Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
Aplicaciones clínicas, experimentales y resultados del uso de diferentes dispositivos de aspiración en la cirugía intrarrenal retrógrada. Revisión sistemática. / Giulioni, C.; Castellani, D.; Traxer, O.; Gadzhiev, N.; Pirola, G.M.; Tanidir, Y.; Da Silva, R.D.; Glover, X.; Giusti, G.; Proietti, S.; Mulawkar, P.M.; De Stefano, V.; Cormio, A.; Teoh, J.Y.-C.; Galosi, A.B.; Somani, B.K.; Emiliani, E.; Gauhar, V.
в: Actas Urologicas Espanolas, Том 48, № 1, 01.2024, стр. 57-70.Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
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TY - JOUR
T1 - Aplicaciones clínicas, experimentales y resultados del uso de diferentes dispositivos de aspiración en la cirugía intrarrenal retrógrada. Revisión sistemática
AU - Giulioni, C.
AU - Castellani, D.
AU - Traxer, O.
AU - Gadzhiev, N.
AU - Pirola, G.M.
AU - Tanidir, Y.
AU - Da Silva, R.D.
AU - Glover, X.
AU - Giusti, G.
AU - Proietti, S.
AU - Mulawkar, P.M.
AU - De Stefano, V.
AU - Cormio, A.
AU - Teoh, J.Y.-C.
AU - Galosi, A.B.
AU - Somani, B.K.
AU - Emiliani, E.
AU - Gauhar, V.
PY - 2024/1
Y1 - 2024/1
N2 - Objective: To identify the latest advances in suction devices and evaluate their effect in Retrograde intrarenal surgery (RIRS) and ureteroscopy for stones. Basic procedures: A systematic literature search was performed on 4 th January 2023 using Scopus, PubMed, and EMBASE. Only English papers were included; both pediatric and adult studies were accepted. Duplicate studies, case reports, letters to the editor, and meeting abstracts were excluded. Main findings: Twenty-one papers were selected. Several methods have been proposed for suction use in RIRS, such as through the ureteral access sheath or directly to the scope. Artificial intelligence can also regulate this system, monitoring pressure and perfusion flow values. All the proposed techniques showed satisfactory perioperative results for operative time, stone-free rate (SFR), and residual fragments. Moreover, the reduction of intrarenal pressure (induced by aspiration) was also associated with a lower infection rate. Even the studies that considered kidney stones with a diameter of 20 mm or higher reported higher SFR and reduced postoperative complications. However, the lack of well-defined settings for suction pressure and fluid flow prevents the standardization of the procedure. Conclusion: Aspiration device in the surgical treatment of urinary stones favours a higher SFR, reducing infectious complications, as supported by the included studies. RIRS with a suction system provided to be a natural successor to the traditional technique, regulating intrarenal pressure and aspirating fine dust.
AB - Objective: To identify the latest advances in suction devices and evaluate their effect in Retrograde intrarenal surgery (RIRS) and ureteroscopy for stones. Basic procedures: A systematic literature search was performed on 4 th January 2023 using Scopus, PubMed, and EMBASE. Only English papers were included; both pediatric and adult studies were accepted. Duplicate studies, case reports, letters to the editor, and meeting abstracts were excluded. Main findings: Twenty-one papers were selected. Several methods have been proposed for suction use in RIRS, such as through the ureteral access sheath or directly to the scope. Artificial intelligence can also regulate this system, monitoring pressure and perfusion flow values. All the proposed techniques showed satisfactory perioperative results for operative time, stone-free rate (SFR), and residual fragments. Moreover, the reduction of intrarenal pressure (induced by aspiration) was also associated with a lower infection rate. Even the studies that considered kidney stones with a diameter of 20 mm or higher reported higher SFR and reduced postoperative complications. However, the lack of well-defined settings for suction pressure and fluid flow prevents the standardization of the procedure. Conclusion: Aspiration device in the surgical treatment of urinary stones favours a higher SFR, reducing infectious complications, as supported by the included studies. RIRS with a suction system provided to be a natural successor to the traditional technique, regulating intrarenal pressure and aspirating fine dust.
KW - Infectious complication
KW - Retrograde intrarenal surgery
KW - Stone-free rate
KW - Suction device
UR - https://www.mendeley.com/catalogue/3fbb8747-923d-33c0-9d05-4f5d581e8072/
U2 - 10.1016/j.acuro.2023.02.008
DO - 10.1016/j.acuro.2023.02.008
M3 - статья
VL - 48
SP - 57
EP - 70
JO - Actas Urologicas Espanolas
JF - Actas Urologicas Espanolas
SN - 0210-4806
IS - 1
ER -
ID: 116247831