Research Article

RIRS with Vacuum-Assisted Ureteral Access Sheath versus MPCNL for the Treatment of 2-4 cm Renal Stone

Table 2

Perioperative and postoperative data of patients.

VariableGroup A (RIRS)Group B (MPCNL) value
28 patients56 patients

Fluoroscopy time (min), mean (SD), range1.6 (0.5), 0.8-3.54.4 (2.1), 2-10<0.001
Operative time (min), mean (SD), range72.4 (21.3), 42-10667.4 (25), 44-1140.042
Hospitalization stay (days), mean (SD), range4.3 (2.9), 2-106.1 (3.2), 2-20<0.001
Hemoglobin drop (g/dL), mean (SD)0.5 (0.21), 0.1-0.71.9 (1.3), 0.5-4<0.001
Complication (modified Clavien classification), no. (%)6 (21.4%)13 (23.2%)0.854
 Grade I38
  Fever25
  Emesis13
 Grade II14
  Infection12
  Blood transfusion02
 Grade IIIa11
  Perforation11
 Grade IIIb10
  Steinstrasse10
Pain visual analogue score (1–10), mean (SD), range
 At 6 h3.3 (1.3), 2-55.4 (1.1), 4-8<0.001
 At 24 h2.0 (0.9), 2-54.2 (1.2), 3-8<0.001
 At 48 h1.1 (0.3), 1-32.8 (1.4), 1-5<0.001
Postoperative analgesics (diclofenac sodium), no. (%)4 (14.3%)23 (41.1%)0.013
Initial stone-free rate, no. (%)14 (50%)41 (73.2%)0.035
Final stone-free rate, no. (%)25 (89.3%)52 (92.9%)0.681
Residual size (mm), mean (SD), range21.1 (1.3), 15-2225.1 (2.4), 13-230.06
Auxiliary procedures, no. (%)12 (42.9%)14 (25%)0.095
 Second-stage RIRS12
 Second-look PCNL+RIRS14
Procedure per patient, mean (SD), range1.43 (0.48), 1-21.25 (0.44), 1-20.255
Stone composition, no. (%)0.8
 Calcium oxalate11 (39.3%)28 (50%)
 Calcium oxalate and phosphate6 (21.4%)11 (19.6%)
 Uric acid4 (14.3%)7 (12.5%)
 Struvite7 (25%)10 (17.9%)