| Yazarlar |
Dr. Öğr. Üyesi Mehmet USLU
Kafkas Üniversitesi, Türkiye |
Doç. Dr. Ümit YILDIRIM
Kafkas Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Mehmet EZER
Kafkas Üniversitesi, Türkiye |
Ömer Erkam Arslan
Türkiye |
|
Hikmet Yaşar
Türkiye |
|
Kemal Sarıca
Sağlık Bilimleri Üniversitesi, Türkiye |
| Özet |
| OBJECTIVE: The aim of this study was to compare the success and complication rates of retrograde intrarenal surgery for lower calyceal renal stones performed with novel tip-bendable suction ureteral access sheaths and standard ureteral access sheaths. METHODS: Between March 2023 and March 2024, a total of 88 patients underwent retrograde intrarenal surgery for lower renal calyceal stones smaller than 20 mm. Based on the access sheath used, patients were divided into two groups: Group 1 (n=43) included patients treated with novel tip-bendable suction ureteral access sheaths and Group 2 (n=45) included patients treated with standard ureteral access sheaths. The pre- and postoperative data of the two groups were compared. Complications were assessed by using the Modified Clavine Dindo system, and stone-free rate was assessed after 4 weeks by using non-contrast computed tomography. RESULTS: There was no significant difference between the groups regarding demographic data or preoperative laboratory results, and the median stone size was comparable in both groups. The stone-free rate did not show any significant difference between the two groups. However, the median residual stone size was substantially higher in the standard ureteral access sheaths group [4.25- (3.75-5) vs. 6- (5-7), p=0.01] and the surgical duration was less in the novel tip-bendable suction ureteral access sheaths group (p=0.032). CONCLUSION: Our current findings demonstrate that the use of a new tip-bendable suction-assisted access sheath during retrograde intrarenal surgery in the management of lower calyceal stones less than 2 cm may shorten the operative duration, limit the rate of complications, and end up with smaller residual stone fragments when compared with the use of standard ureteral access sheath. |
| Anahtar Kelimeler |
| Calculi | Laser lithotripsy | Renal | Ureteroscopy |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | Revista da Associação Médica Brasileira |
| Dergi ISSN | 0104-4230 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q2 |
| Makale Dili | Türkçe |
| Basım Tarihi | 01-2024 |
| Cilt No | 70 |
| Sayı | 12 |
| Doi Numarası | 10.1590/1806-9282.20241033 |
| Makale Linki | https://doi.org/10.1590/1806-9282.20241033 |
| Atıf Sayıları |
