Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy

Introduction: Retrograde Intrarenal Surgery (RIRS) and Minimally invasive PCNL (also termed mini-PCNL or mini-Perc or mPCNL) mini-perch surgery are two methods of residual stone treatment. We aim to compare the results of mini-perch and RIRS to treat residual stones after PCNL with Hounsfield unit o...

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Autores principales:	Mohammad Reza Jafari Shahdani, Behrouz Fattahi, Mohammad Ghasem Mohseni, Seyed Mohammad Kazem Aghamir
Formato:	article
Lenguaje:	EN
Publicado:	Urology Research Center 2021
Materias:	retrograde intrarenal surgery mini-perc effectiveness percutaneous nephrolithotomy Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/a94b6f577faa403a909075d1b37331a5
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spelling	oai:doaj.org-article:a94b6f577faa403a909075d1b37331a52021-11-30T06:53:53ZComparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy10.22034/TRU.2021.284354.10652717-042Xhttps://doaj.org/article/a94b6f577faa403a909075d1b37331a52021-05-01T00:00:00Zhttps://www.transresurology.com/article_130534.htmlhttps://doaj.org/toc/2717-042XIntroduction: Retrograde Intrarenal Surgery (RIRS) and Minimally invasive PCNL (also termed mini-PCNL or mini-Perc or mPCNL) mini-perch surgery are two methods of residual stone treatment. We aim to compare the results of mini-perch and RIRS to treat residual stones after PCNL with Hounsfield unit over 1000. In this retrospective cohort study patients with residual stones after PCNL with Hounsfield unit above 1000 or a stone-to-skin distance greater than 10 cm divided into two groups of mini perch or RIRS. Methods: Total number of 32 patients in the RIRS group (mean age 38.68±8.00) and 35 patients in the mini-perc group (mean age 42.05±13.22) were studied. The hemoglobin loss (p-value=0.01), need for blood transfusion (p-value=0.04), hospital stay (p-value=0.006) and surgery time (p-value=0.001) were significantly lower in RIRS group. Results: Although the percentage of success (p-value=0.17) and Stone Free Rate (SFR) (p-value=0.401) were higher in the mini-perc group, it was not significantly different from RIRS. Complications in the mini-perc group were significantly higher than in the RIRS group (p-value=0.05). Conclusions: The RIRS method has no significant difference in comparison with mini-perc. RIRS have lower operation time, shorter hospitalization, and less complication.Mohammad Reza Jafari Shahdani Behrouz FattahiMohammad Ghasem MohseniSeyed Mohammad Kazem AghamirUrology Research Centerarticleretrograde intrarenal surgerymini-perceffectivenesspercutaneous nephrolithotomyDiseases of the genitourinary system. UrologyRC870-923ENTranslational Research in Urology, Vol 3, Iss 2, Pp 40-44 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	retrograde intrarenal surgery mini-perc effectiveness percutaneous nephrolithotomy Diseases of the genitourinary system. Urology RC870-923
spellingShingle	retrograde intrarenal surgery mini-perc effectiveness percutaneous nephrolithotomy Diseases of the genitourinary system. Urology RC870-923 Mohammad Reza Jafari Shahdani Behrouz Fattahi Mohammad Ghasem Mohseni Seyed Mohammad Kazem Aghamir Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy
description	Introduction: Retrograde Intrarenal Surgery (RIRS) and Minimally invasive PCNL (also termed mini-PCNL or mini-Perc or mPCNL) mini-perch surgery are two methods of residual stone treatment. We aim to compare the results of mini-perch and RIRS to treat residual stones after PCNL with Hounsfield unit over 1000. In this retrospective cohort study patients with residual stones after PCNL with Hounsfield unit above 1000 or a stone-to-skin distance greater than 10 cm divided into two groups of mini perch or RIRS. Methods: Total number of 32 patients in the RIRS group (mean age 38.68±8.00) and 35 patients in the mini-perc group (mean age 42.05±13.22) were studied. The hemoglobin loss (p-value=0.01), need for blood transfusion (p-value=0.04), hospital stay (p-value=0.006) and surgery time (p-value=0.001) were significantly lower in RIRS group. Results: Although the percentage of success (p-value=0.17) and Stone Free Rate (SFR) (p-value=0.401) were higher in the mini-perc group, it was not significantly different from RIRS. Complications in the mini-perc group were significantly higher than in the RIRS group (p-value=0.05). Conclusions: The RIRS method has no significant difference in comparison with mini-perc. RIRS have lower operation time, shorter hospitalization, and less complication.
format	article
author	Mohammad Reza Jafari Shahdani Behrouz Fattahi Mohammad Ghasem Mohseni Seyed Mohammad Kazem Aghamir
author_facet	Mohammad Reza Jafari Shahdani Behrouz Fattahi Mohammad Ghasem Mohseni Seyed Mohammad Kazem Aghamir
author_sort	Mohammad Reza Jafari Shahdani
title	Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy
title_short	Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy
title_full	Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy
title_fullStr	Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy
title_full_unstemmed	Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy
title_sort	comparison of mini-perc and retrograde intrarenal surgery in residual stone fragments with hounsfield unit after percutaneous nephrolithotomy
publisher	Urology Research Center
publishDate	2021
url	https://doaj.org/article/a94b6f577faa403a909075d1b37331a5
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_version_	1718406767255224320

Comparison of Mini-perc and Retrograde Intrarenal Surgery in Residual Stone Fragments with Hounsfield Unit after Percutaneous Nephrolithotomy

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