Details

Autor(en) / Beteiligte

• Lim, Ee Jean
• Traxer, Olivier
• Madarriaga, Yesica Quiroz
• Castellani, Daniele
• Fong, Khi Yung
• Chan, Vinson Wai-Shun
• Tur, Anna Bujons
• Pietropaolo, Amelia
• Ragoori, Deepak
• Shrestha, Anil
• Vaddi, Chandra Mohan
• Bhatia, Tanuj Paul
• Mani, Mriganka
• Juliebø-Jones, Patrick
• Griffin, Stephen
• García Rojo, Esther
• Corrales, Mariela
• Sekerci, Cagri Akin
• Tanidir, Yiloren
• Teoh, Jeremy Yuen-Chun
• Gauhar, Vineet
• Somani, Bhaskar Kumar

Titel

Outcomes and lessons learnt from practice of retrograde intrarenal surgery (RIRS) in a paediatric setting of various age groups: a global study across 8 centres

Ist Teil von

• World journal of urology, 2022-05, Vol.40 (5), p.1223-1229

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2022

Quelle

SpringerLink

Beschreibungen/Notizen

• Purpose 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 A retrospective review of anonymized 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; defined as endoscopically stone free and/or residual fragments < 2 mm on follow up imaging) were analysed. The cohort was stratified into 3 groups by age: < 5 years (Group A), 5–10 years (Group B) and > 10 years (Group C). Overall, post-operative complication rate was 13.7%. Chi-square comparisons were used for categorical variables; analysis of variance (ANOVA) or Kruskal–Wallis tests were used for continuous variables. Results 314 patients were analysed. The mean age was 9.54 ± 4.76 years. Groups A, B and C had 67 (21.3%), 83 (26.4%) and 164 (52.2%) patients, respectively. Mean stone size was 10.7 ± 4.62 mm. Pre-stenting was performed in 155 (49.4%) of patients, ureteral access sheaths (UAS) was used in 54.5% of patients with majority (71%) utilizing holmium laser for stone fragmentation. All complications were minor (Clavien–Dindo grade 1 and 2). SFR was 75.5%. Conclusions RIRS is acceptable as a first-line intervention in the paediatric population with reasonable efficacy and low morbidity. Complications are slightly higher in patients < 5 years of age, which should be taken into account while counselling patients.