Which is a Better Predictor for the Safety and Efficacy of Retrograde Intrarenal Surgery; Stone Size or Volume? A Study of RIRsearch Study Group

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dc.contributor.authorYazici, Cenk Murat
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorOzman, Oktay
dc.contributor.authorCinar, Onder
dc.contributor.authorAkgul, Haci Murat
dc.contributor.authorCakir, Hakan
dc.contributor.authorBasatac, Cem
dc.date.accessioned2025-01-27T20:54:38Z
dc.date.available2025-01-27T20:54:38Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: To compare the predictive effects of stone size and volume on the efficacy and safety of retrograde intrarenal surgery (RIRS) and to determine the cutoff values of stone volume for prediction of RIRS efficacy and safety. Methods: Patients who underwent RIRS between 2017 and 2021 in six referral centers were retrospectively included in the study. The database of the RIRsearch group, which was formed prospectively, was used for this retrospective analysis. The surgical results and complications of RIRS were evaluated according to stone size and stone volume and compared between these groups. Results: A total of 1128 patients were included. Operation time, intraoperative complication rate, and postoperative complication rate increased significantly as stone size and stone volume increased (P < .05). Stone size and volume were significant indicators for stone-free rates, but pairwise comparison showed that stone volume was a significantly better predictor of surgical success compared with stone size (P < .001). Stone size was not sufficient to predict postoperative complications, whereas stone volume predicted these complications with low performance. Conclusions: Stone volume was a better predictor for surgical success than stone size, and it was as reliable as stone size in predicting postoperative complications.
dc.identifier.doi10.1089/lap.2024.0145
dc.identifier.endpage1106
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue12
dc.identifier.pmid39671528
dc.identifier.scopus2-s2.0-85212556727
dc.identifier.scopusqualityQ2
dc.identifier.startpage1099
dc.identifier.urihttps://doi.org/10.1089/lap.2024.0145
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26123
dc.identifier.volume34
dc.identifier.wosWOS:001377081200008
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniques
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectflexible ureteroscopy
dc.subjectrenal stone
dc.subjectstone size
dc.subjectstone volume
dc.subjectefficacy
dc.subjectsafety
dc.titleWhich is a Better Predictor for the Safety and Efficacy of Retrograde Intrarenal Surgery; Stone Size or Volume? A Study of RIRsearch Study Group
dc.typeArticle

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