Application of vacuum - assisted ureteral access sheath in retrograde intrarenal surgery: an initial experience of 48 cases

Downloads

Download data is not yet available.
pdf     77    29

Abstract

Objectives: Reporting our initial experience of 48 cases in application of vacuum-assisted ureteral access sheath in the retrograde intrarenal surgery.

Methods: Forty - eight patients who underwent retrograde intrarenal surgery at Department of Urology, Hue Central Hospital between May 2023 and May 2024 were evaluated retrospectively. The vacuum - assisted ureteral access sheath was applied in the procedure. Demographics, laboratory tests, peri - and postoperative and one-month follow- up results were analysed.

Results: The mean stones size was 14.3 ± 4.9 mm. 77.1% of cases had stones located in the lower calyx. The mean operative time was 42.9 ± 17.1 minutes. The 1 - month post - operative stone - free rate was 89.6%. Two patients experienced post - operative fever. The average length of hospital stay was 3.06 ± 1.04 days. There was no unplanned readmission.

Conclusions: Retrograde intrarenal surgery with vacuum-assisted ureteral access sheath is a safe and effective procedure, which can achieve excellent stone clearance.

https://doi.org/10.38103/jcmhch.95.16

References

Lang J, Narendrula A, El-Zawahry A, Sindhwani P, Ekwenna O. Global trends in incidence and burden of urolithiasis from 1990 to 2019: an analysis of global burden of disease study data. European Urology Open Science. 2022;35:37-46.

Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Reviews in Urology. 2010;12(2-3):e86.

Akram M, Jahrreiss V, Skolarikos A, Geraghty R, Tzelves L, Emilliani E, et al. Urological guidelines for kidney stones: overview and comprehensive update. Journal of Clinical Medicine. 2024;13(4):1114.

Herrero MR-M, Doizi S, Keller EX, De Coninck V, Traxer O. Retrograde intrarenal surgery: an expanding role in treatment of urolithiasis. Asian Journal of Urology. 2018;5(4):264-273.

Guven S, Yigit P, Tuncel A, Karabulut İ, Sahin S, Kilic O, et al. Retrograde intrarenal surgery of renal stones: a critical multi-aspect evaluation of the outcomes by the Turkish Academy of Urology Prospective Study Group (ACUP Study). World Journal of Urology. 2021;39:549-554.

Tokas T, Herrmann TR, Skolarikos A, Nagele U, Training, Surgery RiU, et al. Pressure matters: intrarenal pressures during normal and pathological conditions, and impact of increased values to renal physiology. World Journal of Urology. 2019;37:125-131.

Brain E, Geraghty RM, Lovegrove CE, Yang B, Somani BK. Natural history of post-treatment kidney stone fragments: a systematic review and meta-analysis. The Journal of Urology. 2021;206(3):526-538.

Somani BK, Desai M, Traxer O, Lahme S. Stone-free rate (SFR): a new proposal for defining levels of SFR. Urolithiasis. 2014;42:95-95.

Chung KJ, Kim JH, Min GE, Park HK, Li S, Del Giudice F, et al. Changing trends in the treatment of nephrolithiasis in the real world. Journal of Endourology. 2019;33(3):248-253.

Mi Y, Ren K, Pan H, Zhu L, Wu S, You X, et al. Flexible ureterorenoscopy (F-URS) with holmium laser versus extracorporeal shock wave lithotripsy (ESWL) for treatment of renal stone <2 cm: a meta-analysis. Urolithiasis. 2016;44:353-365.

Matlaga BR, Chew B, Eisner B, Humphreys M, Knudsen B, Krambeck A, et al. Ureteroscopic laser lithotripsy: a review of dusting vs fragmentation with extraction. Journal of Endourology. 2018;32(1):1-6.

Quhal F, Zeng G, Seitz C. Current evidence for suction in endourological procedures: comprehensive review of literature. Current Opinion in Urology. 2023;33(2):77-83.

Published 28-12-2024
Fulltext
pdf     77    29
Language
Issue No. 95 (2024)
Section Original article
DOI 10.38103/jcmhch.95.16
Keywords Kidney stones, ureteral access sheath, retrograde intrarenal surgery, RIRS, vacuum-assisted ureteral access sheath

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2024 Journal of Clinical Medicine Hue Central Hospital

Pham, N. H., Phan, H. Q. V., Bui, C. L. K., Nguyen, V. Q. A., Truong, M. T., Hoang, V. T., … Truong, V. C. (2024). Application of vacuum - assisted ureteral access sheath in retrograde intrarenal surgery: an initial experience of 48 cases. Journal of Clinical Medicine Hue Central Hospital, (95), 105–109. https://doi.org/10.38103/jcmhch.95.16