70岁以上患者同时进行双侧肾内逆行手术治疗肾结石的结果

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2025-06-01 DOI:10.1016/j.acuro.2025.501716

C. Giulioni , V. de Stefano , O. Traxer , D. Ragoori , N. Gadzhiev , Y. Tanidir , T. Inoue , E. Emiliani , S. Bin Hamri , M.A. Lakmichi , C.M. Vaddi , C.T. Heng , B. Soebhali , S. More , V. Sridharan , M.I. Gökce , A.N. Tursunkulov , A. Ganpule , G.M. Pirola , A. Naselli , D. Castellani

{"title":"70岁以上患者同时进行双侧肾内逆行手术治疗肾结石的结果","authors":"C. Giulioni , V. de Stefano , O. Traxer , D. Ragoori , N. Gadzhiev , Y. Tanidir , T. Inoue , E. Emiliani , S. Bin Hamri , M.A. Lakmichi , C.M. Vaddi , C.T. Heng , B. Soebhali , S. More , V. Sridharan , M.I. Gökce , A.N. Tursunkulov , A. Ganpule , G.M. Pirola , A. Naselli , D. Castellani","doi":"10.1016/j.acuro.2025.501716","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate outcomes of same sitting bilateral retrograde intrarenal surgery for kidney stone in patients aged≥70 years.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed patients with bilateral kidney stones who underwent same sitting bilateral retrograde intrarenal surgery in 21 centers (January 2015-June 2022). Inclusion criteria: patients aged≥70 years, bilateral kidney stones diagnosed due to either unilateral or bilateral symptomatic presentation. Patients were divided into 2 groups: group 1, patients aged 70-74 years, group 2, patients aged≥75 years.</div></div><div><h3>Results</h3><div>There were 86 patients in group 1 and 60 patients in group 2. There was no difference between the groups for gender, ASA score, BMI, comorbidities, presenting symptoms, and positive preoperative urine culture. Group 2 had a significantly higher proportion of recurrent stone formers (54.7 vs. 35.0%, p=0.03), and a higher proportion of bilaterally pre-stented patients were present in group 2 (37.9 vs. 18.6%). There was no difference in total operation time and rate of post-operative uni- and bilateral stent positioning. Surgery was discontinued in 15.1% and 18.3% of cases in groups 1 and 2, respectively (p=0.773). Median length of postoperative stay was 2 days in both groups. The most frequent complication was fever requiring antibiotics and prolonged admission (10.5% in group 1 and 11.7% in group 2, p>0.99). Sepsis rate was 2.3% patients in group 1 and none in group 2. In group 1, 1.2% required a blood transfusion due to hematuria. Bilateral stone-free rate was similar (60.0 vs. 47.7%, p=0.194) in both groups.</div></div><div><h3>Conclusions</h3><div>Same sitting bilateral retrograde intrarenal surgery in elderly patients demonstrated an acceptable safety profile with good bilateral stone-free rate.</div></div>","PeriodicalId":7145,"journal":{"name":"Actas urologicas espanolas","volume":"49 5","pages":"Article 501716"},"PeriodicalIF":1.2000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Resultados de la cirugía retrógrada intrarrenal bilateral simultánea en el tratamiento de la litiasis renal en pacientes mayores de 70 años\",\"authors\":\"C. Giulioni , V. de Stefano , O. Traxer , D. Ragoori , N. Gadzhiev , Y. Tanidir , T. Inoue , E. Emiliani , S. Bin Hamri , M.A. Lakmichi , C.M. Vaddi , C.T. Heng , B. Soebhali , S. More , V. Sridharan , M.I. Gökce , A.N. Tursunkulov , A. Ganpule , G.M. Pirola , A. Naselli , D. Castellani\",\"doi\":\"10.1016/j.acuro.2025.501716\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To evaluate outcomes of same sitting bilateral retrograde intrarenal surgery for kidney stone in patients aged≥70 years.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed patients with bilateral kidney stones who underwent same sitting bilateral retrograde intrarenal surgery in 21 centers (January 2015-June 2022). Inclusion criteria: patients aged≥70 years, bilateral kidney stones diagnosed due to either unilateral or bilateral symptomatic presentation. Patients were divided into 2 groups: group 1, patients aged 70-74 years, group 2, patients aged≥75 years.</div></div><div><h3>Results</h3><div>There were 86 patients in group 1 and 60 patients in group 2. There was no difference between the groups for gender, ASA score, BMI, comorbidities, presenting symptoms, and positive preoperative urine culture. Group 2 had a significantly higher proportion of recurrent stone formers (54.7 vs. 35.0%, p=0.03), and a higher proportion of bilaterally pre-stented patients were present in group 2 (37.9 vs. 18.6%). There was no difference in total operation time and rate of post-operative uni- and bilateral stent positioning. Surgery was discontinued in 15.1% and 18.3% of cases in groups 1 and 2, respectively (p=0.773). Median length of postoperative stay was 2 days in both groups. The most frequent complication was fever requiring antibiotics and prolonged admission (10.5% in group 1 and 11.7% in group 2, p>0.99). Sepsis rate was 2.3% patients in group 1 and none in group 2. In group 1, 1.2% required a blood transfusion due to hematuria. Bilateral stone-free rate was similar (60.0 vs. 47.7%, p=0.194) in both groups.</div></div><div><h3>Conclusions</h3><div>Same sitting bilateral retrograde intrarenal surgery in elderly patients demonstrated an acceptable safety profile with good bilateral stone-free rate.</div></div>\",\"PeriodicalId\":7145,\"journal\":{\"name\":\"Actas urologicas espanolas\",\"volume\":\"49 5\",\"pages\":\"Article 501716\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Actas urologicas espanolas\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0210480625000348\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Actas urologicas espanolas","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0210480625000348","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

