Safety and efficacy of retrograde intrarenal surgery in patients of different age groups

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dc.authoridGokmen, Derya/0000-0001-6266-3035
dc.authoridAkbas, Alpaslan/0000-0003-1470-5952
dc.contributor.authorTolga-Gulpinar, M.
dc.contributor.authorResorlu, B.
dc.contributor.authorAtis, G.
dc.contributor.authorTepeler, A.
dc.contributor.authorOzyuvali, E.
dc.contributor.authorOztuna, D.
dc.contributor.authorResorlu, M.
dc.date.accessioned2025-01-27T20:58:00Z
dc.date.available2025-01-27T20:58:00Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: To assess the efficacy and safety of retrograde intrarenal surgery (RIRS) to treat renal stones in different age groups of patients. Patients and methods: We performed a retrospective analysis of 947 patients who underwent RIRS for renal calculi between January 2008 and January 2014. Age at RIRS was analysed both as a continuous and categorical variable and patients were categorized into three age groups; aged <= 15 years at surgery (group 1, n = 51), 16 - 60 years (group II, n = 726) and > 60 years (group in, n = 170). We compared the 3 groups with the regard to stone characteristics, operative parameters and postoperative outcomes. Results: The stone-free rate was 78.4% in group 1, 77.5% in group n, and 81.1% in group in (P = .587). A multivariate logistic regression analysis showed that only stone size and stone number had significant influence on the stone-free rates after RIRS. Intraoperative complications occurred 13.7% in group I, 5.6% group n, and 7.6% in group in. Overall complication rates in children were higher than adult patients but the differences were not statistically significant. We found that only operation time was associated with the increased risk of intraoperative complications. Peroperative medical complications developed in 8 patients (.8%) in group n and 2 patients (1.1%) in group III. A 48-year-old man died from septic shock 5 days after the surgery. Conclusions: RIRS was observed to be a safe and effective procedure in all age groups of patients with stone disease, therefore age should not be considered as a limiting factor. (C) 2014 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.
dc.identifier.doi10.1016/j.acuro.2014.06.006
dc.identifier.endpage359
dc.identifier.issn0210-4806
dc.identifier.issn1699-7980
dc.identifier.issue6
dc.identifier.pmid25667174
dc.identifier.scopus2-s2.0-84937628565
dc.identifier.scopusqualityQ3
dc.identifier.startpage354
dc.identifier.urihttps://doi.org/10.1016/j.acuro.2014.06.006
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26579
dc.identifier.volume39
dc.identifier.wosWOS:000357843300004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoes
dc.publisherEne Ediciones Sl
dc.relation.ispartofActas Urologicas Espanolas
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectElderly
dc.subjectImaging
dc.subjectRetrograde intrarenal surgery
dc.subjectStone
dc.titleSafety and efficacy of retrograde intrarenal surgery in patients of different age groups
dc.title.alternativeSeguridad y eficacia de la cirugía retrógrada intrarrenal en pacientes de diferentes grupos de edad
dc.typeArticle

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