Saved in:
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2024
|
| Subjects: | |
| Online Access: | https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.357 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1867011651552673792 |
|---|---|
| author | Patrick Juliebø‐Jones Vineet Gauhar Ee Jean Lim Olivier Traxer Yesica Quiroz Madarriaga Daniele Castellani Khi Yung Fong Anna Bujons Deepak Ragoori Anil Shrestha Chandra Mohan Vaddi Tanuj Paul Bhatia Cagri Akin Sekerci Yiloren Tanidir Jeremy Yuen‐Chun Teoh Bhaskar Kumar Somani |
| author_facet | Patrick Juliebø‐Jones Vineet Gauhar Ee Jean Lim Olivier Traxer Yesica Quiroz Madarriaga Daniele Castellani Khi Yung Fong Anna Bujons Deepak Ragoori Anil Shrestha Chandra Mohan Vaddi Tanuj Paul Bhatia Cagri Akin Sekerci Yiloren Tanidir Jeremy Yuen‐Chun Teoh Bhaskar Kumar Somani Patrick Juliebø‐Jones Vineet Gauhar Ee Jean Lim Olivier Traxer Yesica Quiroz Madarriaga Daniele Castellani Khi Yung Fong Anna Bujons Deepak Ragoori Anil Shrestha Chandra Mohan Vaddi Tanuj Paul Bhatia Cagri Akin Sekerci Yiloren Tanidir Jeremy Yuen‐Chun Teoh Bhaskar Kumar Somani |
| collection | Wiley Open Access |
| contents | Outcomes and considerations for retrograde intrarenal surgery (RIRS) in the setting of multiple and large renal stones (>15 mm) in children: Findings from multicentre and real‐world setting Patrick Juliebø‐Jones Vineet Gauhar Ee Jean Lim Olivier Traxer Yesica Quiroz Madarriaga Daniele Castellani Khi Yung Fong Anna Bujons Deepak Ragoori Anil Shrestha Chandra Mohan Vaddi Tanuj Paul Bhatia Cagri Akin Sekerci Yiloren Tanidir Jeremy Yuen‐Chun Teoh Bhaskar Kumar Somani BJUI Compass AbstractPurposeThe aim of this study is to evaluate the outcomes of retrograde intra renal surgery (RIRS) in the setting of large or multiple stones in children (<18 years).Materials and MethodsRetrospective analysis was performed of paediatric RIRS cases at nine centres worldwide over a 6‐year period. Patients were divided into two groups: Group 1 had a single stone <15 mm. Group 2 had either multiple stones, maximum stone diameter of >15 mm, or both. Outcomes included stone free rate (SFR) and complications within 30 days.ResultsIn total, 344 patients were included with 197 and 147 in Groups 1 and 2, respectively. Ureteric access sheaths were more frequently used in Group 2 (39.5% vs. 56.8%, p = 0.021). The operation time was significantly longer in Group 2 (p < 0.001). SFR after a single procedure was 84.7% in Group 1 and 63.7% in Group 2. Overall complication rates in Groups 1 and 2 were 7.6% and 33.3%, respectively. The most frequently reported complication in both groups was post‐operative fever (4.4% vs. 14%, p = 0.004). The rate of Clavien I/II complications in groups 1 and 2 was 6% and 25.1%, respectively (p < 0.05). The rate of Clavien ≥ III complications in groups 1 and 2 was 1.6% and 8.1%, respectively (p < 0.05). On multivariate analysis, total operation time, stone size and multiplicity were significant predictors of residual fragments.ConclusionsRIRS can be performed in paediatric cases with large and multiple stone burdens, but the complication rate is significantly higher when compared to smaller stones. 10.1002/bco2.357 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1002/bco2.357 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_bco2_357 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Outcomes and considerations for retrograde intrarenal surgery (RIRS) in the setting of multiple and large renal stones (>15 mm) in children: Findings from multicentre and real‐world setting Patrick Juliebø‐Jones Vineet Gauhar Ee Jean Lim Olivier Traxer Yesica Quiroz Madarriaga Daniele Castellani Khi Yung Fong Anna Bujons Deepak Ragoori Anil Shrestha Chandra Mohan Vaddi Tanuj Paul Bhatia Cagri Akin Sekerci Yiloren Tanidir Jeremy Yuen‐Chun Teoh Bhaskar Kumar Somani BJUI Compass Outcomes and considerations for retrograde intrarenal surgery (RIRS) in the setting of multiple and large renal stones (>15 mm) in children: Findings from multicentre and real‐world setting Patrick Juliebø‐Jones Vineet Gauhar Ee Jean Lim Olivier Traxer Yesica Quiroz Madarriaga Daniele Castellani Khi Yung Fong Anna Bujons Deepak Ragoori Anil Shrestha Chandra Mohan Vaddi Tanuj Paul Bhatia Cagri Akin Sekerci Yiloren Tanidir Jeremy Yuen‐Chun Teoh Bhaskar Kumar Somani BJUI Compass AbstractPurposeThe aim of this study is to evaluate the outcomes of retrograde intra renal surgery (RIRS) in the setting of large or multiple stones in children (<18 years).Materials and MethodsRetrospective analysis was performed of paediatric RIRS cases at nine centres worldwide over a 6‐year period. Patients were divided into two groups: Group 1 had a single stone <15 mm. Group 2 had either multiple stones, maximum stone diameter of >15 mm, or both. Outcomes included stone free rate (SFR) and complications within 30 days.ResultsIn total, 344 patients were included with 197 and 147 in Groups 1 and 2, respectively. Ureteric access sheaths were more frequently used in Group 2 (39.5% vs. 56.8%, p = 0.021). The operation time was significantly longer in Group 2 (p < 0.001). SFR after a single procedure was 84.7% in Group 1 and 63.7% in Group 2. Overall complication rates in Groups 1 and 2 were 7.6% and 33.3%, respectively. The most frequently reported complication in both groups was post‐operative fever (4.4% vs. 14%, p = 0.004). The rate of Clavien I/II complications in groups 1 and 2 was 6% and 25.1%, respectively (p < 0.05). The rate of Clavien ≥ III complications in groups 1 and 2 was 1.6% and 8.1%, respectively (p < 0.05). On multivariate analysis, total operation time, stone size and multiplicity were significant predictors of residual fragments.ConclusionsRIRS can be performed in paediatric cases with large and multiple stone burdens, but the complication rate is significantly higher when compared to smaller stones. 10.1002/bco2.357 http://creativecommons.org/licenses/by/4.0/ |
| title | Outcomes and considerations for retrograde intrarenal surgery (RIRS) in the setting of multiple and large renal stones (>15 mm) in children: Findings from multicentre and real‐world setting |
| topic | BJUI Compass |
| url | https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.357 |