Does Open Stone Surgery Still Play a Role in the Treatment of Urolithiasis? Data of a Primary Urolithiasis Center

Honeck, Patrick; Wendt‐Nordahl, Gunnar; Krombach, Patrick; Bach, Thorsten; Häcker, Axel; Alken, P.; Michel, Maurice Stephan

doi:10.1089/end.2009.0027

Cited by 67 publications

(43 citation statements)

References 25 publications

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“…[26] In open surgery stone-free rate has been reported to range between 69, and 93 percent. [23,27] In our study, stone-free rate of 69.3% was detected in 13 patients. However, complex stone burden which is one of the indications of open surgery, inadequacy of other minimally invasive methods, presence of anatomical abnormalities or comorbidies all decrease stone-free rates in this group.…”

Section: Discussionsupporting

confidence: 51%

“…[23,24] In recent years, though its field of application has narrowed, concurrent open stone surgery has been performed in cases with comorbidities as complicated stone burden,ureteropelvic junction stenosis, infundibular narrowing, and calyceal diverticula, morbid obesity or inadequacy of minimally invasive therapies in the management of stone disease. [3,[24][25][26] Open stone surgery is not recommended directly in international guidelines.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of surgical techniques and factors affecting residual stone rate in the treatment of kidney stones

Aydemi̇r

Budak

Kumsar

et al. 2014

Turkish Journal of Urology

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Objective: In this study, we aimed to evaluate, the efficacy of surgical methods and the factors affecting the residual stone rate by scrutinizing retrospectively the patients who had undergone renal stone surgery. Material and methods:Records of 109 cases of kidney stones who had been surgically treated between January 2010, and July 2013 were reviewed. Patients were divided into three groups in terms of surgical treatment; open stone surgery, percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS). Patients' history, physical examination, biochemical and radiological images and operative and postoperative data were recorded. Results:The patients had undergone PNL (n=74; 67.9%), RIRS (n=22;20.2%), and open renal surgery (n=13; 11.9%). The mean and median ages of the patients were 46±9, 41 (21-75) and, 42 (23-67) years, respectively. The mean stone burden was 2.6±0.7 cm 2 in the PNL, 1.4±0.1 cm 2 in the RIRS, and 3.1±0.9 cm 2 in the open surgery groups. The mean operative times were 126±24 min in the PNL group, 72±12 min in the RIRS group and 82±22 min in the open surgery group. The duration of hospitalisation was 3.1±0.2 days, 1.2±0.3 days and 3.4±1.1 days respectively. While the RIRS group did not need blood transfusion, in the PNL group blood transfusions were given in the PNL (n=18), and open surgery (n=2) groups. Residual stones were detected in the PNL (n=22), open surgery (n=2), and RIRS (n=5) groups.Conclusion: PNL and RIRS have been seen as safe and effective methods in our self application too. However, it should not be forgotten that as a basical method, open surgery may be needed in cases of necessity.

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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Efficacy of surgical techniques and factors affecting residual stone rate in the treatment of kidney stones

Aydemi̇r

Budak

Kumsar

et al. 2014

Turkish Journal of Urology

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“…Thanks to developments in PNL, and URS, in major stone treatment centers, open stone surgery may be required only in 1-5.4% of the cases. [3,[12][13][14] PNL has opened a new era in the treatment of stone disease, and it has become a treatment alternative currently applicable for all renal stones with its advantages including higher treatment success, rates, shorter hospital stay, early return to one's work after the intervention, shorter surgical incision, and almost lack of postoperative scar tissue. In the presence of intractable bleeding diathesis, pregnancy, active urinary tract infection or ortopedic deformity which will restrict appropriate required positioning of the patient PNL procedure is contraindicated.…”

