Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 28, Volume 69, Issue 4, October 2017, Page 2355-2360 PDF (244.4 K) | ||||
Document Type: Original Article | ||||
DOI: 10.12816/0041541 | ||||
View on SCiNiTO | ||||
Authors | ||||
Alaa Hussain Ahmed Alhamrani1; Abdulla Abduljaleel Alkhalifa1; Hussain Ali Alramadhan1; Ibrahim Abdullah Abalhassan2; Moaz Hassan H Alharbi2; Ahmad Khaled M Alshangiti3; Ahmed Maithem Alnasser4; Hatim Saeed T Alshahrani5; Hassan Mohammed Aljadaani6; Abdulmalik AbdulAziz Alkhamis1; Abdulrahman Ahmed H Aman7; Iyad Mashhoor Hakeem8; Hassan Hamza A Almir9; Khalid Ayed Abdullah ALahmari5; Mohammed Ayed Almuzini10 | ||||
1King Faisal University | ||||
2Prince Sattam Bin Abdulaziz University | ||||
3King Saud Bin Abdulaziz University for Health Sciences | ||||
4Dammam Medical Complex | ||||
5King Khalid University | ||||
6Ibnsina National Medical College | ||||
7Batterjee Medical College | ||||
8Umm Al-Qura University | ||||
9Imam Abdulrahman Bin Faisal University | ||||
10October 6th University | ||||
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. | ||||
Keywords | ||||
percutaneous nephrolithotomy; retrograde intrarenal surgery; Renal stones; Flexible Ureteroscopy | ||||
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