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- Title
Percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of kidney stones up to 2 cm in patients with solitary kidney: a single centre experience.
- Authors
Yunjin Bai; Xiaoming Wang; Yubo Yang; Ping Han; Jia Wang; Bai, Yunjin; Wang, Xiaoming; Yang, Yubo; Han, Ping; Wang, Jia
- Abstract
<bold>Background: </bold>To compare the treatment outcomes between percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) for the management of stones larger than 2 cm in patients with solitary kidney.<bold>Methods: </bold>One hundred sixteen patients with a solitary kidney who underwent RIRS (n = 56) or PCNL (n = 60) for large renal stones (>2 cm) between Jan 2010 and Nov 2015 have been considered. The patients' characteristics, stone characteristics, operative time, incidence of complications, hospital stay, and stone-free rates (SFR) have been evaluated.<bold>Results: </bold>SFRs after one session were 19.6% and 35.7% for RIRS and PCNL respectively (p = 0.047), but the SFR at 3 months follow-up comparable in both groups (82.1% vs. 88.3%, p = 0.346). The calculated mean operative time for RIRS was longer (p < 0.001), but the mean postoperatively hospital stay was statistically significantly shorter (p < 0.001) and average drop in hemoglobin level was less (p = 0.040). PCNL showed a higher complication rate, although this difference was not statistically significant.<bold>Conclusions: </bold>Satisfactory stone clearance can be achieved with multi-session RIRS in the treatment of renal stones larger than 2 cm in patients with solitary kidney. RIRS can be considered as an alternative to PCNL in selected cases.
- Subjects
PERCUTANEOUS nephrolithotomy; TREATMENT of calculi; RENAL hypertension; ENDOSCOPY; COMPUTED tomography; KIDNEY abnormalities; KIDNEY surgery; COMPARATIVE studies; KIDNEY stones; RESEARCH methodology; MEDICAL cooperation; RESEARCH; URINARY diversion; EVALUATION research; RETROSPECTIVE studies; SURGERY
- Publication
BMC Urology, 2017, Vol 17, p1
- ISSN
1471-2490
- Publication type
journal article
- DOI
10.1186/s12894-017-0200-z