European Association of Urology Section of Urolithiasis and International Alliance of Urolithiasis Joint Consensus on Retrograde Intrarenal Surgery for the Management of Renal Stones

被引：24

作者：

Zeng, Guohua ^{[1
,2
]}

Zhao, Zhijian ^{[1
,2
]}

Mazzon, Giorgio ^{[3
]}

Pearle, Margaret ^{[4
]}

Choong, Simon ^{[5
]}

Skolarikos, Andreas ^{[6
]}

Denstedt, John ^{[7
]}

Seitz, Christian ^{[8
]}

Pasada, Daniel Olvera ^{[9
]}

Fiori, Cristian ^{[10
]}

Bosio, Andrea ^{[11
]}

Papatsoris, Athanasios ^{[12
]}

Probst, Carlos Enrique Mendez ^{[13
]}

Fentes, Daniel Perez ^{[14
]}

Git, Kah Ann ^{[15
]}

Wu, Qinghui ^{[16
]}

Wiseman, Oliver ^{[17
]}

Emiliani, Esteban ^{[18
]}

Farahat, Yasser ^{[19
]}

Gokce, Mehmet Ilker ^{[20
]}

Giannakopoulos, Stilianos ^{[21
]}

Kartalas, Ioannis Goumas ^{[22
]}

Somani, Bhaskar ^{[23
]}

Knoll, Thomas ^{[24
]}

de la Rosette, Jean ^{[25
]}

Zhong, Jiehui ^{[1
,2
]}

Maroccolo, Marcus Vinicius ^{[26
]}

Saltirov, Lliya ^{[27
]}

Chew, Ben ^{[28
]}

Wang, Kunjie ^{[29
]}

Lahme, Sven ^{[30
]}

Giusti, Guido ^{[31
]}

Ferretti, Stefania ^{[32
]}

Cho, Sung Yong ^{[33
]}

Geavlete, Petrisor ^{[34
]}

Cansino, Ramon ^{[35
]}

Kamphuis, Guido M. ^{[36
]}

Smith, Daron ^{[5
]}

Matlaga, Brian R. ^{[37
]}

Ghani, Khurshid D. ^{[38
]}

Bernardo, Norberto ^{[39
]}

Silva, Andres D. ^{[40
]}

Ng, Anthony C. F. ^{[41
]}

Yang, Sixing ^{[42
]}

Gao, Xiaofeng ^{[43
]}

Traxer, Olivier ^{[44
]}

Miernik, Arkadiusz ^{[45
]}

Liatsikos, Evangelos ^{[46
]}

Parikh, Kandarp Priyakant ^{[47
]}

Duvdevani, Mordechai ^{[48
]}

机构：

[1] Guangzhou Med Univ, Dept Urol, Affiliated Hosp 1, Guangzhou, Peoples R China

[2] Guangzhou Med Univ, Guangdong Key Lab Urol, Affiliated Hosp 1, Guangzhou, Peoples R China

[3] San Bassiano Hosp, Dept Urol, Vicenza, Italy

[4] Univ Texas Southwestern Med Ctr, Dept Urol, Dallas, TX USA

[5] Univ Coll Hosp London, Inst Urol, London, England

[6] Sismanoglio Gen Hosp, Dept Urol 2, Athens, Greece

[7] Western Univ, Div Urol, London, ON, Canada

[8] Med Univ Vienna, Vienna Gen Hosp, Dept Urol, Vienna, Austria

[9] TecSalud, Hosp Zambrano Hellion, Dept Urol, San Pedro Garza Garcia, Mexico

[10] Univ Turin, San Luigi Gonzaga Hosp, Dept Urol, Turin, Italy

[11] Molinette Univ Hosp, Dept Urol, Citta Salute & Sci, Turin, Italy

[12] Sismanoglio Gen Hosp, Dept Urol, Athens, Greece

[13] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Urol, Mexico City, DF, Mexico

[14] Univ Hosp Complex Santiago de Compostela, Dept Urol, Santiago De Compostela, Spain

