PMID- 37212855
OWN - NLM
STAT- MEDLINE
DCOM- 20230616
LR  - 20230616
IS  - 2282-4197 (Electronic)
IS  - 1124-3562 (Linking)
VI  - 95
IP  - 2
DP  - 2023 May 22
TI  - Enhanced recovery after retrograde intra-renal surgery (RIRS) in comparison with 
      mini-percutaneous nephrolithotomy (Mini-PCNL) for renal stone treatment.
PG  - 10991
LID - 10.4081/aiua.2023.10991 [doi]
AB  - OBJECTIVES: The study presents a comparative analysis of the mini-percutaneous 
      nephrolithotripsy (mini-PCNL) and retrograde nephrolithotripsy (RIRS) with a 
      logistic analysis of outcomes and complications. MATERIAL AND METHODS: The 
      prospective study included 50 patients diagnosed with urolithiasis from 2018 to 
      2021 in the urological hospitals in Irkutsk. Patients were divided into two 
      groups: RIRS (group I, n = 23) and Mini-PCNL (group II, n = 27). The comparison 
      groups are statistically homogeneous. RESULTS: Both procedures equally lead to 
      high stone free rates (SFR > 1 mm, 91.3% vs 85.1%; p = 0.867; SFR > 2 mm, 95.6% 
      vs 92.5%; p = 0.936). The intergroup analysis of the total operation time (and 
      lithotripsy) demonstrated similar times (p > 0.05). Postoperative complications 
      of classes II-III (Clavien-Dindo) in the early and late postoperative period 
      developed rarely and were comparable (p > 0.05). Class I complications were 
      predominant in the PCNL group (p = 0.007). Some parameters demonstrated the 
      superiority of RIRS over PCNL: less pronounced pain syndrome (p = 0.002), less 
      drainage time (p < 0.001), no postoperative hematuria (p = 0.002), shorter 
      hospitalization and total treatment period (p < 0.001). CONCLUSIONS: The study 
      highlighted the positive effect of the oneday surgery principle on the risk of 
      developing postoperative hematuria, urinary infection, or severe postoperative 
      pain. RIRS and mini-PCNL have similar effectiveness, but RIRS meets the criteria 
      of the enhanced recovery program more than PCNL.
FAU - Vorobev, Vladimir
AU  - Vorobev V
AD  - Department of General Surgery, Irkutsk State Medical University, Irkutsk. 
      vorobevr782192@rambler.ru.
FAU - Beloborodov, Vladimir
AU  - Beloborodov V
AD  - Department of General Surgery, Irkutsk State Medical University, Irkutsk. 
      vbeloborodov391@rambler.ru.
FAU - Hovalyg, Temirlan
AU  - Hovalyg T
AD  - Department of General Surgery, Irkutsk State Medical University, Irkutsk. 
      temirlan_hovalyg@rambler.ru.
FAU - Seminskiy, Igor
AU  - Seminskiy I
AD  - Department of Pathology, Irkutsk State Medical University, Irkutsk. 
      seminskiy.igor@rambler.ru.
FAU - Sherbatykh, Andrey
AU  - Sherbatykh A
AD  - Department of Faculty Surgery, Irkutsk State Medical University, Irkutsk. 
      andsherbatykh3@rambler.ru.
FAU - Shaderkin, Igor
AU  - Shaderkin I
AD  - E-Health Laboratory, I.M. Sechenov First Moscow State Medical University, Moscow. 
      igshaderkin@rambler.ru.
FAU - Firsov, Mikhail
AU  - Firsov M
AD  - Department of Urology, Andrology and Sexology, Krasnoyarsk State Medical 
      University named after Professor V.F. Voino-Yasenetsky, Krasnoyarsk. 
      m_firsov31@rambler.ru.
LA  - eng
PT  - Journal Article
DEP - 20230522
PL  - Italy
TA  - Arch Ital Urol Androl
JT  - Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa 
      italiana di ecografia urologica e nefrologica
JID - 9308247
SB  - IM
MH  - Humans
MH  - *Kidney Calculi/surgery
MH  - *Nephrolithotomy, Percutaneous/methods
MH  - Hematuria
MH  - Prospective Studies
MH  - *Lithotripsy
MH  - Treatment Outcome
MH  - *Nephrostomy, Percutaneous
EDAT- 2023/05/22 13:04
MHDA- 2023/06/16 06:42
CRDT- 2023/05/22 11:04
PHST- 2022/11/04 00:00 [received]
PHST- 2023/02/17 00:00 [accepted]
PHST- 2023/06/16 06:42 [medline]
PHST- 2023/05/22 13:04 [pubmed]
PHST- 2023/05/22 11:04 [entrez]
AID - 10.4081/aiua.2023.10991 [doi]
PST - epublish
SO  - Arch Ital Urol Androl. 2023 May 22;95(2):10991. doi: 10.4081/aiua.2023.10991.