Abstract |
To compare the outcomes of flexible ureterorenoscopy (F-URS) and mini- percutaneous nephrolithotomy (mini-PNL) in the treatment of lower calyceal stones smaller than 2 cm. Patients who underwent F-URS and mini-PNL for the treatment of lower calyceal stones smaller than 2 cm between March 2009 and December 2014 were retrospectively evaluated. Ninety-four patients were divided into two groups by treatment modality: F-URS (Group 1: 63 patients) and mini-PNL (Group 2: 31 patients). All patients were preoperatively diagnosed with intravenous pyelography or computed tomography. Success rates for F-URS and mini-PNL at postoperative first month were 85.7% and 90.3%, respectively. Operation time, fluoroscopy time, and hospitalization time for F-URS and mini-PNL patients were 44.40 min, 2.9 min, 22.4 h, and 91.9 min, 6.4 min, and 63.8 h, respectively. All three parameters were significantly shorter among the F-URS group (p < 0.001). Postoperative hemoglobin drop was significantly lower in F-URS group compared to mini-PNL group (0.39 mg/dL vs. 1.15 mg/dL, p = 0.001). A comparison of complications according to the Clavien classification demonstrated significant differences between the groups (p = 0.001). More patients in the F-URS groups require antibiotics due to urinary tract infection, and more patients in the mini-PNL group required ureteral double J catheter insertion under general anesthesia. Although both F-URS and mini-PNL have similar success rates for the treatment of lower calyceal stones, F-URS appears to be more favorable due to shorter fluoroscopy and hospitalization times; and lower hemoglobin drops. Multicenter and studies using higher patient volumes are needed to confirm these findings.
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Authors | Fatih Akbulut, Onur Kucuktopcu, Emre Kandemir, Erkan Sonmezay, Abdulmuttalip Simsek, Faruk Ozgor, Murat Binbay, Ahmet Yaser Muslumanoglu, Gokhan Gurbuz |
Journal | Renal failure
(Ren Fail)
Vol. 38
Issue 1
Pg. 163-7
( 2016)
ISSN: 1525-6049 [Electronic] England |
PMID | 26727075
(Publication Type: Clinical Study, Comparative Study, Journal Article)
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Topics |
- Adult
- Female
- Humans
- Kidney Calculi
(surgery)
- Male
- Middle Aged
- Nephrostomy, Percutaneous
(statistics & numerical data)
- Retrospective Studies
- Ureteroscopy
(statistics & numerical data)
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