Flexible Ureterorenoscopy versus Extracorporeal Shock Wave Lithotripsy for the treatment of upper middle calyx kidney stones of 10 20 mm a retrospective analysis of 174 patients
Yazarlar (6)
Kürşat Çeçen
Kafkas Üniversitesi, Türkiye
Kafkas Üniversitesi, Türkiye
Mert Ali Karadağ
Kafkas Üniversitesi, Türkiye
Kafkas Üniversitesi, Türkiye
Aslan Demir
Kafkas Üniversitesi, Türkiye
Kafkas Üniversitesi, Türkiye
Murat Bağcıoğlu Kafkas Üniversitesi, Türkiye
Prof. Dr. Ramazan KOCAASLAN Kafkas Üniversitesi, Türkiye
Mustafa Sofikerim
Acıbadem Mehmet Ali Aydınlar Üniversitesi, Türkiye
Acıbadem Mehmet Ali Aydınlar Üniversitesi, Türkiye
| Makale Türü |
Özgün Makale
(SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
|
||
| Dergi Adı | Journal of the Korean Physical Society | ||
| Dergi ISSN | 0374-4884 Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 09-2014 |
| Cilt / Sayı / Sayfa | 3 / 1 / 1–5 | DOI | – |
| Makale Linki | http://www.springerplus.com/content/3/1/557 | ||
| Özet |
| To compare the outcomes of flexible ureterorenoscopy (F-URS) with extracorporeal shock wave lithotripsy (ESWL) for the treatment of upper or mid calyx kidney stones of 10 to 20 mm. A total of 174 patients with radioopaque solitary upper or mid calyx stones who underwent ESWL or FURS with holmium: YAG laser were enrolled in this study. Each group treated with ESWL and FURS for upper or mid calyx kidney stones were retrospectively compared in terms of retreatment and stone free rates, and complications. 87%(n= 94) of patients who underwent ESWL therapy was stone free at the end of 3rd month. This rate was 92%(n= 61) for patients of FURS group (p= 0.270 p> 0.05). Retreatment was required in 12.9% of patients (n= 14) who underwent ESWL and these patients were referred to FURS procedure after 3rd month radiologic investigations. The retreatment rate of cases who were operated with FURS was 7.5%(n= 5)(p= 0.270 p> 0.05). Ureteral perforation (Clavien grade 3B) was occured in 3 patients (4.5%) who underwent FURS. Fever (Clavien grade 1) was noted in 7 and 5 patients from ESWL and FURS group, respectively (6.4% vs 7.5%)(p= 0.78 p> 0.05). FURS and ESWL have similar outcomes for the treatment of upper or mid calyx renal stones of 10-20 mm. ESWL has the superiority of minimal invasiveness and avoiding of general anethesia. FURS should be kept as the second teratment alternative for patients with upper or mid caliceal stones of 10-20 mm and reserved for cases with failure in ESWL. |
| Anahtar Kelimeler |
| Flexible ureterorenoscopy | Shock wave lithotripsy | Upper calyx stones | Mid calyx stones |
