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논문 기본 정보

자료유형
학술저널
저자정보
Chu Ann Chai (Division of Urology, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.) Takaaki Inoue (Hara Genitourinary Hospital) Bhaskar Kumar Somani (Department of Urology, University Hospitals Southampton, NHS Trust, Southampton, UK.) Steffi Kar Kei Yuen (SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.) Deepak Ragoori (Department of Urology, Asian Institute of Nephrology & Urology, Irram Manzil Colony, Hyderabad, India.) Nariman Gadzhiev (Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia.) Yiloren Tanidir (Marmara University School of Medicine) Esteban Emiliani (Department of Urology, Fundación Puigvert. Universidad Autónoma de Barcelona, Barcelona, Spain.) Saeed Bin Hamri (Division of Urology, Department of Surgery, Ministry of the National Guard Health Affairs, King Saud Bin Abdulaziz University, Jeddah, Saudi Arabia.) Mohamed Amine Lakmichi (Department of Urology, University Hospital Mohammed the VIth of Marrakesh, Marrakesh, Morocco.) Vaddi Chandramohan (Department of Urology, Preeti Urology and Kidney Hospital, Hyderabad, India.) Angelo Naselli (San Giuseppe Hosp, Italy) Boyke Soebhali (Department of Urology, Abdul Wahab Sjahranie Hospital Medical Faculty, Muliawarman University, Samarinda, Indonesia.) Mehmet Ilker Gokce (Department of Urology, Ankara University School of Medicine, Ankara, Türkiye.) Azimdjon N. Tursunkulov (Urology Division, AkfaMedline Hospital, Tashkent, Uzbekistan.) Fernando Ramón de Fata Chillón (Department of Urology, Clinica Universidad de Navarra, Madrid, Spain.) Ben H. Chew (University of British Columbia) Olivier Traxer (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Università Politecnica delle Marche, Ancona, Italy.) Daniele Castellani (Department of Urology, Sorbonne University, Tenon Hospital, AP-HP, Paris, France.) Vineet Gauhar (Department of Urology, Ng Teng Fong General Hospital, NUHS, Jurong East, Singapore.)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.65 No.5
발행연도
2024.9
수록면
451 - 458 (8page)
DOI
https://doi.org/10.4111/icu.20240185

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Purpose: Traditionally, bilateral urolithiasis treatment involved staged interventions due to safety concerns. Recent studies have shown that same-sitting bilateral retrograde intrarenal surgery (SSB-RIRS) is effective, with acceptable complication rates. However, there’s no clear data on the optimum laser for the procedure. This study aimed to assess outcomes of SSB-RIRS comparing thulium fiber laser (TFL) and high-power holmium:yttrium-aluminum-garnet (Ho:YAG) laser in a multicenter real-world practice. Materials and Methods: Retrospective analysis was conducted on patients undergoing SSB-RIRS from January 2015 to June 2022 across 21 centers worldwide. Three months perioperative and postoperative outcomes were recorded, focusing on complications and stone-free rates (SFR). Results: A total of 733 patients were included, with 415 in group 1 (Ho:YAG) and 318 in group 2 (TFL). Both groups have similar demographic and stone characteristics. Group 1 had more incidence of symptomatic pain or hematuria (26.5% vs. 10.4%). Operation and lasing times were comparable. The use of baskets was higher in group 1 (47.2% vs. 18.9%, p<0.001). Postoperative complications and length of hospital stay were similar. Group 2 had a higher overall SFR. Multivariate regression analysis indicated that age, presence of stone at the lower pole, and stone diameter were associated with lower odds of being stone-free bilaterally, while TFL was associated with higher odds. Conclusions: Our study shows that urologists use both lasers equally for SSB-RIRS. Reintervention rates are low, safety profiles are comparable, and single-stage bilateral SFR may be better in certain cases. Bilateral lower pole and large-volume stones have higher chances of residual fragments.
#Endoscopy #Laser #Ureteroscopy #Urinary tract stones #Urolithiasis

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