Analysis of clinical factors associated with intraoperative and postoperative complications of retrograde intrarenal surgery

J Pak Med Assoc. 2021 Jun;71(6):1666-1670. doi: 10.47391/JPMA.449.

Abstract

The aim of this study was to evaluate the factors affecting intraoperative and postoperative complications in retrograde intrarenal surgery. In this retrospective cohort study, 706 retrograde intrarenal surgery procedures administered to 617 patients were reviewed. Intraoperative and postoperative complications were classified according to the modified Satava and modified Clavien classification systems. The stone-free rate was 407 (57.6%) and the success rate was 528 (74.8%). Intraoperative complications were observed in 215 (30.5%) patients. The most common intraoperative complication was mild bleeding 60(8.5%), while the only independent risk factor associated with intraoperative complications was the presence of residual stones. Postoperative complications were observed in 190 (26.9%) patients. The most common postoperative complication was fever requiring antipyretic drugs 60(8.6%), while independent risk factors associated with postoperative complications were the presence of residual stones and solitary kidney.

Keywords: Stone, RIRS, Modified Clavien, Modified Satava..

MeSH terms

  • Humans
  • Kidney / surgery
  • Kidney Calculi* / surgery
  • Postoperative Complications / epidemiology
  • Retrospective Studies
  • Treatment Outcome