Section: Discussionmentioning

confidence: 99%

The reliability of national videos related to the kidney stones on YouTube

Serinken¹,

Eken²,

Erdemır³

et al. 2016

Turkish Journal of Urology

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Objective: Kidney stones are one of the most common disorders of the urinary tract. With increasing awareness, a larger proportion of patients are seeking medical knowledge from the Internet. In present study, the features, reliability and efficacy of videos on YouTube related to the treatment of kidney stones were evaluated. Material and methods:In December 2014, YouTube was searched using keywords "nephrolithiasis"; "renal calculi"; "renal stones"; and "kidney stones" for videos uploaded containing relevant information about the disease. Only videos in Turkish were included in the study. Two physician viewers watched each video and classified them as useful, partially useful and useless according to European Association of Urology (EAU) Guidelines. The source, length, number of views, number of favourable opinions, and days since uploaded date of the all videos were evaluated.Results: A total of 600 videos were analysed The median length of videos was 6.7±10.4 (median: 3, IQR: 0.03-58) minutes . Each video was viewed at an average of 2368 (min: 11, max: 97133) times. Most of the videos (32.8%) were created by academicians and physicians. Nearly half (47.4%) of the videos were uploaded in 2014. The majority of the videos (62.5%) contained information for treatment. Percutaneous nephrolithotomy and ureterorenoscopy were the most common treatment modalities (32.8% and 28.0%, respectively ) in these videos. A statistically significant difference was not detected between view numbers and source of videos (p= 0.87). However, there was a statistically significant difference between usefulness to the viewers and source of videos. Hospital -based videos were detected to be more useful (p= 0.000). Conclusion:As a result, videos that would be prepared in internet environment by professional individuals or organizations in a way which would attract attention and be easily comprehended by the public could contribute to the knowledge and education of our society about the stone disease which is commonly seen in our country.

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“…PCNL is now the preferred treatment for patients with renal calculi and is a safe and successful method used for removal of different types of stones 3 . The technique is also being used increasingly for smaller stones that have failed Extra Corporeal Shockwave lithotripsy (ESWL) or where in the anatomy of the collecting system would likely result in a lesser chance of success with ESWL.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous nephrolithotomy-a versatile technique for both simple and complex renal stone

Hossain

Asaduzzaman

Uddin

et al. 2014

Bangladesh Med Res Counc Bull

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Percutaneous Nephrolithotomy is currently the preferred first line treatment for simple & complex renal calculi. The technique also being used increasingly for smaller stones that have failed ESWL. Aim of the study is to share our experience in PCNL in course of time. This study was conducted from January 2009 to December 2012, 131 patient's with142 renal units of 5-75 yrs of age, PCNL were performed in NIKDU, BSMMU & JBFH. Stone were classified into simple (isolated renal pelvis or isolated calyceal stones) or complex (partial or complete staghorn stones, renal pelvic stone with accompanying calyceal stones). The stone size was 1.5-5cm approximately. We asses our initial puncture technique, need for multi-tract, supra 12 th rib access, stone free rate, operative duration, postoperative complication, number of transfusion and hospital stay. Operative durations were 60 min -180 minutes. Puncture technique improved in course of time. 14 patients need multi-puncture and tract, all are supra 12 th access. Out of 142 renal units 120 (83%) were stone free after first procedure, another 22 need and auxiliary procedure, (5 2nd look PCNL, 6 URS, 11 ESWL) to become stone free result in a 95% stone free rate. Complications occurred in 17 procedures which dealt accordingly. This study revealed PCNL is an effective, versatile safe and cosmetically acceptable procedure for all age groups in simple and complex renal stone.

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Does Open Stone Surgery Still Play a Role in the Treatment of Urolithiasis? Data of a Primary Urolithiasis Center

Cited by 67 publications

References 25 publications

Efficacy of surgical techniques and factors affecting residual stone rate in the treatment of kidney stones

Efficacy of surgical techniques and factors affecting residual stone rate in the treatment of kidney stones

The reliability of national videos related to the kidney stones on YouTube

Percutaneous nephrolithotomy-a versatile technique for both simple and complex renal stone

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