腎臟和近端輸尿管結石的處置：逆行性腎內手術的三年經驗

邱泰樺^1,2、耿俊閎^1,2、詹鎮豪^1,2、王巽玄^1,2、沈榮宗¹、曹曜軒^1,2、吳怡萱^1,2、李永進^1,2,

¹高雄市立小港醫院 泌尿科

²高雄醫學大學附設中和紀念醫院 泌尿部

Management of Renal and Proximal Ureteral Calculi: A Three-year Single-center Experience of Retrograde Intrarenal Surgery

Tai-Hua Chiu^1,2, Jiun-Hung Geng^1,2, Jhen-Hao Jhan^1,2, Hsun-Shuan Wang^1,2, Jung-Tsung Shen¹, Yao-Hsuan Tsao^1,2, Yi-Hsuan Wu^1,2, Yung-Chin Lee^1,2,

¹ Department of Urology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan,

² Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Purpose: To share our experience using for treating renal and proximal ureteral calculi by retrograde intrarenal surgery (RIRS).

Materials and Methods: Between July 2018 and August 2020, all patients with renal or proximal ureteral stones who underwent RIRS were retrospectively reported. Surgical details and outcomes were described to improve our experience and management of renal and proximal ureteral calculi.

Results: A total of 340 patients underwent RIRS. The mean patient age, stone size, operating time, and postoperative hospital stay were 56 years (range, 18-88 years), 13.2 mm (range, 1.0-42.1 mm), 61 minutes (range, 27-150), and 2.7 days (range, 2-6 days), respectively. There were 9 modified Clavien grade I and three grade II complications. No blood transfusions were necessary in this series. All patients were treated with double-J stents without a nephrostomy tube. The stone-free rates were 85.8% (103/120) for single stone < 20mm, 73% (14/19) for single stone ≧ 20mm, and 69.2% (139/201) for multiple stones.

Conclusions: Our preliminary data showed that RIRS is safe and effective for treating renal and proximal ureteral stones.