Ureteroscopy‐assisted puncture for ultrasonography‐guided renal access significantly improves overall treatment outcomes in endoscopic combined intrarenal surgery

Objectives To assess the impact and availability of ureteroscopy‐assisted puncture for percutaneous renal access during ultrasonography‐guided miniaturized (mini)‐endoscopic combined intrarenal surgery for large volume renal and/or proximal ureteral stones. Methods We conducted a multi‐institutional...

Full description

Saved in:
Bibliographic Details
Published in:International journal of urology 2021-09, Vol.28 (9), p.913-919
Main Authors: Taguchi, Kazumi, Yamashita, Shimpei, Hamamoto, Shuzo, Deguchi, Ryusuke, Kawase, Kengo, Okada, Tomoki, Kato, Taiki, Ando, Ryosuke, Okada, Atsushi, Kohjimoto, Yasuo, Hara, Isao, Yasui, Takahiro
Format: Article
Language:English
Subjects:
endoscopic combined intrarenal surgery
Endoscopy
Fluoroscopy
Implants
kidney stones
Kidneys
Lithiasis
mini‐endoscopic combined intrarenal surgery
Patients
Postoperative infection
Surgery
Surgical outcomes
Ultrasonic imaging
ultrasonography‐guided puncture
Ureteral stents
ureteroscopic assistance
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives To assess the impact and availability of ureteroscopy‐assisted puncture for percutaneous renal access during ultrasonography‐guided miniaturized (mini)‐endoscopic combined intrarenal surgery for large volume renal and/or proximal ureteral stones. Methods We conducted a multi‐institutional retrospective cohort study for urolithiasis treatment. Data from a total of 313 patients who underwent mini‐endoscopic combined intrarenal surgery to treat renal and/or ureteral stones between January 2016 and April 2020 were collected. We compared the outcomes between ultrasonography‐guided mini‐endoscopic combined intrarenal surgery with and without ureteroscopy‐assisted puncture (ureteroscopy‐assisted puncture(+) group [n = 126] and ureteroscopy‐assisted puncture(−) group [n = 187] group, respectively). The primary outcome was requirement for additional surgical intervention. Secondary outcomes were stone‐free rate, complications and total procedure, fluoroscopy, hospital stay, and postoperative ureteral stent placement durations. Results The ureteroscopy‐assisted puncture(+) group had a lower additional surgical intervention rate and a higher stone‐free rate immediately after and 3 months after surgery than the ureteroscopy‐assisted puncture(−) group (5.6% vs 19.7%, P 
ISSN:0919-8172
1442-2042
DOI:10.1111/iju.14603