Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard?

Guido Giusti, Silvia Proietti, Lorenzo G. Luciani, Roberto Peschechera, Antonella Giannantoni, Gianluigi Taverna, Giuseppe Sortino, Pierpaolo Graziotti

Research output: Contribution to journalArticle

Abstract

Introduction: Major kidney stones have traditionally been treated with percutaneous nephrolithotomy. However, retrograde intrarenal surgery (RIRS), which until a few years ago was considered inappropriate for this purpose, is becoming a viable, attractive alternative. The aim of the current study was to assess the efficacy and safety of RIRS combined with holmium laser lithotripsy for the treatment of stones > 2 cm in diameter in a large series of patients, reporting complications according to the Clavien-Dindo classification. Materials and methods: By retrospective analysis, we identified a total of 162 patients who were affected by stones greater than 2 cm in diameter and who had undergone RIRS. We reviewed demographic and stone characteristics, intraoperative and postoperative outcomes, and complications. Results: The mean stone size was 2.7 cm ± 0.6 cm. The primary, secondary, and tertiary stone-free rates were 66%, 80.9%, and 87.7%, respectively. The mean number of procedures per patient was 1.48. The complication rates according to the Clavien-Dindo classification were Clavien I in 20.4% of patients, Clavien II in 0%, Clavien III in 4.9%, Clavien IV in 0.6%, and Clavien V in 0%. Conclusions: As an alternative to standard procedures for the treatment of renal calculi greater than 2 cm in diameter, RIRS is safe and effective, with a low complication rate.

Original languageEnglish
Pages (from-to)7207-7212
Number of pages6
JournalThe Canadian journal of urology
Volume21
Issue number2
Publication statusPublished - 2014

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Kidney
Kidney Calculi
Laser Lithotripsy
Percutaneous Nephrostomy
Solid-State Lasers
Therapeutics
Demography
Safety

Keywords

  • Complications
  • Endourology
  • Flexible ureteroscopy
  • Renal stones

ASJC Scopus subject areas

  • Urology
  • Medicine(all)

Cite this

Giusti, G., Proietti, S., Luciani, L. G., Peschechera, R., Giannantoni, A., Taverna, G., ... Graziotti, P. (2014). Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard? The Canadian journal of urology, 21(2), 7207-7212.

Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard? / Giusti, Guido; Proietti, Silvia; Luciani, Lorenzo G.; Peschechera, Roberto; Giannantoni, Antonella; Taverna, Gianluigi; Sortino, Giuseppe; Graziotti, Pierpaolo.

In: The Canadian journal of urology, Vol. 21, No. 2, 2014, p. 7207-7212.

Research output: Contribution to journalArticle

Giusti, G, Proietti, S, Luciani, LG, Peschechera, R, Giannantoni, A, Taverna, G, Sortino, G & Graziotti, P 2014, 'Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard?', The Canadian journal of urology, vol. 21, no. 2, pp. 7207-7212.
Giusti, Guido ; Proietti, Silvia ; Luciani, Lorenzo G. ; Peschechera, Roberto ; Giannantoni, Antonella ; Taverna, Gianluigi ; Sortino, Giuseppe ; Graziotti, Pierpaolo. / Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard?. In: The Canadian journal of urology. 2014 ; Vol. 21, No. 2. pp. 7207-7212.
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