Super-mini PCNL (SMP) with suction versus standard PCNL for the management of renal calculi of 1.5 cm-3 cm: a randomized controlled study from a university teaching hospital.
Clavien–Dindo complications
Miniaturized
PCNL
Renal
Standard
Stone clearance
Stones
Suction
Super-mini
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
24 Apr 2024
24 Apr 2024
Historique:
received:
12
12
2023
accepted:
27
03
2024
medline:
25
4
2024
pubmed:
25
4
2024
entrez:
24
4
2024
Statut:
epublish
Résumé
To assess the safety and efficacy of super-mini PCNL (SMP, 14 Fr) when compared to standard PCNL (sPCNL, 24-30 Fr) in the management of renal calculi of size ranging from 1.5 to 3 cm. From February 2021 to January 2022, a total of 100 patients were randomized to either SMP group or sPCNL group in a 1:1 ratio (50 in each group) using computer-generated simple randomization. Demographic data, stone characteristics, operative times, perioperative complications, blood transfusions, postoperative drop in haemoglobin, postoperative pain, duration of hospital stay and stone-free rates were compared between the two groups. Mean stone volume (2.41 cm Super-mini PCNL is equally effective as standard PCNL in treating renal calculi up to 3 cm, with significantly reduced postoperative pain and duration of hospital stay and lower risk of Clavien grade ≥ 3 complications, although with higher operative times.
Identifiants
pubmed: 38658395
doi: 10.1007/s00345-024-04954-x
pii: 10.1007/s00345-024-04954-x
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
257Informations de copyright
© 2024. The Author(s).
Références
Yamaguchi A, Skolarikos A, Buchholz NP, Chomon GB, Grasso M, Saba P, Nakada S, on behalf of the Clinical Research Office of the Endourological Society Percutaneous Nephrolithotomy Study Group J (2011) Operating times and bleeding complications in percutaneous nephrolithotomy: a comparison of tract dilation methods in 5537 patients in the Clinical Research Office of the Endourological Society Percutaneous Nephrolithotomy Global Study. J Endourol 25(6):933–939. https://doi.org/10.1089/end.2010.0606
doi: 10.1089/end.2010.0606
pubmed: 21568697
Güler A, Erbin A, Ucpinar B, Savun M, Sarilar O, Akbulut MF (2019) Comparison of miniaturized percutaneous nephrolithotomy and standard percutaneous nephrolithotomy for the treatment of large kidney stones: a randomized prospective study. Urolithiasis 1(47):289–295. https://doi.org/10.1007/s00240-018-1061-y
doi: 10.1007/s00240-018-1061-y
Zeng G, Wan S, Zhao Z, Zhu J, Tuerxun A, Song C, Zhong L, Liu M, Xu K, Li H, Jiang Z (2016) Super-mini percutaneous nephrolithotomy (SMP): a new concept in technique and instrumentation. BJU Int 117(4):655–661. https://doi.org/10.1111/bju.13242
doi: 10.1111/bju.13242
pubmed: 26220396
Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, Pace KT, Pais VM, Pearle MS, Preminger GM, Razvi H (2016) Surgical management of stones: American urological association/endourological society guideline, Part I. J Urol 196(4):1153–1160. https://doi.org/10.1016/j.juro.2016.05.090
doi: 10.1016/j.juro.2016.05.090
pubmed: 27238616
Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T (2016) EAU guidelines on interventional treatment for urolithiasis. Eur Urol 69(3):475–482. https://doi.org/10.1016/j.eururo.2015.07.041
doi: 10.1016/j.eururo.2015.07.041
pubmed: 26344917
Seitz C, Desai M, Häcker A, Hakenberg OW, Liatsikos E, Nagele U, Tolley D (2012) Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol 61(1):146–158. https://doi.org/10.1016/j.eururo.2011.09.016
