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International Urolithiasis Union (IAU) Retrograde Intrarenal Surgery Guide

Yıl 2024, Cilt: 16 Sayı: 1, 34 - 39, 31.01.2024

Cahit Şahin Emre Burak Şahinler Salih Yıldırım Kemal Sarıca

https://doi.org/10.54233/endourologybull-1370339

Öz

The purpose of the review is to set out the second guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS).
While creating the recommendations, the PubMed database, systematic reviews and evaluations were used to scan the literature on RIRS published between January 1, 1964 and October 1 2021, and the “modified GRADE” methodology was used for the recommendations. Besides, the level of evidence for the recommendations was determined based on the “Oxford Center for Evidence-Based Medicine Levels of Evidence System” criteria.
Regarding RIRS clinical applications, contraindications; preoperative imaging; preoperative stent placement; preoperative medications; perioperative antibiotics; management of antithrombotic therapy; anesthesia; position of the patient; required tool infrastructure; lithotripsy; 36 recommendations covering surgery termination and complications were developed and graded.
The series of recommendations have been along with the related commentary and supporting documentation in order to obtain effective and safe results in RIRS.

Anahtar Kelimeler

guideline urolithiasis treatment retrograde intrarenal surgery RIRS flexible ureterorenoscopy kidneystone endourology

Kaynakça

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Uluslararası Ürolitiyazis Birliği (IAU) Retrograd İntrarenal Cerrahi Kılavuzu

Yıl 2024, Cilt: 16 Sayı: 1, 34 - 39, 31.01.2024

Cahit Şahin Emre Burak Şahinler Salih Yıldırım Kemal Sarıca

https://doi.org/10.54233/endourologybull-1370339

Öz

Uluslararası Ürolitiyazis Birliği (IAU) tarafından taş hastalığı (ürolitiyazis)’nın tedavisine ilişkin bir dizi kılavuzun ikincisini belirlemek ve ürologlar için retrograd intrarenal cerrahi (RIRC) ile ilgili klinik standardize yaklaşımlar sağlamaktır.
Öneriler oluşturulurken 1 Ocak 1964 ile 1 Ekim 2021 arasında yayınlanan RİRC ile ilgili literatürün taranması amacıyla PubMed veri tabanı, sistematik derlemeler ve değerlendirmeler kullanıldı, önerilen tavsiyelerin derecelendirmesi amacıyla “modifiye GRADE’’ metodolojisinden yararlanıldı . Ek olarak, öneriler için kanıt seviyesi ise “Oxford Kanıta Dayalı Tıp Merkezi Kanıt Düzeyleri Sistemi” kriterleri baz alınarak belirlendi. Sonuçlar üzerine yorum yapıldı.
RİRC klinik uygulamaları ile ilgili olarak, kontrendikasyonlar; ameliyat öncesi görüntüleme; preoperatif stent yerleştirme; ameliyat öncesi ilaçlar; perioperatif antibiyotikler; antitrombotik tedavinin yönetimi; anestezi; hasta pozisyonu; gerekli alet; litotripsi; ameliyat sonlandırma ve komplikasyonları kapsayan 36 öneri geliştirildi ve derecelendirildi.
Klinik RİRC uygulamalarında etkili ve güvenli sonuçlar alınması amacıyla kanıta dayalı veriler ışığında gerekli tavsiyelerde bulunulmuştur.

Anahtar Kelimeler

böbrek taşları endoüroloji fleksibl üreterorenoskopi kılavuz ürolitiyazis retrogradintrarenal cerrahi RIRC tedavi

Kaynakça

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  • 93. Ito K, Takahashi T, Somiya S, Kanno T, Higashi Y, Yamada H. Predictors of repeat surgery and stone-related events after flexible ureteroscopy for renal stones. Urology. 2021;154:96-102. https://doi.org/10.1016/j.urology.2021.02.025
  • 94. Grosso AA, Sessa F, Campi R et al. Intraoperative and postoperative surgical complications after ureteroscopy, retrograde intrarenal surgery, and percutaneous nephrolithotomy: a systematic review. Minerva Urol Nephrol. 2021;73:309-32. https://doi.org/10.23736/S2724-6051.21.04294-4
  • 95. Ozden C, Oztekin CV, Pasali S et al. Analysis of clinical factors associated with intraoperative and postoperative complications of retrograde intrarenal surgery. J Pak Med Assoc. 2021;71:1666-70. https://doi.org/10.47391/JPMA.449
  • 96. Akilov FA, Giyasov SI, Mukhtarov ST, Nasirov FR, Alidjanov JF. Applicability of the Clavien-Dindo grading system for assessing the postoperative complications of endoscopic surgery for nephrolithiasis: a critical review. Turk J Urol. 2013;39:153-60. https://doi.org/10.5152/tud.2013.032
  • 97. Xu Y, Min Z, Wan SP, Nie H, Duan G. Complications of retrograde intrarenal surgery classified by the modified Clavien grading system. Urolithiasis. 2018;46:197-202. https://doi.org/10.1007/s00240-017-0961-6
  • 98. Ibrahim AK. Reporting ureteroscopy complications using the modified clavien classification system. Urol Ann. 2015;7:53-7. https://doi.org/10.4103/0974-7796.148611
  • 99. Kramolowsky EV. Ureteral perforation during ureterorenoscopy: treatment and management. J Urol. 1987;138:36-8. https://doi.org/10.1016/s0022-5347(17)42979-x
  • 100. Bonkat G, Cai T, Veeratterapillay R et al. Management of urosepsis in 2018. Eur Urol Focus. 2019;5:5-9. https://doi.org/10.1016/j.euf.2018.11.003
Toplam 100 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Üroloji
Bölüm Derleme
Yazarlar

Cahit Şahin 0000-0002-5018-371X

Emre Burak Şahinler 0000-0002-4553-0027

Salih Yıldırım 0000-0002-5336-7311

Kemal Sarıca 0000-0002-4136-7584

Yayımlanma Tarihi 31 Ocak 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 16 Sayı: 1

Kaynak Göster

Vancouver Şahin C, Şahinler EB, Yıldırım S, Sarıca K. Uluslararası Ürolitiyazis Birliği (IAU) Retrograd İntrarenal Cerrahi Kılavuzu. Endourol Bull. 2024;16(1):34-9.
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