지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 525 - 532 (8page)
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초록· 키워드
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Purpose: To investigate surgical outcomes between retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PNL)groups for a main stone sized 15 to 30 mm and located in the lower-pole calyx. Materials and Methods: Patients who underwent PNL or RIRS for a main stone sized 15 to 30 mm and located in the lower-polecalyx were retrospectively reviewed. Each patient in the RIRS group was matched to one in the PNL group on the basis of calculatedpropensity scores by use of age, sex, body mass index, previous treatment history, stone site, maximum stone size, and stonevolume. We compared perioperative outcomes between the unmatched and matched groups. Results: Patients underwent PNL (n=87, 66.4%) or RIRS (n=44, 33.6%). After matching, 44 patients in each group were included. Mean patient age was 54.4±13.7 years. Perioperative hemoglobin drop was significantly higher and the hospital stay was longer inthe PNL group than in the RIRS group. The operative time was significantly longer in the RIRS group than in the PNL group. Stonefreerates were higher and complications rates were lower in the RIRS group than in the PNL group without statistical significance. The presence of a stone located in the lower-anterior minor calyx was a predictor of stone-free status. Conclusions: RIRS and single-session PNL for patients with a main stone of 15 to 30 mm located in the lower-pole calyx showedcomparable surgical results. However, RIRS can be performed more safely than PNL with less bleeding. Stones in the lower-anteriorminor calyx should be carefully removed during these procedures.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Kim TB / 2013 / The feasibility of shockwave lithotripsy for treating solitary, lower calyceal stones over 1 cm in size / Can Urol Assoc J 7:E156~E160
Havel D / 1998 / Single stones of the lower pole of the kidney. Comparative results of extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy / Eur Urol 33:396~400
Kruck S / 2013 / Minimally invasive percutaneous nephrolithotomy: an alternative to retrograde intrarenal surgery and shockwave lithotripsy / World J Urol 31:1555~1561
Lucio J 2nd / 2011 / Steinstrasse predictive factors and outcomes after extracorporeal shockwave lithotripsy / Int Braz J Urol 37:477~482
Ozturk U / 2013 / Comparison of percutaneous nephrolithotomy, shock wave lithotripsy, and retrograde intrarenal surgery for lower pole renal calculi 10-20 mm / Urol Int 91:345~349
Havel D / 1998 / Single stones of the lower pole of the kidney. Comparative results of extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy / Eur Urol 33:396~400
Kruck S / 2013 / Minimally invasive percutaneous nephrolithotomy: an alternative to retrograde intrarenal surgery and shockwave lithotripsy / World J Urol 31:1555~1561
Lucio J 2nd / 2011 / Steinstrasse predictive factors and outcomes after extracorporeal shockwave lithotripsy / Int Braz J Urol 37:477~482
Ozturk U / 2013 / Comparison of percutaneous nephrolithotomy, shock wave lithotripsy, and retrograde intrarenal surgery for lower pole renal calculi 10-20 mm / Urol Int 91:345~349
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