Evaluation of the effect of Bernoulli maneuver on operative time during mini-percutaneous nephrolithotomy: A prospective randomized study

Gadzhiev, Nariman; Sergei, Brovkin; Grigoryev, Vladislav; Okhunov, Zhamshid; Ganpule, Arvind; Pisarev, Alexey; Iskakov, Yerbol; Петров, С. Б.

doi:10.4111/icu.2017.58.3.179

Cited by 7 publications

(2 citation statements)

References 24 publications

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“…The development of surgical techniques and instruments continues to play a major role in the popularization of PCNL and RIRS [48,50]. mPCNL is de ned as PCNL performed using Amplantz sheaths with a diameter of 14-20 Fr [3,51]. mPCNL has the advantage of reducing complications that may arise from larger instruments and sheaths [4].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the stone-free rates of mini-percutaneous nephrolithotomy, standard percutaneous nephrolithotomy, and retrograde intrarenal surgery for renal stones: A systematic review and network meta-analysis

Kang¹,

Chung

Jeong

et al. 2020

Preprint

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Background: Retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) are performed to treat renal stones. PCNL is effective for kidney stones >2 cm but is invasive compared with RIRS. Miniature PCNL (mPCNL) has been used as an alternative treatment for conventional PCNL, and employs a miniature endoscope of 11–18 Fr. We conducted a systematic review of published studies regarding the RIRS, PCNL, and mPCNL treatment modalities, and performed a network meta-analysis of the success or stone-free rates.Methods: The data collected up to January 2016 were searched using PubMed and EMBASE, and references were searched electronically. Two researchers used data extraction formats to extract data on the stone-free or success rates, study design, number of subjects and characteristics, and treatments for renal stones (i.e., RIRS, PCNL, and mPCNL). To evaluate the quality of the studies, the Downs and Black checklist, which is an observational research quality evaluation tool, was used and analyzed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.Results: Twenty-five studies were used to compare the stone-free or success rates of RIRS, PCNL, and mPCNL for renal stones. Six comparisons of PCNL and mPCNL, seven of mPCNL and RIRS, and 12 of RIRS and PCNL were analyzed. No difference in the stone-free rate was found between PCNL and mPCNL (OR: 0.95; 95% CI: 0.51–1.9) in network mata-analysis. Between RIRS and mPCNL, the stone-free rate of RIRS was lower than mPCNL (OR: 0.41; 95% CI: 0.021–0.82). Comparison of RIRS and PCNL revealed that RIRS was also lower than PCNL in terms of stone-free rate (OR: 0.43; 95% CI: 0.22–0.82). In the ranking analysis, rankogram showed that mPCNL was ranked as No. 1 and PCNL was ranked as No. 2. The P-score was 0.820 for mPCNL, 0.680 for PCNL and 0 for RIRS.Conclusions: PCNL and mPCNL showed higher success or stone-free rates than RIRS for the treatment of renal stones. However, PCNL and mPCNL showed no difference in the treatment outcome.

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Section: Discussionmentioning

confidence: 99%

Comparison of the stone-free rates of mini-percutaneous nephrolithotomy, standard percutaneous nephrolithotomy, and retrograde intrarenal surgery for renal stones: A systematic review and network meta-analysis

Kang¹,

Chung

Jeong

et al. 2020

Preprint

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“…Percutaneous nephrolithotomy was introduced by Fernstorn and Jhonson in 1976 and became a standard surgical procedure for renal calculi 3 . Jackman et al introduced the Minimally Invasive Percutaneous Nephrolithotomy, which gained popularity because of lower morbidity compared to Conventional percutaneous nephrolithotomy due to the use of miniaturized instruments 4 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of stone clearance rate and need of nephrostomy in conventional versus mini percutaneous nephrolithotomy.

Jafar

Syed²,

Khalid

2022

Int. j. endorsing health sci. res.

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Background: The increased renal stone size affects the stone clearance rate and the need for nephrostomy in (Percutaneous nephrolithotomy) PCNL. Also, complete stone clearance of bulky renal calculi causes blood loss during PCNL, resulting in hemoglobin drop and sometimes requiring transfusion. This is a frequently encountered phenomenon and is quite problematic for urologists and patients. This study aimed to determine the rate of stone clearance and nephrostomy needed in Mini-PCNL over Conventional PCNL. Methodology: A comparative study was conducted at the urology department of PIMS, Islamabad. A total of eighty (n=80) adult patients of either gender between ages 18-65 years were enrolled. Subjects enrolled had radiographic evidence of renal stones of > 1cm. Group A patients underwent conventional PCNL procedures, and Group B patients underwent Mini PNCL. The rates of stone clearance nephrostomy needed were compared between the two study groups. Results: The mean age of study participants in group A was (33.7 ± 12.1) and in group B (36.5 ± 11.1). The mean sizes of the stone were 2.4 cm and 2.7 cm in groups A and B, respectively. X-rays were used to assess the stone clearance rate on the first operative day in both study groups. Stones were cleared in group-A at 87.5% (n=35) and in group B at 82.5% (n=33). Nephrostomy was needed in group A at 50.0% (n=20) and in group B at 47.5% (n=19). Conclusion: The stone clearance rate and the need for a nephrostomy tube were nearly similar in both intervention groups.

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Mini Percutaneous Nephrolithotomy

Angerri,

Boeykens,

Tailly

2023

Percutaneous Renal Surgery

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Evaluation of the effect of Bernoulli maneuver on operative time during mini-percutaneous nephrolithotomy: A prospective randomized study

Cited by 7 publications

References 24 publications

Comparison of the stone-free rates of mini-percutaneous nephrolithotomy, standard percutaneous nephrolithotomy, and retrograde intrarenal surgery for renal stones: A systematic review and network meta-analysis

Comparison of the stone-free rates of mini-percutaneous nephrolithotomy, standard percutaneous nephrolithotomy, and retrograde intrarenal surgery for renal stones: A systematic review and network meta-analysis

Comparison of stone clearance rate and need of nephrostomy in conventional versus mini percutaneous nephrolithotomy.

Mini Percutaneous Nephrolithotomy

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