Advanced ureteroscopic techniques for the management of kidney stones
| Autor: | Beppe Calò, M. Auciello, Giuseppe Carrieri, Ugo Falagario, Luigi Cormio |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry Urology medicine.medical_treatment General surgery Gold standard 030232 urology & nephrology Lithotripsy Kidney medicine.disease Kidney Calculi 03 medical and health sciences Treatment Outcome 0302 clinical medicine Treatment modality 030220 oncology & carcinogenesis Ureteroscopy medicine Humans Kidney stones Major complication business Nephrostomy Percutaneous |
| Zdroj: | Current Opinion in Urology. 31:58-65 |
| ISSN: | 1473-6586 0963-0643 |
| DOI: | 10.1097/mou.0000000000000835 |
| Popis: | Purpose of review Recent years witnessed significant changes in the endourological management of renal tones because of the development of new, more advanced instruments. Retrograde intrarenal surgery (RIRS) has gained particular advantage from such technological progress and now tends to be considered the gold standard treatment for uncomplicated less than 20 mm renal stones. Using a step-by-step approach, this review aims to highlight current achievements but also unsolved problems in RIRS. Recent findings Several technical details of RIRS, including preoperative stenting, use of ureteral access sheets, lithotripsy method, and renal drainage, remain open to discussion and linked to surgeon's preference. Moreover, there is a wide range of variation in efficacy and safety data, with major complications being episodic but often under-reported. Summary RIRS has gained increased popularity among the urological community. This is certainly because of the continuous technological advancements, which have continuously improved the RIRS performance but also to the perception of ease and safety of this procedure when compared with the other available treatment modalities, particularly percutaneous nephrolitotomy. Indeed, the reported advances in RIRS technique have significantly improved the outcomes of this procedure but care should be taken not to underestimate its potential challenges. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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