The Safety and Efficacy of Endoscopic Combined Intrarenal Surgery (ECIRS) versus Percutaneous Nephrolithotomy (PCNL): A Systematic Review and Meta-Analysis

Autor: Victor A. Abdullatif, Roger L. Sur, Ziad A. Abdullatif, Sharon R. Szabo, Joel E. Abbott
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Advances in Urology, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1687-6377
DOI: 10.1155/2022/1716554
Popis: Purpose. Our aim is to evaluate the safety and efficacy of endoscopic combined intrarenal surgery compared to percutaneous nephrolithotomy to guide practitioners and inform guidelines. Materials and Methods. A detailed database search was performed in PubMed, OVID, Scopus, and Web of Science in October 2021 to identify articles pertaining to ECIRS published between 2001 and 2021. Results. Four nonrandomized comparative studies and one RCT were identified, yielding five studies with a total of 546 patients (ECIRS/mini-ECIRS, n = 277; PCNL/mini-PCNL, n = 269). Subjects in these five studies met the predefined inclusion criteria established by two reviewers (J.E.A. and R.L.S.) and were therefore eligible for analysis. The results demonstrated that ECIRS was associated with a higher SFR (OR: 4.20; 95% CI: 2.79, 6.33; p
Databáze: Directory of Open Access Journals
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