The effect of optical dilatation before retrograde intrarenal surgery on success and complications: Results of the RIRSearch group study

Basit Öğe Kaydı
dc.authorid0000-0003-4154-2052en_US
dc.authorscopusid55753628300en_US
dc.authorwosidDRM-1228-2022en_US
dc.contributor.authorSancak, Eyüp Burak
dc.contributor.authorBaşataç, Cem
dc.contributor.authorAkgül, Hacı Murat
dc.contributor.authorÇınar, Önder
dc.contributor.authorÖzman, Oktay
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorAkpınar, Haluk
dc.date.accessioned2023-04-10T07:26:45Z
dc.date.available2023-04-10T07:26:45Z
dc.date.issued2021en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractAim The guidelines propose optical dilatation before retrograde intrarenal surgery (RIRS), but there are currently no evidence-based studies concerning the impact of optical dilatation with semirigid ureteroscopy (sURS). The aim of this study was to evaluate the effect of optical dilatation through sURS prior to the RIRS procedure on the success and complications of RIRS. Methods A total of 422 patients were included in the retrospective multicentre study. The patients were divided into two groups according to whether sURS was to be performed. Patients' demographics, stone parameters and operative outcomes were compared. Surgical success was defined as no or up to 3-mm residual stone fragments without the need for additional procedures. The independent predictors for surgical success were determined with a multivariable logistic regression model. Results Of the 422 patients, 133 (31.5%) were in the sURS group and 289 (68.5%) were in the non-sURS group. Stone characteristics and patients' demographics were similar between the groups. Operation time in the sURS group was significantly longer (compared with the non-sURS group, P < .0001). A ureteral access sheath (UAS) could not be placed in four (3.0%) patients in the sURS group, nor in 25 (8.7%) patients in the non-sURS group (P = .03). Compared with the non-sURS group, the intraoperative complication rate was lower in the sURS group (14 [4.8%] vs 1 [0.8%], P = .04). The surgical success rate was higher in the sURS group (P = .002). Nevertheless, sURS had no independent effect on surgical success. We found two independent predictors for surgical success rate: stone number (P < .0001, OR:2.28) and failed UAS placement (P = .035, OR:3.49). Conclusions Optical dilatation with sURS before RIRS increases surgical success by raising the rate of UAS placement and reducing the rate of intraoperative complications. We suggest that this method can be routinely applied to patients who have not been passively dilated with a JJ stent.en_US
dc.identifier.citationSancak, E. B., Basatac, C., Akgul, H. M., Cinar, O., Ozman, O., Yazıcı, C. M., & Akpinar, H. (2021). The effect of optical dilatation before retrograde intrarenal surgery on success and complications: Results of the RIRSearch group study. International Journal of Clinical Practice, 75(8). https://doi.org/10.1111/ijcp.14335en_US
dc.identifier.doi10.1111/ijcp.14335
dc.identifier.issn1368-5031
dc.identifier.issn1742-1241
dc.identifier.issue8en_US
dc.identifier.pmid33960069
dc.identifier.scopus2-s2.0-85106227341
dc.identifier.urihttps://doi.org/10.1111/ijcp.14335
dc.identifier.urihttps://hdl.handle.net/20.500.12428/3984
dc.identifier.volume75en_US
dc.identifier.wosWOS:000653262200001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSancak, Eyüp Burak
dc.language.isoen
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUreteral Access Sheathen_US
dc.subjectUreteroscopyen_US
dc.subjectInsertionen_US
dc.titleThe effect of optical dilatation before retrograde intrarenal surgery on success and complications: Results of the RIRSearch group study
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Eyup Burak Sancak_Makale.pdf
Boyut:
626.74 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Araştırma Makalesi
İndir
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Cerrahi Tıp Bilimleri Bölümü Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu