A comparison among PCNL, Miniperc and Ultraminiperc for lower calyceal stones between 1 and 2 cm : A prospective, comparative, multicenter and randomised study
| Autor: | Umberto Besana, Maria Chiara Sighinolfi, Tahsin Batuhan Aydogan, Giovannalberto Pini, Antonio Luigi Pastore, Giorgio Bozzini, Bernardo Rocco, Alberto Calori, Dmitry Pushkar, Alexander Govorov, Berti Lorenzo, Carlo Buizza, Javier Romero-Otero, Alexander Müller |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Lower calyces stones Miniperc PCNL Percutaneous Stone-free rate Ultraminiperc medicine.medical_specialty Urology Stone free medicine.medical_treatment Patient characteristics Nephrolithotomy Percutaneous Stone size lower calyces stones miniperc percutaneous stone-free rate ultraminiperc Lithotripsy lcsh:RC870-923 Asymptomatic Kidney Calices Group B Kidney Calculi medicine Humans Prospective Studies Aged business.industry General Medicine Middle Aged lcsh:Diseases of the genitourinary system. Urology Treatment Outcome Reproductive Medicine Female medicine.symptom Complication business Research Article |
| Zdroj: | BMC Urology, Vol 20, Iss 1, Pp 1-6 (2020) BMC Urology |
| DOI: | 10.21203/rs.3.rs-17249/v2 |
| Popis: | Background Conventional Percutaneous Lithotripsy (PCNL) has been an effective, successful and easy approach for especially > 1 cm sized calyceal stones however risks of complications and nephron loss are inevitable. Our aim is to compare the efficacy and safety of PCNL, MiniPerc (MP) and UltraMiniPerc (UMP) for lower calyceal stones between 1 and 2 cm with a multicenter prospective randomized study. Methods Between January 2015 and June 2018, 132 consecutive patients with single lower calyceal stone were enrolled. Patients were randomized in three groups; A: PCNL; B: MP; C: UMP. 44 patients for the Group A, 47 for Group B and 41 for Group C. Exclusion criterias were the presence of coagulation impairments, age of 75, presence of infection or serious comorbidities. Patients were controlled with computerized tomography scan after 3 months. A negative CT or an asymptomatic patient with stone fragments Results The mean stone size were 16.38, 16.82 and 15.23 mm respectively in Group A, B and C(p = 0.34). The overall SFR was significantly higher in Group A (86.3%) and B (82.9%) as compared to Group C (78%)(p p p = 0.04). Conclusions PCNL and MP showed higher efficacy than UMP to obtain a better SFR. Auxiliary and re-treatment rates were higher in UMP. On the other hand for such this kind of stones PCNL had more complications. Overall evaluation favors MP as a better indication in stones 1–2 cm size. |
| Databáze: | OpenAIRE |
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