Abstract:
BACKGROUND AND PURPOSE:The management of urolithiasis in patients with a solitary kidney is challenging for endourologists. This study was aimed at evaluating the safety and efficacy of retrograde intrarenal surgery (RIRS) in the treatment of such patients with renal stones. PATIENTS AND METHODS:Between January 2010 and January 2014, we enrolled 45 patients who had a solitary kidney and underwent RIRS and holmium:yttrium-aluminum-garnet lithotripsy for the management of renal stones. We collected data pertaining to the preoperative patient characteristics, stone dimensions, and postoperative outcomes. RESULTS:Sixty-eight procedures were performed in all. The mean stone diameter was 1.84±0.19 cm (range 0.5-6.0 cm), and the mean operative time, 76.4±40.14 minutes (range 18-190 min). The percentages of patients free of renal stones at the initial and final procedures were 64.44% and 93.33%, respectively. The mean number of procedures needed for the patients with renal stones of diameters ≥20 mm and <20 mm were 1.93 per patient and 1.23 per patient, respectively (P=0.009). Postoperative complications (graded by the Clavien system) were noted in 26.6% of the patients (12/45): Grade I complications, in 20% (9/45); grade II complications, in 4.4% (2/45); and grade III complication, in 2.2% (1/45). The grade III complication was anuria because of Steinstrasse, which necessitated emergency surgery. CONCLUSIONS:RIRS for the removal of renal stones in patients with a solitary kidney affords a high success rate and low morbidity rate. For patients with large stones, however, a multistaged approach may be needed.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Gao X,Peng Y,Shi X,Li L,Zhou T,Xu B,Sun Ydoi
10.1089/end.2014.0295subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1290-4issue
11eissn
0892-7790issn
1557-900Xjournal_volume
28pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:The treatment of bilateral urinary calculus disease is often staged, irrespective of the modality of the treatment. Bilateral simultaneous percutaneous nephrolithotomy (PCNL) is still considered by many to be adventurous and risky. We carried out this prospective study of bilateral PCNL under a s...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章
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pub_type: 临床试验,杂志文章
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