目的评价年龄≥70岁患者行同坐位双侧逆行肾内手术治疗肾结石的疗效。方法回顾性分析21个中心（2015年1月- 2022年6月）行相同坐位双侧逆行肾内手术的双侧肾结石患者。纳入标准：年龄≥70岁，单侧或双侧症状表现诊断为双侧肾结石的患者。患者分为2组：1组70 ~ 74岁，2组≥75岁。结果1组86例，2组60例。两组在性别、ASA评分、BMI、合并症、表现症状和术前尿培养阳性方面无差异。第2组复发性结石患者的比例显著高于第2组（54.7 vs. 35.0%, p = 0.03），第2组双侧预支架患者的比例更高（37.9 vs. 18.6%）。术后单侧和双侧支架放置的总手术时间和比例无差异。1组和2组分别有15.1%和18.3%的患者停止手术（p = 0.773）。两组患者术后平均住院时间均为2天。最常见的并发症是需要抗生素治疗的发热和住院时间延长（组1 10.5%，组2 11.7%）。0.99)。1组脓毒症发生率为2.3%，2组无脓毒症发生率。在第1组中，1.2%的患者因血尿需要输血。两组双侧结石清除率相似（60.0 vs 47.7%, p = 0.194）。结论同坐位双侧逆行肾内手术治疗老年患者，安全性可接受，双侧结石清除率良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Resultados de la cirugía retrógrada intrarrenal bilateral simultánea en el tratamiento de la litiasis renal en pacientes mayores de 70 años

Objective

To evaluate outcomes of same sitting bilateral retrograde intrarenal surgery for kidney stone in patients aged ≥ 70 years.

Methods

We retrospectively reviewed patients with bilateral kidney stones who underwent same sitting bilateral retrograde intrarenal surgery in 21 centers (January 2015-June 2022). Inclusion criteria: patients aged ≥ 70 years, bilateral kidney stones diagnosed due to either unilateral or bilateral symptomatic presentation. Patients were divided into 2 groups: group 1, patients aged 70-74 years, group 2, patients aged ≥ 75 years.

Results

There were 86 patients in group 1 and 60 patients in group 2. There was no difference between the groups for gender, ASA score, BMI, comorbidities, presenting symptoms, and positive preoperative urine culture. Group 2 had a significantly higher proportion of recurrent stone formers (54.7 vs. 35.0%, p = 0.03), and a higher proportion of bilaterally pre-stented patients were present in group 2 (37.9 vs. 18.6%). There was no difference in total operation time and rate of post-operative uni- and bilateral stent positioning. Surgery was discontinued in 15.1% and 18.3% of cases in groups 1 and 2, respectively (p = 0.773). Median length of postoperative stay was 2 days in both groups. The most frequent complication was fever requiring antibiotics and prolonged admission (10.5% in group 1 and 11.7% in group 2, p > 0.99). Sepsis rate was 2.3% patients in group 1 and none in group 2. In group 1, 1.2% required a blood transfusion due to hematuria. Bilateral stone-free rate was similar (60.0 vs. 47.7%, p = 0.194) in both groups.

Conclusions

Same sitting bilateral retrograde intrarenal surgery in elderly patients demonstrated an acceptable safety profile with good bilateral stone-free rate.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.