doi: 10.1016/j.eururo.2011.09.016
pubmed: 21978422
Ruhayel Y, Tepeler A, Dabestani S, MacLennan S, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Tuerk C, Yuan Y (2017) Tract sizes in miniaturized percutaneous nephrolithotomy: a systematic review from the European Association of Urology Urolithiasis Guidelines Panel. Eur Urol 72(2):220–235. https://doi.org/10.1016/j.eururo.2017.01.046
doi: 10.1016/j.eururo.2017.01.046
pubmed: 28237786
Desai MR, Sharma R, Mishra S, Sabnis RB, Stief C, Bader M (2011) Single-step percutaneous nephrolithotomy (microperc): the initial clinical report. J Urol 186(1):140–145. https://doi.org/10.1016/j.juro.2011.03.029
doi: 10.1016/j.juro.2011.03.029
pubmed: 21575966
Desai J, Solanki R (2013) Ultra-mini percutaneous nephrolithotomy (UMP): one more armamentarium. BJU Int 112(7):1046–1049. https://doi.org/10.1111/bju.12193
doi: 10.1111/bju.12193
pubmed: 23841665
Abdelhafez MF, Amend B, Bedke J, Kruck S, Nagele U, Stenzl A, Schilling D (2013) Minimally invasive percutaneous nephrolithotomy: a comparative study of the management of small and large renal stones. Urology 81(2):241–245. https://doi.org/10.1016/j.urology.2012.09.030
doi: 10.1016/j.urology.2012.09.030
pubmed: 23374768
Liu Y, Cai C, Aquino A, Al-Mousawi S, Zhang X, Choong SK, He X, Fan X, Chen B, Feng J, Zhu X (2020) Management of large renal stones with super-mini percutaneous nephrolithotomy: an international multicentre comparative study. BJU Int 126(1):168–176. https://doi.org/10.1111/bju.15066
doi: 10.1111/bju.15066
pubmed: 32279423
Xu S, Shi H, Zhu J, Wang Y, Cao Y, Li K, Wang Y, Sun Z, Xia S (2014) A prospective comparative study of haemodynamic, electrolyte, and metabolic changes during percutaneous nephrolithotomy and minimally invasive percutaneous nephrolithotomy. World J Urol 32:1275–1280. https://doi.org/10.1007/s00345-013-1204-2
doi: 10.1007/s00345-013-1204-2
pubmed: 24177788
Zhong W, Wen J, Peng L, Zeng G (2021) Enhanced super-mini-PCNL (eSMP): low renal pelvic pressure and high stone removal efficiency in a prospective randomized controlled trial. World J Urol 39:929–934. https://doi.org/10.1007/s00345-020-03263-3
doi: 10.1007/s00345-020-03263-3
pubmed: 32458093
Emiliani E, Talso M, Baghdadi M, Traxer O (2017) Renal parenchyma injury after percutaneous nephrolithotomy tract dilatations in pig and cadaveric kidney models. Central Eur J Urol 70(1):69. https://doi.org/10.5173/ceju.2017.930
doi: 10.5173/ceju.2017.930
Akman T, Binbay M, Akcay M, Tekinarslan E, Kezer C, Ozgor F, Seyrek M, Muslumanoglu AY (2011) Variables that influence operative time during percutaneous nephrolithotomy: an analysis of 1897 cases. J Endourol 25(8):1269–1273. https://doi.org/10.1089/end.2011.0061
doi: 10.1089/end.2011.0061
pubmed: 21815791
Ganpule AP, Vijayakumar M, Malpani A, Desai MR (2016) Percutaneous nephrolithotomy (PCNL) a critical review. Int J Surg 1(36):660–664. https://doi.org/10.1016/j.ijsu.2016.11.028
doi: 10.1016/j.ijsu.2016.11.028
Zhao Z, Tuerxu A, Liu Y, Wu W, Simayi A, Zhong W, Chen W, Batuer A, Zeng G (2017) Super-mini PCNL (SMP): material, indications, technique, advantages and results. Arch Esp Urol 70(1):211–216
pubmed: 28221155
Bellman GC, Davidoff R, Candela J, Gerspach J, Kurtz S, Stout L (1997) Tubeless percutaneous renal surgery. J Urol 157(5):1578–1582. https://doi.org/10.1016/S0022-5347(01)64799-2
