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Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm

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Last updated: 24 Dec 2024

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Abstract

Background: Stone size is a key factor in the determination of the success of treatment modalities. Recently, there has been a great advancement in technology for minimally invasive management of urinary stones such as percutaneous nephrolithotomy, ureteroscopy, shockwave lithotripsy, and retrograde internal Surgery. Aim of the Study: to assess and compare the efficacy of retrograde intrarenal surgery (RIRS) in the treatment of kidney stones greater than 2 cm versus percutaneous nephrolithotomy (PCNL). Patients and methods: A retrospective analysis was carried out for a total of 118 patients, of which 46 patients underwent RIRS while 72 patients underwent PCNL between May 2013 and May 2017. Results: The mean duration of operation was 96.39±41.11 min in the RIRS group and 69.51±19.3 min in the PCNL group (p<0.001). Hospital stay was significantly shorter in the RIRS group (1.32±0.6 vs. 4.19±1.9 days) in the RIRS and PCNL groups respectively (p<0.001). Stone-free rates after one session were 67.4% and 90.3% of the RIRS and PCNL groups, respectively. Blood transfusions were required in two patients in the PCNL group. Complication rates were generally higher in the PCNL group. Conclusion: The present study concluded that RIRS can be a successful substitute to PCNL in the treatment of kidney stones with a diameter of 2–4 cm particularly in patients with comorbidities.

DOI

10.12816/0041541

Keywords

percutaneous nephrolithotomy, retrograde intrarenal surgery, Renal stones, Flexible Ureteroscopy

Authors

First Name

Alaa Hussain Ahmed

Last Name

Alhamrani

MiddleName

-

Affiliation

King Faisal University

Email

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City

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Orcid

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First Name

Abdulla Abduljaleel

Last Name

Alkhalifa

MiddleName

-

Affiliation

King Faisal University

Email

-

City

-

Orcid

-

First Name

Hussain Ali

Last Name

Alramadhan

MiddleName

-

Affiliation

King Faisal University

Email

-

City

-

Orcid

-

First Name

Ibrahim Abdullah

Last Name

Abalhassan

MiddleName

-

Affiliation

Prince Sattam Bin Abdulaziz University

Email

-

City

-

Orcid

-

First Name

Moaz Hassan H

Last Name

Alharbi

MiddleName

-

Affiliation

Prince Sattam Bin Abdulaziz University

Email

-

City

-

Orcid

-

First Name

Ahmad Khaled M

Last Name

Alshangiti

MiddleName

-

Affiliation

King Saud Bin Abdulaziz University for Health Sciences

Email

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City

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Orcid

-

First Name

Ahmed Maithem

Last Name

Alnasser

MiddleName

-

Affiliation

Dammam Medical Complex

Email

-

City

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Orcid

-

First Name

Hatim Saeed T

Last Name

Alshahrani

MiddleName

-

Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Hassan Mohammed

Last Name

Aljadaani

MiddleName

-

Affiliation

Ibnsina National Medical College

Email

-

City

-

Orcid

-

First Name

Abdulmalik AbdulAziz

Last Name

Alkhamis

MiddleName

-

Affiliation

King Faisal University

Email

-

City

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Orcid

-

First Name

Abdulrahman Ahmed H

Last Name

Aman

MiddleName

-

Affiliation

Batterjee Medical College

Email

-

City

-

Orcid

-

First Name

Iyad Mashhoor

Last Name

Hakeem

MiddleName

-

Affiliation

Umm Al-Qura University

Email

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City

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Orcid

-

First Name

Hassan Hamza A

Last Name

Almir

MiddleName

-

Affiliation

Imam Abdulrahman Bin Faisal University

Email

-

City

-

Orcid

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First Name

Khalid Ayed Abdullah

Last Name

ALahmari

MiddleName

-

Affiliation

King Khalid University

Email

-

City

-

Orcid

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First Name

Mohammed Ayed

Last Name

Almuzini

MiddleName

-

Affiliation

October 6th University

Email

-

City

-

Orcid

-

Volume

69

Article Issue

4

Related Issue

2178

Issue Date

2017-10-01

Receive Date

2018-08-29

Publish Date

2017-10-01

Page Start

2,355

Page End

2,360

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 69_Issue 4_Pages 2355-2360.pdf

PDF . 250.3kB

Link

https://ejhm.journals.ekb.eg/article_11889.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=11889

Order

28

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm

Details

Type

Article

Created At

22 Jan 2023