The Impact of Stone Density on Operative Complications of Retrograde Intrarenal Surgery: A Multicenter Study with Propensity Score Matching Analysis

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dc.authorscopusid55753628300en_US
dc.authorwosidDRM-1228-2022en_US
dc.contributor.authorBaşatac, Cem
dc.contributor.authorÖzman, Oktay
dc.contributor.authorAkgül, Hacı Murat
dc.contributor.authorÖzyaman, Onur
dc.contributor.authorÇınar, Önder
dc.contributor.authorCan, Günay
dc.contributor.authorSancak, Eyüp Burak
dc.date.accessioned2025-02-05T09:02:34Z
dc.date.available2025-02-05T09:02:34Z
dc.date.issued2022en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: The aim of the study was to evaluate the impact of stone density on operative complication rates in retrograde intrarenal surgery (RIRS). Materials and Methods: A total of 473 consecutive patients undergoing RIRS for the treatment of upper tract urinary stones were included. To adjust for baseline confounders, one-to-one propensity score matching was performed. After matching, the patients were divided into two groups according to stone density (low density [LD] group, ≤970 Hounsfield unit [HU]; high density [HD] group, >970 HU). The patients' demographics, stone-related features, stone-free rates, and intraoperative and postoperative complication rates were compared between the groups. The primary objective was to evaluate whether the intraoperative and postoperative complication rates were higher in patients whose stone density was greater than 970 HU. Results: After propensity score matching, 170 of 210 LD and 170 of 263 HD patients undergoing RIRS were included. The baseline characteristics did not differ significantly between the groups. There were no significant differences between LD and HD patients with respect to intraoperative (5.9% and 8.8%, respectively; P = .29), postoperative (10.6% and 15.3%, respectively; P = .14), and overall complication rates (15.2% and 21.1%, respectively; P = .16). Stone-free status was achieved in 143 patients (84.1%) in the LD group and 148 patients (87%) in the HD group; the difference was not statistically significant (P = .27). Conclusion: Our results show that RIRS is a safe and effective minimally invasive procedure for the treatment of upper urinary tract stones, even in HD stones.en_US
dc.identifier.citationBaşatac, C., Özman, O., Akgül, H. M., Özyaman, O., Çınar, O., Can, G., … Akpınar, H. (2022). The Impact of Stone Density on Operative Complications of Retrograde Intrarenal Surgery: A Multicenter Study with Propensity Score Matching Analysis. Journal of Laparoendoscopic and Advanced Surgical Techniques, 32(2), 142–148. https://doi.org/10.1089/lap.2020.0936en_US
dc.identifier.doi10.1089/lap.2020.0936en_US
dc.identifier.endpage148en_US
dc.identifier.issn1092-6429 / 1557-9034
dc.identifier.issue2en_US
dc.identifier.pmidPMID: 33471596en_US
dc.identifier.scopus2-s2.0-85124577901en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage142en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2020.0936
dc.identifier.urihttps://hdl.handle.net/20.500.12428/29542
dc.identifier.volume32en_US
dc.identifier.wosWOS:000760528700007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSancak, Eyüp Burak
dc.institutionauthorid0000-0003-4154-2052
dc.language.isoengen_US
dc.publisherMary Ann Liebert Inc.en_US
dc.relation.ispartofJournal of Laparoendoscopic and Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHounsfield uniten_US
dc.subjectPerioperative/complicationen_US
dc.subjectRetrograde intrarenal surgeryen_US
dc.subjectStone densityen_US
dc.subjectUrolithiasisen_US
dc.titleThe Impact of Stone Density on Operative Complications of Retrograde Intrarenal Surgery: A Multicenter Study with Propensity Score Matching Analysisen_US
dc.typearticleen_US

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