[15] Pantai Hosp, Dept Urol, Bayan Lepas, Penang, Malaysia

[16] Natl Univ Singapore Hosp, Urol Ctr, Singapore, Singapore

[17] Cambridge Univ Hosp, Dept Urol, Cambridge, England

[18] Fundacio Puigvert, Dept Urol, Barcelona, Spain

[19] Sheikh Khalifa Gen Hosp, Dept Urol, Umm Al Quwain, U Arab Emirates

[20] Ankara Univ, Dept Urol, Sch Med, Ankara, Turkey

[21] Democritus Univ Thrace, Dept Urol, Alexandroupolis, Greece

[22] Ist Clin Beato Matteo, Dept Urol, Vigevano, Italy

[23] Univ Hosp Southampton, Dept Urol, Southampton, Hants, England

[24] Mannheim Univ Hosp, Dept Urol, Mannheim, Germany

[25] Istanbul Medipol Univ, Medipol Mega Univ Hosp, Dept Urol, Istanbul, Turkey

[26] Hosp Base Fed Dist, Brasilia, DF, Brazil

[27] Mil Med Acad, Dept Urol & Nephrol, Sofia, Bulgaria

[28] Univ British Columbia, Dept Urol Sci, Vancouver, BC, Canada

[29] Sichuan Univ, Dept Urol, West China Hosp, Chengdu, Peoples R China

[30] Siloah St Trudpert Hosp, Dept Urol, Pforzheim, Germany

[31] IRCCS San Raffaele Hosp, Dept Urol, Milan, Italy

[32] Hosp & Univ Parma, Dept Urol, Parma, Italy

[33] Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Urol, Coll Med, Seoul, South Korea

[34] St John Emergency Clin Hosp, Dept Urol, Bucharest, Romania

[35] La Paz Univ Hosp, Dept Urol, Madrid, Spain

[36] Univ Amsterdam, Dept Urol, Amsterdam UMC, Amsterdam, Netherlands

[37] Johns Hopkins Univ, Dept Urol, Sch Med, Baltimore, MD USA

[38] Univ Michigan, Dept Urol, Ann Arbor, MI USA

[39] Hosp Clin Jose San Martin, Dept Urol, Buenos Aires, DF, Argentina

[40] Hosp Salvador, Dept Urol, Salvador, Chile

[41] Chinese Univ Hong Kong, Prince Wales Hosp, SH Ho Urol Ctr, Dept Surg, Hong Kong, Peoples R China

[42] Wuhan Univ, Dept Urol, Renmin Hosp, Wuhan, Peoples R China

[43] Second Mil Med Univ, Changhai Hosp, Dept Urol, Shanghai, Peoples R China

[44] Tenon Hosp, Dept Urol, Paris, France

[45] Univ Freiburg, Fac Med, Dept Urol, Med Ctr, Freiburg, Germany

[46] Univ Patras, Univ Hosp Patras, Dept Urol, Patras, Greece

[47] Shyam Urosurg Hosp, Minimal Access Surg Training Inst, Dept Genitourinary Surg, Ahmadabad, Gujarat, India

[48] Hadassah Hebrew Univ Hosp, Dept Urol, Jerusalem, Israel

[49] San Bassiano Hosp, Dept Urol, Bassano Del Grappa, Italy

[50] Nagoya City Univ, Dept Nephrourol, Grad Sch Med Sci, Nagoya, Japan

来源：

EUROPEAN UROLOGY FOCUS | 2022年 / 8卷 / 05期

关键词：

Retrograde intrarenal surgery; Expert consensus; Delphi process; FLEXIBLE URETERORENOSCOPY; SAFETY WIRE; URETEROSCOPY; COMPLICATIONS; GUIDELINE; KIDNEY; CLASSIFICATION; LITHOTRIPSY; EFFICACY; LARGER;

D O I：

10.1016/j.euf.2021.10.011

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Retrograde intrarenal surgery (RIRS) has become the preferred treatment modality for nephrolithiasis. However, because of ongoing uncertainties regarding the optimal perioperative management, operative technique, and postoperative follow-up, as well as a lack of standardization for outcome reporting, consensus is needed to achieve more uniform clinical practice worldwide. Objective: To develop recommendations for RIRS on the basis of existing data and expert consensus.Design, setting, and participants: A protocol-driven, three-phase study was conducted by the European Association of Urology Section of Urolithiasis (EULIS) and the International Alliance of Urolithiasis (IAU). The process included: (1) a nonsystematic review of the literature to define domains for discussion; (2) a two-round modified Delphi survey involving experts in this field; and (3) an additional group meeting and third-round survey involving 64 senior representative members to formulate the final conclusions.Outcome measurements and statistical analysis: The results from each previous round were returned to the participants for re-evaluation of their decisions during the next round. The agreement threshold was set at 70%.Results and limitations: The panel included 209 participants who developed 29 consen-sus statements on the following topics of interest: (1) perioperative infection manage-ment; (2) perioperative antithrombotic therapy; (3) fundamentals of the operative technique; and (4) standardized outcome reporting. Although this consensus can be con-sidered as a useful reference for more clinically oriented daily practice, we also acknowl-edge that a higher level of evidence from further clinical trials is needed.Conclusions: The consensus statements aim to guide and standardize clinical practice and research on RIRS and to recommend standardized outcome reporting.Patient summary: An international consensus on the best practice for minimally inva-sive surgery for kidney stones was organized and developed by two international soci-eties. It is anticipated that this consensus will provide further guidance to urologists and may help to improve clinical outcomes for patients.(c) 2021 European Association of Urology. Published by Elsevier B.V. All rights reserved.

引用

页码：1461 / 1468

页数：8

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