{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T19:57:36Z","timestamp":1793044656289,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>To date, some data available in literature on simultaneous bilateral endoscopic surgery (SBES) have shown good outcomes in terms of both effectiveness and safety. The aim of this study was to report the outcomes pertaining to the effectiveness and safety of SBES performed in our series of patients with bilateral renal stones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Materials and Methods<\/jats:italic>\n                      :\n                    <\/jats:title>\n                    <jats:p>A prospective analysis of consecutive patients who underwent SBES for bilateral renal stones at our institution between June 2017 and September 2021 was performed. Routine preoperative and 1-month postoperative work-up included history, physical examination, urinalysis, urine culture, and blood tests, including the evaluation of estimated glomerular filtration rate using the Cockcroft-Gault equation. An abdominal noncontrast CT scan was performed in all cases preoperatively and 1 month postoperatively. Peri-\/postoperative complications were reported according to the Clavien-Dindo classification system. The primary endpoint of the study was stone-free rate (SFR), and the secondary endpoints were Clavien-Dindo complications grade 1 or higher.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Altogether, 101 patients met the inclusion criteria and were enrolled in the study. SFR for all renal units was achieved in 82 patients (81.1%) at the 1-month follow-up. Twelve patients underwent additional flexible ureteroscopy for residual fragments, and 7 asymptomatic patients with single small residual fragment were observed. Eighteen patients (17.8%) experienced Clavien-Dindo Grade I\u2013II complications, whereas one patient (1%) experienced Clavien-Dindo Grade IIIa complication (renal arteriovenous fistula embolization under local anesthesia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Conclusions<\/jats:italic>\n                      :\n                    <\/jats:title>\n                    <jats:p>SBES is a safe and effective procedure for the treatment of bilateral renal stones. Further randomized studies with larger populations are needed to confirm these favorable outcomes of SBES to establish it as an alternative to staged surgeries in patients with bilateral renal stones. Appropriate patient selection is of paramount importance for achieving good outcomes without experiencing severe complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2022.0013","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T03:37:21Z","timestamp":1649821041000},"page":"1155-1160","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Simultaneous Bilateral Endoscopic Surgery (SBES): Is It Ready for Prime Time?"],"prefix":"10.1177","volume":"36","author":[{"given":"Silvia","family":"Proietti","sequence":"first","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9848-9788","authenticated-orcid":false,"given":"Maria Pia","family":"Pavia","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."},{"name":"Department of Urology, University Hospital \u201cOspedale Riuniti,\u201d Marche Polytechnic University, Ancona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9354-3570","authenticated-orcid":false,"given":"Luis","family":"Rico","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."},{"name":"Department of Urology, Hospital Aleman de Buenos Aires, Ciudad de Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6239-9078","authenticated-orcid":false,"given":"Mario","family":"Basulto-Martinez","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."},{"name":"Department of Urology, Hospital Regional de Alta Especialidad de la Pen\u00ecnsula de Yucat\u00e0n, Merida, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuyi","family":"Yeow","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."},{"name":"Department of Urology, Tan Tock Seng Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Contreras","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital \u201cOspedale Riuniti,\u201d Marche Polytechnic University, Ancona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Galosi","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital \u201cOspedale Riuniti,\u201d Marche Polytechnic University, Ancona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco","family":"Gaboardi","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Giusti","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.03.052"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2003.00917.x"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1979.173"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0123"},{"key":"e_1_3_4_6_2","unstructured":"Lee SLJ Koh LT Ng KK Ng FC. 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