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Outcomes and lessons learnt from practice ofretrograde intrarenal surgery (rirs) in a paediatricsetting of various age groups: a global study across 8 centres

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dc.contributor.authorŞEKERCİ, ÇAĞRI AKIN
dc.contributor.authorTANIDIR, YILÖREN
dc.contributor.authorsLim E. J., Traxer O., Madarriaga Y. Q., Castellani D., Fong K. Y., Shun Chan V. W., Tur A. B., Pietropaolo A., Ragoori D., Shrestha A., et al.
dc.date.accessioned2023-06-12T10:24:37Z
dc.date.available2023-06-12T10:24:37Z
dc.date.issued2022-05-13
dc.description.abstractINTRODUCTION AND OBJECTIVE: We aim to analyse and report the practice, outcomes and lessons learnt from a global series of retrograde intrarenal surgery (RIRS) in a paediatric multicentre series. METHODS: Retrospective review of anonymised pooled data gathered globally from 8 centres in paediatric patients ( 18 years of age) who had renal stones and underwent RIRS from 2015 to 2020 was performed. Patient demographics, perioperative parameters, stone characteristics, complications and stone-free rate (SFR) were analysed. Residual fragments(RFs) were defined as a single fragment >2mm or multiple fragments. Our cohort was stratified by age into 3 groups : 5 years (Group A), 5-10 years (Group B) and 10 years (Group C). T-test and ManneWhitney were used for continuous variables. Categorical data between groups were analysed using the c2 test. RESULTS: 314 patients were included for analysis. Mean age was 9.54 þ/- 4.76 years. The number of patients in groups A, B and C were 67 (21.3%), 83 (26.4%) and 164 (52.2%) respectively. The mean stone size was 10.7 þ/- 4.62 mm. While pre-stenting was performed in 155 (49.4%) of patients, ureteral access sheaths (UAS) was used in 54.5% of patients, and majority (71%) utilizing holmium laser for stone fragmentation. The SFR was 75.5% with 77(24.5%) having residual fragments. All post-surgical complications were minor Clavein Dindo (CD) classification and included ureteric injury (n[5), pelvicalyceal injury (n[5, all in group A), fever (n[20), hematuria (n [11) and sepsis (n[2). CONCLUSIONS: RIRS is acceptable as a firstline intervention in the paediatric population with reasonable efficacy and low morbidity; Complications are slightly higher in Group A and this should be taken into account while counselling patients.
dc.identifier.citationLim E. J., Traxer O., Madarriaga Y. Q., Castellani D., Fong K. Y., Shun Chan V. W., Tur A. B., Pietropaolo A., Ragoori D., Shrestha A., et al., \"OUTCOMES AND LESSONS LEARNT FROM PRACTICE OFRETROGRADE INTRARENAL SURGERY (RIRS) IN A PAEDIATRICSETTING OF VARIOUS AGE GROUPS: A GLOBAL STUDY ACROSS8 CENTRES\", AUA 2022, Louisiana, Amerika Birleşik Devletleri, 13 Mayıs - 16 Haziran 2022, cilt.207, ss.288
dc.identifier.doi10.1097/ju.0000000000002550.09
dc.identifier.urihttps://hdl.handle.net/11424/290117
dc.language.isoeng
dc.relation.ispartofAUA 2022
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectÜroloji
dc.subjectPediatrik Üroloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectSurgery Medicine Sciences
dc.subjectUrology
dc.subjectPediatric Urology
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.subjectCERRAHİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectUROLOGY & NEPHROLOGY
dc.subjectSURGERY
dc.subjectCerrahi
dc.subjectNefroloji
dc.subjectSurgery
dc.subjectNephrology
dc.titleOutcomes and lessons learnt from practice ofretrograde intrarenal surgery (rirs) in a paediatricsetting of various age groups: a global study across 8 centres
dc.typeconferenceObject
dspace.entity.typePublication
local.avesis.id3634b62b-1c8e-45e0-9edf-e0a5968843a0
relation.isAuthorOfPublication1e489bdb-418e-4500-a522-6c0babb604b9
relation.isAuthorOfPublication86c61091-4762-401c-a1cd-88bb0ea5d84d
relation.isAuthorOfPublication.latestForDiscovery1e489bdb-418e-4500-a522-6c0babb604b9

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