Fluoroscopy Is Essential in Retrograde Intrarenal Surgery

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Clinical Practice Pub Date : 2023-11-29 DOI:10.1155/2023/8896681

Mehmet Yoldas, Tuba Kuvvet Yoldas

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Abstract

Objective. This study aimed to investigate the necessity of using fluoroscopy in retrograde intrarenal surgery (RIRS). Material and Methods. A total of 612 patients who underwent RIRS for kidney stones were evaluated and divided into two groups. Group 1 routinely underwent the operation with fluoroscopy due to opaque stones (n: 504). In group 2, the procedure was performed without fluoroscopy because of nonopaque stones (n: 108). Both groups were assessed for stone size, location, and number. Success and complication rates were compared between the two groups. Conclusion. This study was designed with the thought of not using fluoroscopy in RIRS patients with nonopaque stones and having the same stone-free rates in opaque stones. In the statistical analysis, there was no difference between the groups with and without scope for stone side, size, localization, and number; likewise, the complication rates developed in the comparison of both groups, stone-free rates, and hospital stay were the same. Discussion. Advances in the calibration of instruments, the development of optical systems, and improvements in imaging system resolution have gradually reduced the need for fluoroscopy in RIRS. This study provides further evidence that fluoroscopy is unnecessary in RIRS procedures, thereby eliminating unnecessary radiation exposure.

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透视在逆行肾内手术中是必不可少的

目标。本研究旨在探讨在逆行肾内手术(RIRS)中应用透视的必要性。材料和方法。共有612名因肾结石而接受RIRS的患者被评估并分为两组。第1组因不透明结石常规行透视手术(n: 504)。在第2组中，由于非不透明结石，在没有透视的情况下进行了手术(n: 108)。两组都评估了结石的大小、位置和数量。比较两组手术成功率和并发症发生率。结论。本研究的设计思路是，在不透明结石的RIRS患者中不使用透视检查，而在不透明结石中具有相同的结石清除率。在统计分析中，有镜组与无镜组在结石侧面、大小、定位、数量上均无差异;同样，两组比较的并发症发生率、无结石率和住院时间相同。讨论。仪器校准的进步、光学系统的发展以及成像系统分辨率的提高逐渐减少了对红外光谱成像的需求。本研究提供了进一步的证据，证明在RIRS手术中不需要透视，从而消除了不必要的辐射暴露。

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.