Comparison of miniaturized percutaneous nephrolithotomy and retrograde intrarenal surgery: Which is more effective for 10-20 MM renal stones in children?
Archivos Espanoles de Urologia, cilt.73, sa.7, ss.643-650, 2020 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 73 Sayı: 7
- Basım Tarihi: 2020
- Dergi Adı: Archivos Espanoles de Urologia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, Gender Studies Database, MEDLINE, DIALNET
- Sayfa Sayıları: ss.643-650
- Anahtar Kelimeler: Miniaturized percutaneous nephrolithotomy, Minimally invasive surgery, Pediatric urolithiasis, Retrograde intrarenal surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To compare miniaturized percutaneous nephrolithotomy (mini-PNL) and retrograde intrarenal surgery (RIRSj in children with 10-20 mm renal stones. Materials and Methods: Between 2015 and 2019, 63 pediatric patients aged under 16 years who underwent mini-PNL and RIRS for the treatment of kidney stones sized 10-20 mm were analyzed retrospectively. The mini-PNL group (n=30j was defined as group 1 and the RIRS group (n=33) was defined as group 2. Peri-operative data including stone-free rate, operative time, fluoroscopy time, hospitalization time, number of anesthesia sessions, complication rates, and cost-effectiveness were analyzed. Results: The mean age was 8.09±5.49 years in group 1 and 5.75±4.56 years in group 2. The stone-free rate was not different at the first (80.0% vs. 57.6%) and third month (93.3% vs. 90.9%) followvp in group 1 and group 2. The mean hospitalization, operative, and fluoroscopy times were statistically significantly longer in group 1. The mean number of anesthesia sessions for patients was 1.20±0.40 in group 1 and 2.15±0.44 in group 2 (p=0.00). Minor complication rates were not different and no major complications were observed in either group. The cost per patient was calculated as 365.97 Euros in group 1 and 698.64 Euros in group 2 (p=0.001). Conclusions: This study suggested that RIRS was an effective alternative treatment method for 10-20 mm kidney stones in children, with comparable stone-free and complication rates. RIRS has a shorter operative time, fluoroscopy time, hospital stay than mini-PNL, with a similar stone-free rate for 10-20 mm kidney stones in children. However, mini-PNL is cheaper and allowed a lower need for anesthesia sessions.