Application of Suctioning Ureteral Access Sheath during Flexible Ureteroscopy for Renal Stones Decreases the Risk of Postoperative Systemic Inflammatory Response Syndrome

Purpose. To clarify the efficiency and outcomes of suctioning ureteral access sheath (UAS) during flexible ureteroscopic lithotripsy (fURL) for the management of renal stones. Methods. Between January 2017 and January 2019, a total of 444 patients with renal stones undergoing fURL were divided into...

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Published in:International journal of clinical practice (Esher) 2022, Vol.2022, p.9354714-7
Main Authors: Qian, Xiaoyuan, Liu, Chenqian, Hong, Senyuan, Xu, Jinzhou, Qian, Can, Zhu, Jianning, Wang, Shaogang, Zhang, Jiaqiao
Format: Article
Language:English
Subjects:
Blood
Calculi
Diabetes
Fever
Humans
Hypertension
Implants
Inflammation
Kidney Calculi - complications
Kidney Calculi - surgery
Kidney stones
Kidneys
Leukocytes
Lithotripsy
Nephrolithiasis
Patients
Regression analysis
Retrospective Studies
Stents
Suctioning
Surgery
Systemic inflammatory response syndrome
Systemic Inflammatory Response Syndrome - complications
Systemic Inflammatory Response Syndrome - prevention & control
Ureteroscopy - adverse effects
Urine
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Summary:Purpose. To clarify the efficiency and outcomes of suctioning ureteral access sheath (UAS) during flexible ureteroscopic lithotripsy (fURL) for the management of renal stones. Methods. Between January 2017 and January 2019, a total of 444 patients with renal stones undergoing fURL were divided into suctioning UAS and nonsuctioning UAS groups. The outcomes of patients in both groups were compared using a matched-pair analysis (1 : 1 scenario). Furthermore, a directed acyclic graph (DAG) was drawn to guide the multivariate logistic regression model and analyze the protective effect of suctioning UAS on the incidence of postoperative systemic inflammatory response syndrome (SIRS). Results. Before propensity score matching, significant differences were observed between the two groups in blood white cell counts, urine white cell counts, preoperative fever, preoperative indwelling stents, and laterality (P
ISSN:1368-5031
1742-1241
DOI:10.1155/2022/9354714