The Outcome of Retrograde Intrarenal Surgery for Renal Stone at Detudom Royal Crown Prince hospital
Keywords:
renal stone, renal calculi, retrograde intrarenal surgery, flexible ureteroscope, stone free rateAbstract
This study aimed to evaluate the outcome of Retrograde Intrarenal Surgery (RIRS) for renal stone at Detudom Royal Crown Prince Hospital. A retrospective descriptive study was conducted. The samples were the patients who underwent RIRS from 1 August 2020 to 31 August 2022. The medical record (HOS-XP) were retrospectively evaluated. Patient data included demographic data, stone characteristics, perioperative outcome and success rate. Data were analyzed based on descriptive statistics, namely percentage, mean and standard deviation.
The results found 42 patients that most of patient was male (64.30%), mean patient age was 52.60 years. The average stone sizes were 23.00+7.00 mm. with 57.10% larger than 20.00 mm. The most common stone was located renal pelvis (52.40%). The average time of operation and laser were 40.38 (SD+15.68) minutes and 26.90 (SD+14.23) minutes respectively. The mean time of hospitalization was 3.24 (SD+0.62) days. Fever was the most common complication after operations (23.80%). The stone free rate was 61.10% in stone size 10.00-20.00 mm. compared with 50.00 % in stone size >20.00 mm. Regarding stone location, the SFR was 100.00% in upper pole, 33.30% in middle pole, 25.00% in lower pole, 59.10% in renal pelvis and 66.70% in UPJ given the overall SFR of 73.80%. which size of the stone location of gallstones There was no statistically significant correlation with the rate of stone disappearance. In conclusion, RIRS is a minimally invasive procedure with satisfactory outcomes and low complications.
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