Objective
To examine the safety and efficacy of Endoscopic combined intrarenal surgery (ECIRS)
between the lateral decubitus (LD) and Galdakao-modified supine Valdivia (GMSV) position.
Methods
We retrospectively reviewed the records of 226 patients with renal stones who underwent
ECIRS in the LD and GMSV positions between 2018 and 2022. Surgeries early in the study
period were mainly performed in the GMSV position, while later surgeries were mainly
performed in the LD position.
Results
The number of patients in the LD and GMSV groups was 119 and 107, respectively. The
proportion of patients who had no residual stone fragments >2 mm detected on radiography
the day after surgery did not significantly differ between the LD group (91.6%) and
the GMSV group (97.2%). Operation time was significantly shorter in the LD group (72
vs 81 minutes; P = .02). Total fluoroscopy time was significantly shorter in the LD group (92 vs 189 seconds;
P<.001). Complication rates did not significantly differ between the groups. Among
the variables analyzed, the patient position was independently impact on the fluoroscopy
time (OR 0.309; 95% CI, 0.167-0.571; P<.001).
Conclusion
ECIRS in the LD position is safe and effective and associated with shorter fluoroscopy
than the GSMV position.
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Article Info
Publication History
Published online: November 09, 2022
Accepted:
October 26,
2022
Received:
May 19,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
