Uluslararası Ürolitiyazis Birliği (IAU) Retrograd İntrarenal Cerrahi Kılavuzu

Cahit Şahin; Emre Burak Şahinler; Salih Yıldırım; Kemal Sarıca

doi:10.54233/endourologybull-1370339

Derleme

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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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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