Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy Used in the Treatment of 2–4 cm Kidney Stones in Terms of Pain and Need for Additional Analgesics: A Prospective Randomized Study

2020 ◽  
Vol 30 (12) ◽  
pp. 1301-1307
Author(s):  
Mehmet Çağlar Çakıcı ◽  
Nihat Karakoyunlu ◽  
Sercan Sari ◽  
Hakki Ugur Ozok ◽  
Volkan Selmi ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Retrograde Intrarenal Surgery

Ultrasound-guided low thoracic paravertebral block versus peritubal infiltration for percutaneous nephrolithotomy: a prospective randomized study

Urolithiasis ◽  
2018 ◽  
Vol 48 (3) ◽  
pp. 235-244 ◽  
Author(s):  
Ahmet Murat Yayik ◽  
Ali Ahiskalioglu ◽  
Saban Oguz Demirdogen ◽  
Elif Oral Ahiskalioglu ◽  
Haci Ahmet Alici ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Randomized Study ◽  
Paravertebral Block ◽  
Prospective Randomized Study ◽  
Ultrasound Guided ◽  
Thoracic Paravertebral Block

Which Should be Preferred for Moderate-Size Kidney Stones? Ultramini Percutaneous Nephrolithotomy or Retrograde Intrarenal Surgery?

2016 ◽  
Vol 30 (12) ◽  
pp. 1285-1289 ◽  
Author(s):  
Arif Demirbas ◽  
Berkan Resorlu ◽  
Mehmet Melih Sunay ◽  
Tolga Karakan ◽  
Mehmet Ali Karagöz ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Retrograde Intrarenal Surgery ◽  
Moderate Size

Comparison of Retrograde Intrarenal Surgery and Micro-Percutaneous Nephrolithotomy for Kidney Stones: A Meta-Analysis

2020 ◽  
pp. 1-7
Author(s):  
Zhenhua Gu ◽  
Yucheng Yang ◽  
Rui Ding ◽  
Meili Wang ◽  
Jianming Pu ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Operative Time ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Clinical Results ◽  
Retrograde Intrarenal Surgery ◽  
Alternative Approach ◽  
Significant Difference

<b><i>Background:</i></b> Advances in micro-percutaneous nephrolithotomy (PCNL) for kidney stones have made it an alternative approach to the retrograde intrarenal surgery (RIRS) approach. Nevertheless, the superiority of micro-PCNL over RIRS is still under debate. The results are controversial. <b><i>Objectives:</i></b> The purpose of this study was to systematically evaluate the clinical results in patients presenting with kidney stones treated with micro-PCNL or RIRS. <b><i>Methods:</i></b> A literature search was done for electronic databases to identify researches that compared micro-PCNL and RIRS till December 2019. The clinical outcome included complications, stone-free rates (SFRs), hemoglobin reduction, length of hospital stay, and operative time. <b><i>Results:</i></b> Five articles were included in our study. The pooled results revealed no statistical difference in the rate of complications (OR = 0.99, 95% CI = 0.57–1.74, <i>p</i> = 0.99), length of hospital stay (MD = −0.29, 95% CI = −0.82 to 0.24, <i>p</i> = 0.28), and operative time (MD = −6.63, 95% CI = −27.34 to 14.08, <i>p</i> = 0.53) between the 2 groups. However, significant difference was present in hemoglobin reduction (MD = −0.43, 95% CI = −0.55 to 0.30, <i>p</i> &#x3c; 0.001) and the SFRs (OR = 0.59, 95% CI = 0.36–0.98, <i>p</i> = 0.04) when comparing RIRS with micro-PCNL. <b><i>Conclusions:</i></b> Compared with micro-PCNL to treat kidney stones, RIRS is associated with better stone clearance and bearing higher hemoglobin loss. As the advantages of both technologies have been shown in some fields, the continuation of well-designed clinical trials may be necessary.

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