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

Tolga-Gulpinar M., Resorlu B., Atis G., Tepeler A., Ozyuvali E., Oztuna D., ...Daha Fazla

ACTAS UROLOGICAS ESPANOLAS, sa.6, ss.354-359, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1016/j.acuro.2014.06.006
  • Dergi Adı: ACTAS UROLOGICAS ESPANOLAS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.354-359
  • Anahtar Kelimeler: Elderly, Imaging, Retrograde intrarenal surgery, Stone, SHOCK-WAVE LITHOTRIPSY, PERCUTANEOUS NEPHROLITHOTOMY, MULTIVARIATE-ANALYSIS, ELDERLY-PATIENTS, RENAL STONES, PREDICTION, MORBIDITY, MORTALITY, OUTCOMES, IMPACT
  • Ankara Üniversitesi Adresli: Evet

Özet

Objectives: 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.