Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm
Alhamrani, A., Alkhalifa, A., Alramadhan, H., Abalhassan, I., Alharbi, M., Alshangiti, A., Alnasser, A., Alshahrani, H., Aljadaani, H., Alkhamis, A., Aman, A., Hakeem, I., Almir, H., ALahmari, K., Almuzini, M. (2017). Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm. EKB Journal Management System, 69(4), 2355-2360. doi: 10.12816/0041541
Alaa Hussain Ahmed Alhamrani; Abdulla Abduljaleel Alkhalifa; Hussain Ali Alramadhan; Ibrahim Abdullah Abalhassan; Moaz Hassan H Alharbi; Ahmad Khaled M Alshangiti; Ahmed Maithem Alnasser; Hatim Saeed T Alshahrani; Hassan Mohammed Aljadaani; Abdulmalik AbdulAziz Alkhamis; Abdulrahman Ahmed H Aman; Iyad Mashhoor Hakeem; Hassan Hamza A Almir; Khalid Ayed Abdullah ALahmari; Mohammed Ayed Almuzini. "Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm". EKB Journal Management System, 69, 4, 2017, 2355-2360. doi: 10.12816/0041541
Alhamrani, A., Alkhalifa, A., Alramadhan, H., Abalhassan, I., Alharbi, M., Alshangiti, A., Alnasser, A., Alshahrani, H., Aljadaani, H., Alkhamis, A., Aman, A., Hakeem, I., Almir, H., ALahmari, K., Almuzini, M. (2017). 'Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm', EKB Journal Management System, 69(4), pp. 2355-2360. doi: 10.12816/0041541
Alhamrani, A., Alkhalifa, A., Alramadhan, H., Abalhassan, I., Alharbi, M., Alshangiti, A., Alnasser, A., Alshahrani, H., Aljadaani, H., Alkhamis, A., Aman, A., Hakeem, I., Almir, H., ALahmari, K., Almuzini, M. Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for The Treatment of Renal Stones Greater Than 2 Cm. EKB Journal Management System, 2017; 69(4): 2355-2360. doi: 10.12816/0041541

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  XML PDF (244.4 K)
Document Type: Original Article
DOI: 10.12816/0041541
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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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