Feasibility of single‐session endoscopic combined intrarenal surgery for ipsilateral large renal stones and retrograde intrarenal surgery for contralateral renal stones: Initial experience

Kwon, Ohseong; Park, Juhyun; Cho, Min Chul; Son, Hwancheol; Jeong, Hyeon; Cho, Sung Yong

doi:10.1111/iju.13313

Cited by 15 publications

(16 citation statements)

References 26 publications

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“…However, the antegrade approach using a flexible ureteroscope or nephroscope can increase the SFRs in cases of acute infundibulopelvic angle or narrow infundibulum, musculoskeletal deformities, or anatomical abnormalities ECIRS can be carried out in either the supine or prone position. However, there has been no randomized controlled study examining the patients’ position ECIRS contains two different concepts of location (bidirectional) and time (simultaneous; Fig. ) Selection of the combined bidirectional or simultaneous bidirectional approach depends on the location and size of the renal stones (Fig.…”

Section: Clinical Questions and Answersmentioning

confidence: 99%

“…However, there has been no randomized controlled study examining the patients’ position ECIRS contains two different concepts of location (bidirectional) and time (simultaneous; Fig. ) Selection of the combined bidirectional or simultaneous bidirectional approach depends on the location and size of the renal stones (Fig. ).…”

Section: Clinical Questions and Answersmentioning

confidence: 99%

“…However, there has been no randomized controlled study examining the patients' position (LE:4). 173,176,177 ECIRS contains two different concepts of location (bidirectional) and time (simultaneous; Fig. 1).…”

Section: Commentarymentioning

confidence: 99%

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The Urological Association of Asia clinical guideline for urinary stone disease

et al. 2019

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The Urological Association of Asia, consisting of 25 member associations and one affiliated member since its foundation in 1990, has planned to develop Asian guidelines for all urological fields. The field of stone diseases is the third of its guideline projects. Because of the different climates, and social, economic and ethnic environments, the clinical practice for urinary stone diseases widely varies among the Asian countries. The committee members of the Urological Association of Asia on the clinical guidelines for urinary stone disease carried out a surveillance study to better understand the diversity of the treatment strategy among different regions and subsequent systematic literature review through PubMed and MEDLINE database between 1966 and 2017. Levels of evidence and grades of recommendation for each management were decided according to the relevant strategy. Each clinical question and answer were thoroughly reviewed and discussed by all committee members and their colleagues, with suggestions from expert representatives of the American Urological Association and European Association of Urology. However, we focused on the pragmatic care of patients and our own evidence throughout Asia, which included recent surgical trends, such as miniaturized percutaneous nephrolithotomy and endoscopic combined intrarenal surgery. This guideline covers all fields of stone diseases, from etiology to recurrence prevention. Here, we present a short summary of the first version of the guideline – consisting 43 clinical questions – and overview its key practical issues.

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Section: Clinical Questions and Answersmentioning

confidence: 99%

Section: Clinical Questions and Answersmentioning

confidence: 99%

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The Urological Association of Asia clinical guideline for urinary stone disease

et al. 2019

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“…The authors concluded that ECIRS is a novel and excellent procedure in patients with simultaneous renal and ureteral stones, which can increase the stone-free rate and lower morbidity than conventional prone PCNL. Kwon et al [24] performed single-session ECIRS, performed ECIRS for ipsilateral large renal stone, and performed RIRS for treatment of contralateral renal stone. The authors analyzed the results in 26 patients and reported that the stone-free rate of ECIRS was 76.9% (20/26) and the contralateral RIRS was 92.3% (24/26).…”

Section: Discussionmentioning

confidence: 99%

Real-time simultaneous endoscopic combined intrarenal surgery with intermediate-supine position: Washout mechanism and transport technique

et al. 2018

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Endoscopic combined intrarenal surgery (ECIRS) with simultaneous retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) has been proposed as a new surgical treatment to overcome the disadvantage of RIRS and PCNL monotherapies in the treatment of renal stone. One of advantages of ECIRS is that it can increase stone-free rates in complex renal stone within single-session. Intermediate-supine position in real-time simultaneous ECIRS can prevent an anesthesiologic problem, and patient's burden is small even for long-term operation. Thus, we will share the experience and advantages of real-time simultaneous ECIRS and introduce techniques to increase the stone-free rate.

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“…Recently, RIRS combined with miniaturized PCNL procedures, such as mini-ECIRS, have been increasing. 79 Although standard PCNL is usually carried out in the prone position, mini-ECIRS is achieved in the prone split-leg position or modified supine Valdivia position. Therefore, there are some differences in the staging of procedures between mini-ECIRS and miniaturized PCNL.…”

Section: Surgical Technique Of Mini-ecirs: How To Do Itmentioning

confidence: 99%

Current trends and pitfalls in endoscopic treatment of urolithiasis

et al. 2017

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Current development of endoscopic technology, lithotripters, and stoneretrieval devices has expanded the indications for retrograde and antegrade endoscopic therapy in the management of urolithiasis. This technology has also resulted in minimally invasive therapy. As surgeons' experience of endourological procedures with the newer instruments has become integrated, the surgical technique and indications for urolithiasis have also changed in the past few years. The present review provides an overview of endourological procedures for upper urinary tract stones and the key points related to surgical techniques.

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Feasibility of single‐session endoscopic combined intrarenal surgery for ipsilateral large renal stones and retrograde intrarenal surgery for contralateral renal stones: Initial experience

Abstract: Carrying out endoscopic combined intrarenal surgery and contralateral retrograde intrarenal surgery in a single session for patients with bilateral stones is feasible and safe.

Cited by 15 publications

References 26 publications

The Urological Association of Asia clinical guideline for urinary stone disease

The Urological Association of Asia clinical guideline for urinary stone disease

Real-time simultaneous endoscopic combined intrarenal surgery with intermediate-supine position: Washout mechanism and transport technique

Current trends and pitfalls in endoscopic treatment of urolithiasis

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