Classification and Standardized Reporting of Percutaneous Nephrolithotomy (PCNL): International Alliance of Urolithiasis (IAU) consensus statements

Choong, S.; Rosette, Jean de la; Denstedt, John D.; Zeng, Guohua; Sarıca, Kemal; Mazzon, Giorgio; Saltirov, I.; Pal, Shashi Kiran; Agrawal, Mukul; Desai, Janak; Petřík, Aleš; Buchholz, Noor; Maroclo, Marcus V; Gordon, S.; Sridhar, Ashwin

doi:10.23736/s0393-2249.20.04107-7

Cited by 6 publications

(4 citation statements)

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“…The assessment of residual fragments has been carried out by a trained radiologist blinded from operations results. In this study, data and outcome presentation have been conducted in agreement with International Alliance of Urolithiasis (IAU) Consensus on standardized reporting outcomes of PCNLs [16].…”

Section: Methodsmentioning

confidence: 99%

Learning Curve for Endoscopic Combined Intra-Renal Surgery Using Vacuum-Assisted Device

Mazzon¹,

Claps²,

Germinale³

et al. 2023

Urol Int

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Introduction: The aim of the study was to provide data related to endoscopic combined intra-renal surgery learning curve using minimally invasive techniques with vacuum-assisted devices. Minimal data exist on the learning curve for these techniques. Methods: We conducted a prospective study monitoring the training of a mentored surgeon learning ECIRS with vacuum assistance. We use varied parameters for improvements. After collection of peri-operative data, tendency lines and CUSUM analysis were used to investigate the learning curves. Results: 111 patients have been included. Guy’s Stone Score 3 and 4 stones 51.3% of all cases. The mostly used percutaneous sheath was 16 Fr (87.3%). SFR was 78.4%. 52.3% patients were tubeless, and 38.7% achieved trifecta. High-degree complication rate was 3.6%. Operative time improved after 72 cases. We observed a decrease of complications throughout the case series, with improvement after 17 cases. In terms of trifecta, proficiency was reached after 53 cases. Proficiency seems achievable in a limited number of procedures, but results did not plateau. Higher number of cases might be necessary for excellence. Discussion: A surgeon learning ECIRS with vacuum assistance can obtain proficiency in 17–50 cases. The number of procedures required for excellence remains unclear. Exclusion of more complex cases might positively affect the training, reducing unnecessary complications.

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Section: Methodsmentioning

confidence: 99%

Learning Curve for Endoscopic Combined Intra-Renal Surgery Using Vacuum-Assisted Device

Mazzon¹,

Claps²,

Germinale³

et al. 2023

Urol Int

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“…As always, the first measure is a decision on which operation is appropriate, and this depends on patient and stone factors. Mini-PCNL involves access of smaller or equal to 22 Fr, while “standard” PCNL involves access of 24 Fr or larger [ 97 ]. The SFR is equivalent, but mini-PCNL involves less bleeding, risk of visceral injury, and hospital stay [ 98 , 99 ].…”

Section: Operation-specific Measuresmentioning

confidence: 99%

Prevention of complications in endourological management of stones: What are the basic measures needed before, during, and after interventions?

Edison

Mazzon

Arumuham

et al. 2024

Asian Journal of Urology

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“…To avoid confusion regarding the definition of mini-PCNL, the International Alliance of Urolithiasis has reached a consensus on the classifications and reporting standards for types of PCNL. The consensus suggests that mini-PCNL should be defined as a PCNL technique using a sheath size of less than or equal to 22 Fr [ 4 ].…”

Section: Definition Of Mini-pcnlmentioning

confidence: 99%

Miniaturization in percutaneous nephrolithotomy: What is new?

Zhu

Huang

Zeng

2023

Asian Journal of Urology

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Classification and Standardized Reporting of Percutaneous Nephrolithotomy (PCNL): International Alliance of Urolithiasis (IAU) consensus statements

Cited by 6 publications

References 0 publications

Learning Curve for Endoscopic Combined Intra-Renal Surgery Using Vacuum-Assisted Device

Learning Curve for Endoscopic Combined Intra-Renal Surgery Using Vacuum-Assisted Device

Prevention of complications in endourological management of stones: What are the basic measures needed before, during, and after interventions?

Miniaturization in percutaneous nephrolithotomy: What is new?

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