亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Factors effecting the success of retrograde intrarenal surgery in pediatric patients with renal stones: The experience of two tertiary centres with 368 renal units

医学 肾盂 外科 泌尿系统 肾结石 上尿路 骨盆 泌尿科 内科学 输尿管
作者
Haluk Şen,Numan Baydilli,Mehmet Öztürk,Abdullah Gölbaşı,İlker Şeçkiner,Deniz Demirci
出处
期刊:Journal of Pediatric Urology [Elsevier]
卷期号:20 (3): 403.e1-403.e9 被引量:1
标识
DOI:10.1016/j.jpurol.2024.01.004
摘要

Introduction and objectives Currently, in the field of pediatric urology, the primary aim of surgical approaches for the treatment of renal stone disease is to provide a stoneless state through minimally invasive methods, and to prevent the damage that such stones may cause in the urinary system and stone recurrence. The aim of this study was to evaluate the efficacy and safety of RIRS and the factors affecting its success in the surgical treatment of renal stones in pediatric patients. Methods Data from 357 pediatric and 368 renal units were collected retrospectively. The recorded parameters were age, gender, location and burden of the stone, and presence of postoperative residual stones. Results The stone location was the upper pole in 28 (7.6 %) patients, the middle pole in 44 (12 %), the pelvis in 98 (26.6 %), the lower pole in 139 (37.8 %), and multiple locations in 59 (16 %) patients. A stoneless state was achieved in 277 (75.3 %) units, while 91 units (24.7 %) had residual stones at the end of the first month. In the multivariate analysis, the development of residual stones was found to be significantly associated with age (odds ratio [OR], 1.123; p = 0.012) and stone location (OR, 3.142; p = 0.018). Discussion RIRS is an endourological procedure with a high success rate in the achievement of a stoneless state in both pediatric and adult age groups, with an 82–100 % success rate reported in various studies. A full stoneless state was achieved in 277 (75.3 %) units after the initial RIRS in the present study, and full stone clearance was achieved in 304 units after the second RIRS session, with a success rate of 82.6 %. A limitation of our study is that it was not performed by a single surgeon, and stone samples could not be taken from all patients for stone analysis. Conclusion Summary tableDemographic and operative results. Parameters median (25th–75th percentiles) Cleared n = 277 (75.3 %) Not cleared n = 91 (24.7 %) p Age (years) 8 (3–12) 10 (6–15) <0.001∗ Stone burden (mm2) (mean of ranks) 100 (49–120) (168.7) 100 (100–200) (232.3) <0.001∗ Stone density (Hounsfield unit) 755 (527–973) 886 (667–1108) 0.022∗ Hospital stays (day) (mean of ranks) 1 (1–1) (175.4) 1 (1–2) (211.9) <0.001∗ Open table in a new tab

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
8秒前
害羞雨莲发布了新的文献求助10
14秒前
18秒前
谨慎萤完成签到,获得积分10
20秒前
DoctorLily完成签到,获得积分20
22秒前
谨慎萤发布了新的文献求助10
23秒前
烟花应助DoctorLily采纳,获得10
30秒前
Orange应助害羞雨莲采纳,获得10
30秒前
46秒前
SCI完成签到,获得积分10
1分钟前
TIGun发布了新的文献求助10
1分钟前
科研通AI2S应助机智秋天采纳,获得10
1分钟前
TIGun完成签到,获得积分10
1分钟前
1分钟前
所所应助科研通管家采纳,获得30
1分钟前
2分钟前
莱芙完成签到 ,获得积分10
2分钟前
vvan发布了新的文献求助10
2分钟前
2分钟前
2分钟前
2分钟前
lsx发布了新的文献求助10
3分钟前
lsx完成签到,获得积分10
3分钟前
3分钟前
南寅完成签到,获得积分10
3分钟前
谨慎颜演完成签到 ,获得积分10
3分钟前
3分钟前
研友_VZG7GZ应助科研通管家采纳,获得10
3分钟前
Jasper应助科研通管家采纳,获得10
3分钟前
Amber完成签到 ,获得积分10
3分钟前
wodetaiyangLLL完成签到 ,获得积分10
4分钟前
4分钟前
4分钟前
研友_VZG7GZ应助aaaaa采纳,获得10
4分钟前
5分钟前
aaaaa发布了新的文献求助20
5分钟前
vvan发布了新的文献求助10
5分钟前
樱桃猴子应助科研通管家采纳,获得10
5分钟前
樱桃猴子应助科研通管家采纳,获得10
5分钟前
6分钟前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Pharmacogenomics: Applications to Patient Care, Third Edition 1000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
Genera Insectorum: Mantodea, Fam. Mantidæ, Subfam. Hymenopodinæ (Classic Reprint) 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3085426
求助须知:如何正确求助?哪些是违规求助? 2738274
关于积分的说明 7548805
捐赠科研通 2387902
什么是DOI,文献DOI怎么找? 1266200
科研通“疑难数据库(出版商)”最低求助积分说明 613332
版权声明 598569