doi: 10.1016/S0022-5347(01)64799-2
pubmed: 9112480
Tirtayasa PM, Yuri P, Birowo P, Rasyid N (2017) Safety of tubeless or totally tubeless drainage and nephrostomy tube as a drainage following percutaneous nephrolithotomy: A comprehensive review. Asian J Surg 40(6):419–423. https://doi.org/10.1016/j.asjsur.2016.03.003
doi: 10.1016/j.asjsur.2016.03.003
pubmed: 27235306
Reddy SJ, Reddy BS, Chawla A, de la Rosette JJ, Laguna P, Hegde P, Shah A, Choudhary A, Kankaria S, Hiremath VK (2022) Outcomes and complications from a randomized controlled study comparing conventional stent placement versus no stent placement after ureteroscopy for distal ureteric calculus< 1 cm. J Clin Med 11(23):7023. https://doi.org/10.3390/jcm11237023
doi: 10.3390/jcm11237023
pubmed: 36498598
pmcid: 9740435
Lee JK, Kim BS, Park YK (2013) Predictive factors for bleeding during percutaneous nephrolithotomy. Korean J Urol 54(7):448–453. https://doi.org/10.4111/kju.2013.54.7.448
doi: 10.4111/kju.2013.54.7.448
pubmed: 23878687
pmcid: 3715708
Kreydin EI, Eisner BH (2013) Risk factors for sepsis after percutaneous renal stone surgery. Nat Rev Urol 10(10):598–605. https://doi.org/10.1038/nrurol.2013.183
doi: 10.1038/nrurol.2013.183
pubmed: 23999583
Rosette JD, Assimos D, Desai M, Gutierrez J, Lingeman J, Scarpa R, Tefekli A (2011) The clinical research office of the endourological society percutaneous nephrolithotomy global study: indications, complications, and outcomes in 5803 patients. J Endourol 25(1):11–17. https://doi.org/10.1089/end.2010.0424
doi: 10.1089/end.2010.0424
pubmed: 21247286
Lojanapiwat B, Prasopsuk S (2006) Upper-pole access for percutaneous nephrolithotomy: comparison of supracostal and infracostal approaches. J Endourol 20(7):491–494. https://doi.org/10.1089/end.2006.20.491
doi: 10.1089/end.2006.20.491
pubmed: 16859462
Munver R, Delvecchio FC, Newman GE, Preminger GM (2001) Critical analysis of supracostal access for percutaneous renal surgery. J Urol 166(4):1242–1246. https://doi.org/10.1016/S0022-5347(05)65745-X
doi: 10.1016/S0022-5347(05)65745-X
pubmed: 11547050
Guddeti RS, Hegde P, Chawla A, de la Rosette JJ, Laguna Pes MP, Kapadia A (2020) Super-mini percutaneous nephrolithotomy (PCNL) vs standard PCNL for the management of renal calculi of< 2 cm: a randomised controlled study. BJU Int 126(2):273–279. https://doi.org/10.1111/bju.15144
doi: 10.1111/bju.15144
pubmed: 32619050
Deters LA, Jumper CM, Steinberg PL, Pais VM Jr (2011) Evaluating the definition of" stone free status" in contemporary urologic literature. Clin Nephrol 76(5):354–357. https://doi.org/10.5414/cn106787
doi: 10.5414/cn106787
pubmed: 22000554
Song L, Chen Z, Liu T, Zhong J, Qin W, Guo S, Peng Z, Hu M, Du C, Zhu L, Yao L (2011) The application of a patented system to minimally invasive percutaneous nephrolithotomy. J Endourol 25(8):1281–1286. https://doi.org/10.1089/end.2011.0032
doi: 10.1089/end.2011.0032
pubmed: 21745116
Mehmi A, Jones P, Somani BK (2021) Current status and role of patient-reported outcome measures (PROMs) in endourology. Urology 1(148):26–31. https://doi.org/10.1016/j.urology.2020.09.022
doi: 10.1016/j.urology.2020.09.022
Jones P, Pietropaolo A, Chew BH, Somani BK (2021) Atlas of scoring systems, grading tools, and nomograms in endourology: a comprehensive overview from the TOWER Endourological Society Research Group. J Endourol 35(12):1863–1882. https://doi.org/10.1089/end.2021.0124
doi: 10.1089/end.2021.0124
pubmed: 33878937