PMID- 25214292
OWN - NLM
STAT- MEDLINE
DCOM- 20150601
LR  - 20191210
IS  - 1166-7087 (Print)
IS  - 1166-7087 (Linking)
VI  - 24
IP  - 10
DP  - 2014 Sep
TI  - [Flexible ureterorenoscopy in obese patients: results from a large monocenter 
      cohort].
PG  - 634-9
LID - S1166-7087(14)00088-8 [pii]
LID - 10.1016/j.purol.2014.03.005 [doi]
AB  - OBJECTIVE: To analyze results and morbidity after flexible ureterorenoscopy 
      (fURS) in patients with a body mass index (BMI)>30 kg/m(2) and to compare with 
      results obtained in a large cohort of non-obese patients. METHODS: We conducted a 
      retrospective monocenter study including all fURS for urinary lithiasis performed 
      in our institution between January 2004 and December 2010. During the study 
      period, 497 procedures were performed. Twenty-three had to be excluded because of 
      missing data on BMI. Thus, a total of 474 procedures were included in the final 
      analysis, 93 for obese patients (OP) and 381 for non-obese patients (NOP). 
      Characteristics of the patients, stones and procedures were analyzed. Success was 
      defined as clear imaging (completely stone-free) on renal tomography and 
      ultrasonography. RESULTS: Mean BMI was 33.5 +/- 0.3 in OP vs 23.9 +/- 0.1 kg/m(2) in 
      NOP (P<0.0001). Mean stone size, location, and composition were not significantly 
      different between groups. Technical aspects (operative time, ureteral dilatation, 
      access sheath, monobloc extraction) were also similar in OP and NOP. The 
      immediate (63.5% for OP vs 66.1% in NOP, P=0.62) and follow-up (65.1% for OP vs 
      71% in NOP, P=0.26) stone-free rate were not significantly different between the 
      groups. For stone size<1cm, SFR raised to 77% in OP vs 83% in NOP (P=0.28). The 
      rate of minor complications Clavien II was similar in OP (7.5%) and NOP (12%). No 
      major complication (Clavien III or IV) was observed. CONCLUSION: fURS is a safe 
      and efficient option for the management of urinary lithiasis in obese patients.
CI  - Copyright (c) 2014. Published by Elsevier Masson SAS.
FAU - Laclergerie, F
AU  - Laclergerie F
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Jacquemet, B
AU  - Jacquemet B
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Guichard, G
AU  - Guichard G
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Bernardini, S
AU  - Bernardini S
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Chabannes, E
AU  - Chabannes E
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Martin, L
AU  - Martin L
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France; Universite de Franche-Comte, 25000 
      Besancon, France.
FAU - Pastori, J
AU  - Pastori J
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Bailly, V
AU  - Bailly V
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France.
FAU - Bittard, H
AU  - Bittard H
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France; Universite de Franche-Comte, 25000 
      Besancon, France.
FAU - Kleinclauss, F
AU  - Kleinclauss F
AD  - Departement d'urologie et de transplantation renale, CHU Jean-Minjoz, universite 
      de Franche-Comte, 25030 Besancon, France; Universite de Franche-Comte, 25000 
      Besancon, France; Unite Inserm UMR 1098, 25000 Besancon, France. Electronic 
      address: francois.kleinclauss@univ-fcomte.fr.
LA  - fre
PT  - Evaluation Study
PT  - Journal Article
TT  - Ureterorenoscopie souple avec laser Holmium-YAG dans la prise en charge des 
      lithiases urinaires chez le patient obese: resultats d'une cohorte monocentrique.
DEP - 20140520
PL  - France
TA  - Prog Urol
JT  - Progres en urologie : journal de l'Association francaise d'urologie et de la 
      Societe francaise d'urologie
JID - 9307844
SB  - IM
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/*complications
MH  - Postoperative Complications/epidemiology/etiology
MH  - Retrospective Studies
MH  - Ureteroscopy/*adverse effects
MH  - Urolithiasis/*complications/*surgery
OTO - NOTNLM
OT  - Calcul renal
OT  - Kidney calculi
OT  - Lithiase urinaire
OT  - Morbidity
OT  - Morbidite
OT  - Obesity
OT  - Obesite
OT  - Ureteroscopy
OT  - Urolithiasis
OT  - Ureteroscopie
EDAT- 2014/09/13 06:00
MHDA- 2015/06/02 06:00
CRDT- 2014/09/13 06:00
PHST- 2014/01/30 00:00 [received]
PHST- 2014/03/24 00:00 [revised]
PHST- 2014/03/26 00:00 [accepted]
PHST- 2014/09/13 06:00 [entrez]
PHST- 2014/09/13 06:00 [pubmed]
PHST- 2015/06/02 06:00 [medline]
AID - S1166-7087(14)00088-8 [pii]
AID - 10.1016/j.purol.2014.03.005 [doi]
PST - ppublish
SO  - Prog Urol. 2014 Sep;24(10):634-9. doi: 10.1016/j.purol.2014.03.005. Epub 2014 May 
      20.