Does Time and Size Matter in Retrograde Intrarenal Surgery? Results Analysis Using a Low-Pressure Technique

Gayarre Abril, Paula ; Blasco Beltrán, Benjamín (Universidad de Zaragoza) ; Hijazo Gascón, Daniel ; Subirá Ríos, Jorge (Universidad de Zaragoza) ; Capapé Póves, Victoria (Universidad de Zaragoza) ; Blanco Chamorro, Carlos (Universidad de Zaragoza) ; Sieso Gracia, Maria Rut ; Elizalde Benito, Francisco Xavier (Universidad de Zaragoza) ; Abril Baquero, Gonzalo ; Carrera Lasfuentes, Patricia ; Rioja Zuazu, Jorge (Universidad de Zaragoza)

Resumen: Purpose: Kidney stone disease affects 5% of the population and is associated with non-negligible morbidity. Retrograde intrarenal surgery and percutaneous nephrolithotomy are the treatments of choice. We analyzed the results from our patients who underwent retrograde intrarenal surgery at controlled pressure.

Materials and Methods: We conducted an observational, descriptive, retrospective study of 403 patients who underwent retrograde intrarenal surgery at the Hospital Clínico Universitario Lozano Blesa (Zaragoza, Spain) between January 2013 and December 2019.

Results: The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm3 (maximum volume, 38.3 cm3). A total of 70 patients (17.3%) developed postoperative Clavien-Dindo complications—64 minor (91.4%) and 6 major (8.6%). In addition, 28 patients (6.9%) presented with an early complication (<3 months), with urinary tract infection and pyelonephritis being the most common. The stone-free rate was 69.0%, with a retreatment rate of 4.7%.

Conclusions: Sex was statistically significantly related to the onset of minor Clavien postoperative complications (p = 0.001). Similarly, corticosteroid use was associated with the onset of major Clavien complications (p = 0.030). Neither surgical time nor stone volume was found to be statistically significantly related to the onset of Clavien postoperative complications or early complications.

Idioma: Inglés

DOI: 10.56434/j.arch.esp.urol.20237602.11

Año: 2023

Publicado en: ARCHIVOS ESPAÑOLES DE UROLOGIA 76, 2 (2023), 107-113
ISSN: 0004-0614

Factor impacto JCR: 0.6 (2023)

Categ. JCR: UROLOGY & NEPHROLOGY rank: 112 / 126 = 0.889 (2023) - Q4 - T3

Factor impacto CITESCORE: 0.9 - Urology (Q3)

Factor impacto SCIMAGO: 0.22 - Urology (Q3) - Medicine (miscellaneous) (Q4)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Urología (Dpto. Cirugía)