腰肌质量与输尿管入路鞘插入失败和逆行肾内手术并发症有关吗?来自 RIRSearch 小组的病例对照研究。

IF 1.1 4区 医学 Q3 SURGERY
Kerem Teke, Hakan Çakir, Duygu Siddikoğlu, Oktay Özman, Cem Başataç, Hacı Murat Akgül, Önder Çinar, Muhammed Fatih Şimşekoğlu, Mustafa Bilal Tuna, Eyüp Burak Sancak, Cenk Murat Yazici, Haluk Akpinar, Bülent Önal
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引用次数: 0

摘要

目的研究腰肌(PSM)与输尿管通路鞘(UAS)插入失败及逆行肾内手术(RIRS)并发症之间的关系。材料与方法:进行了一项多中心回顾性病例对照研究,研究对象包括在 UAS 插入失败的情况下接受 RIRS 的患者(队列 1)和在 UAS 插入成功后接受 RIRS 的混杂匹配对照患者(队列 2)。为了对 PMM 进行形态分析,使用 coreslicer.com webkit 测量了同侧腰肌面积(iPMA)。在比较了不同组群的人口统计学、临床和并发症发生率以及 iPMAs 后,还确定了不同性别的 iPMAs 中位数,从而将每个组群的患者进一步细分为低 iPMAs 或高 iPMAs 患者。之后,还对患者的 RIRS 并发症进行了比较。结果队列 1 包括 86 例患者,队列 2 包括 124 例匹配病例。两组患者的 iPMAs 中位数(四分位数间距)相似:队列 1 为 11.05 (6.82-14.44) 平方厘米,队列 2 为 11.12 (6.97-13.69) 平方厘米(P ˃ .05)。所有患者的 iPMAs 与年龄(r = -0.222)和 Charlson 合并症指数(r = -0.180)之间存在明显的反向关系(P ˂ .05)。队列 1 的围手术期和术后并发症发生率分别为 8.1% 和 16.3%,队列 2 分别为 6.5% 和 21%。iPMAs高的患者和iPMAs低的患者之间、男性患者和女性患者之间的并发症发生率没有统计学差异(P > .05)。结论:这些结果表明,UAS 失败与 PMM 无关。此外,由于高PMM和低PMM患者的并发症发生率相似,因此RIRS可能是肌无力患者和非肌无力患者的可靠治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is Psoas Muscle Mass Associated with Failure of Ureteral Access Sheath Insertion and Complications from Retrograde Intrarenal Surgery? A Case-Control Study from RIRSearch group.

Objective: To investigate the association between psoas muscle mass (PMM) and failure of ureteral access sheath (UAS) insertion and complications from retrograde intrarenal surgery (RIRS). Materials and Methods: A multicenter retrospective case-control study was conducted that included patients who underwent RIRS despite failure of UAS insertion (Cohort 1) and confounder-matched control patients who underwent RIRS after successful UAS insertion (Cohort 2). For morphometric analysis of PMM, ipsilateral psoas muscle areas (iPMAs) were measured using the coreslicer.com webkit. After comparing demographic, clinical, and complication rates and iPMAs between cohorts, gender-specific median iPMAs were also determined to further subdivide patients in each cohort as either low iPMAs or high iPMAs. Thereafter, patients were also compared in terms of RIRS complications. Results: Cohort 1 included 86 patients whereas Cohort 2 consisted of 124 matched cases. The median (interquartile range) iPMAs were similar between the cohorts: Cohort 1, 11.05 (6.82-14.44) cm2 versus 11.12 (6.97-13.69) cm2 for Cohort 2 (P ˃ .05). There was a significant inverse relationship between iPMAs with age (r = -0.222) and Charlson comorbidity index (r = -0.180) for all patients (P ˂ .05). Perioperative and postoperative complication rates were 8.1% and 16.3% for Cohort 1 and 6.5% and 21% for Cohort 2, respectively. The complication rates were not statistically different between patients with high iPMAs and those with low iPMAs, in male or female patients (P > .05). Conclusions: These results show that failure of UAS was not associated with PMM. Furthermore, since the complication rates were similar between patients with high PMM and low PMM, RIRS may be a reliable treatment choice for sarcopenic patients as well as in nonsarcopenic patients.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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