Minimally invasive percutaneous nephrolithotomy versus endoscopic combined intrarenal surgery with flexible ureteroscope for partial staghorn calculi: A randomised controlled trial

International Journal of Surgery
Jiaming WenBohan Wang

Abstract

To compare the efficacy and safety of simultaneous percutaneous nephrolithotomy combined with flexible ureteroscopic lithotripsy in Galdakao-Modified Supine Valdivia position (GMSV) with minimally invasive percutaneous nephrolithotomy (MPCNL) for partial staghorn calculi. 67 patients with partial staghorn calculi were randomly divided into two groups. In MPCNL Group, conventional MPCNL was performed in the prone position. In the other group, simultaneous combined MPCNL and flexible ureteroscopic lithotripsy (Endoscopic Combined Intra-Renal Surgery, ECIRS) serves as single session treatment in the GMSV position (ECIRS Group). Demographic, clinical characteristic, perioperative complications and stone free rate (SFR) were recorded. No significant difference was detected between two groups concerning the age, body mass index, hydronephrosis, stone burden and location. The mean operative time was 105.33 ± 30.28 min in ECIRS group, which is longer (p = 0.002) than MPCNL group (83.58 ± 24.37 min). The one-step SFR was significantly higher (p = 0.007) in the ECIRS group compared to MPCNL group (87.88% vs 58.82%). The mean blood loss was 77.21 ± 41.21 ml for ECIRS group and 86.43 ± 35.61 ml for MPCNL group (p = 0.330). Overall, complic...Continue Reading

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Citations

Aug 2, 2016·Journal of Endourology·Ramanitharan ManikandanAnil Verma
Apr 25, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Kazumi TaguchiTakahiro Yasui
Nov 15, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Takaaki InoueTadashi Matsuda
Apr 8, 2020·Asian Journal of Urology·Etienne Xavier KellerOlivier Traxer
Jan 6, 2021·International Journal of Surgery Case Reports·Soefiannagoya SoedarmanWidi Atmoko

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