolarikos A, Straub M, Seitz C. Guidelines on Urolithiasis. European Association of Urology, 2016
Fuchs Gj, Fuchs AM. Flexible endoscopy of the upper urinary tract. A new minimally invasive method for diagnosis and treatment. Urologe A 1990;29:313-320
Bozkurt OF, Resorlu B, Yildiz Y, Can CE, Unsal A. Retrograde intrarenal surgery versus percutaneous nephrolithotomy in the management of lowerpolerenal stones with a diameter of 15 to 20 mm. J Endourol 2011;25:1131- 1135
Akman T, Binbay M, Ozgor F, Ugurlu M, Tekinarslan E, Kezer C, Aslan R, Muslumanoglu AY. Comparison of percutaneous nephrolithotomy and retrograde flexible nephrolithotripsy for the management of 2-4 cm stones: a matched-pair analysis. BJU Int 2012;109:1384-1389
Akman T, Binbay M, Ugurlu M, Kaba M, Akcay M, Yazici O, Ozgor F, Muslumanoglu AY. Outcomes of retrograde intrarenal surgery compared with percutaneous nephrolithotomy in elderly patients with moderate-size kidney stones: a matched-pair analysis. J Endourology 2012;26:625-629
Papatsoris A, Sarica K. Flexible ureterorenoscopic management of upper tract pathologies. Urol Res 2012;40:639-646
Bauer S. Anomalies of the upper urinary tract. In: Walsh PC, Retic AB, Vaughan E. Campbell’s Urology, 8th ed. Philadelphia, Elsevier Saunders, 2002
Weizer AZ, Springhart WP, Ekeruo WO, Matlaga BR, Tan YH, Assimos DG, Preminger GM. Ureteroscopic management of renal calculi in anomalous kidneys. Urology 2005;65:265-269
Molimard B, Al-Qahtani S, Lakmichi A, Sejiny M, Gil-Diez de Medina S, Carpentier X, Traxer O. Flexible ureterorenoscopy with holmium laser in horseshoe kidneys. Urology 2010;76:1334-1337
Atis G, Resorlu B, Gurbuz C, Arikan O, Ozyuvali E, Unsal A, Caskurlu T. Retrograde intrarenal surgery in patients with horseshoe kidneys. Urolithiasis 2013;41:79-83
Gokce MI, Tokatli Z, Suer E, Hajiyev P, Akinci A, Esen B. Comparison of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRS) for treatment of stone disease in horseshoe kidney patients. Int Braz J Urol 2016; 42:96-100
Cho SY, Choo MS, Jung JH, Jeong CW, Oh S, Lee SB, Son H, Jeong H. Cumulative Sum Analysis for Experiences of a Single-Session Retrograde Intrarenal Stone Surgery and Analysis of Predictors for Stone-Free Status. PLoS ONE 2014;9:e84878.