| Yazarlar |
Kürşat Çeçen
Türkiye |
|
Mert Ali Karadağ
Kafkas Üniversitesi, Türkiye |
|
Aslan Demir
Kafkas Üniversitesi, Türkiye |
|
Murat Bağcıoğlu
Kafkas Üniversitesi, Türkiye |
Prof. Dr. Ramazan KOCAASLAN
Kafkas Üniversitesi, Türkiye |
|
Mustafa Sofikerim
Acıbadem Üniversitesi, Türkiye |
| 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 F-URS with holmium:YAG laser were enrolled in this study. Each group treated with ESWL and F-URS 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 F-URS 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 F-URS procedure after 3rd month radiologic investigations. The retreatment rate of cases who were operated with F-URS 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 F-URS. Fever (Clavien grade 1) was noted in 7 and 5 patients from ESWL and F-URS group, respectively (6.4% vs 7.5%) (p = 0.78 p > 0.05). F-URS 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. F-URS 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 |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | SpringerPlus |
| Dergi ISSN | 2193-1801 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Makale Dili | İngilizce |
| Basım Tarihi | 01-2014 |
| Cilt No | 3 |
| Sayı | 1 |
| Sayfalar | 557 / |
| Doi Numarası | 10.1186/2193-1801-3-557 |
| Makale Linki | http://www.springerplus.com/content/3/1/557 |
| Atıf Sayıları | |
| WoS | 23 |
