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• W2000788905 abstract "No AccessJournal of UrologyAdult Urology1 Apr 2012Management of Single Large Nonstaghorn Renal Stones in the CROES PCNL Global Study Wei Xue, Dalibor Pacik, Willem Boellaard, Alberto Breda, Mircea Botoca, Jens Rassweiler, Ben Van Cleynenbreugel, Jean de la Rosette, and CROES PCNL Study Group Wei XueWei Xue Department of Urology, Renji Hospital, Shanghai Jiaotong University Medical School, Shanghai, People's Republic of China More articles by this author , Dalibor PacikDalibor Pacik Department of Urology, University Hospital Brno, Medical School Masaryk University, Brno, Czech Republic More articles by this author , Willem BoellaardWillem Boellaard Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands More articles by this author , Alberto BredaAlberto Breda Department of Urology, Fundació Puigvert Hospital, Barcelona, Spain More articles by this author , Mircea BotocaMircea Botoca Department of Urology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania More articles by this author , Jens RassweilerJens Rassweiler Department of Urology, Stadt- und Landkreis-Klinikum am Gesundbrunnen, Heilbronn, Germany More articles by this author , Ben Van CleynenbreugelBen Van Cleynenbreugel Department of Urology, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium More articles by this author , Jean de la RosetteJean de la Rosette Department of Urology, Academic Medical Center University Hospital, Amsterdam, The Netherlands Financial interest and/or other relationship with Boston Scientific and Cook. More articles by this author , and CROES PCNL Study Group More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.11.113AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared stone characteristics and outcomes in patients with a single large nonstaghorn renal calculus treated with percutaneous nephrolithotomy in the Clinical Research Office of Endourological Society global study. Materials and Methods: Two statistical analyses were done, including one comparing renal stone size (20 to 30, 31 to 40 and 41 to 60 mm) and the other comparing renal stone site (pelvis, or upper, mid or lower calyx). Surgical outcomes, including operative time, hospital stay, stone-free rate and postoperative fever, were compared between groups. Fitness for surgery was assessed using the American Society of Anesthesiologists scoring system. Severity of postoperative complications was graded with the modified Clavien classification. Results: Of 1,448 stones 1,202 (83%) were 20 to 30 mm, 202 (14%) were 31 to 40 mm and 44 (3%) were 41 to 60 mm. Of the large stones 73% were located in the renal pelvis. A statistically significantly lower stone-free rate, and higher postoperative fever and blood transfusion rates were seen with increased calculous size. With increased American Society of Anesthesiologists score the proportion of large stones in the calyces increased. At a score of III the proportion of large stones in the calyces was more than twice that of stones in the renal pelvis (13.5% vs 5.7%). Generally more patients with large calyceal than large pelvic stones had postoperative complications across the range of Clavien scores from I to IIIB. Conclusions: Calyceal site was associated with decreased fitness for surgery and an increased risk of postoperative complications compared to renal site. An increase in stone size results in a lower stone-free rate, and higher rates of postoperative fever and blood transfusion. References 1 : Guidelines in urolithiasis. European Association Urology2011; . http://www.uroweb.org/gls/pdf/18_Urolithiasis.pdf. Accessed May 13, 2011. Google Scholar 2 : Percutaneous nephrolithotomy and its legacy. Eur Urol2005; 47: 22. Google Scholar 3 : Chronic renal failure and nephrolithiasis in a solitary kidney: role of intervention. J Urol1997; 157: 1574. Link, Google Scholar 4 : Percutaneous nephrolithotomy and the solitary kidney. J Urol1991; 145: 477. Link, Google Scholar 5 : Long-term comparison of renal function in patients with solitary kidneys and/or moderate renal insufficiency undergoing extracorporeal shock wave lithotripsy or percutaneous nephrolithotomy. J Urol1992; 147: 1226. 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Google Scholar © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byAssimos D (2018) Re: Mini vs Standard Percutaneous Nephrolithotomy for Renal Stones: A Comparative StudyJournal of Urology, VOL. 200, NO. 4, (693-693), Online publication date: 1-Oct-2018.Skolarikos A, Gross A, Krebs A, Unal D, Bercowsky E, Eltahawy E, Somani B and de la Rosette J (2015) Outcomes of Flexible Ureterorenoscopy for Solitary Renal Stones in the CROES URS Global StudyJournal of Urology, VOL. 194, NO. 1, (137-143), Online publication date: 1-Jul-2015. Volume 187Issue 4April 2012Page: 1293-1297 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.KeywordskidneypercutaneousnephrostomyEuropekidney calculikidney pelvisMetricsAuthor Information Wei Xue Department of Urology, Renji Hospital, Shanghai Jiaotong University Medical School, Shanghai, People's Republic of China More articles by this author Dalibor Pacik Department of Urology, University Hospital Brno, Medical School Masaryk University, Brno, Czech Republic More articles by this author Willem Boellaard Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands More articles by this author Alberto Breda Department of Urology, Fundació Puigvert Hospital, Barcelona, Spain More articles by this author Mircea Botoca Department of Urology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania More articles by this author Jens Rassweiler Department of Urology, Stadt- und Landkreis-Klinikum am Gesundbrunnen, Heilbronn, Germany More articles by this author Ben Van Cleynenbreugel Department of Urology, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium More articles by this author Jean de la Rosette Department of Urology, Academic Medical Center University Hospital, Amsterdam, The Netherlands Financial interest and/or other relationship with Boston Scientific and Cook. More articles by this author CROES PCNL Study Group More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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