Super-mini PCNL (SMP) with suction versus standard PCNL for the management of renal calculi of 1.5 cm-3 cm: a randomized controlled study from a university teaching hospital

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dc.authorid0000-0002-6308-1763
dc.authorid0000-0003-0906-4417
dc.contributor.authorKankaria, Sanket
dc.contributor.authorGali, Kasi Viswanath
dc.contributor.authorChawla, Arun
dc.contributor.authorBhaskara, Sunil Pillai
dc.contributor.authorHegde, Padmaraj
dc.contributor.authorSomani, Bhaskar
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authordel Pilar Laguna Pes, Maria
dc.date.accessioned2024-05-27T05:21:18Z
dc.date.available2024-05-27T05:21:18Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: To assess the safety and efficacy of super-mini PCNL (SMP, 14 Fr) when compared to standard PCNL (sPCNL, 24–30 Fr) in the management of renal calculi of size ranging from 1.5 to 3 cm. Methods: From February 2021 to January 2022, a total of 100 patients were randomized to either SMP group or sPCNL group in a 1:1 ratio (50 in each group) using computer-generated simple randomization. Demographic data, stone characteristics, operative times, perioperative complications, blood transfusions, postoperative drop in haemoglobin, postoperative pain, duration of hospital stay and stone-free rates were compared between the two groups. Results: Mean stone volume (2.41 cm2 vs 2.61 cm2) and stone-free rates (98% vs 94%, p = 0.14) were similar in both the SMP and sPCNL groups, respectively. The SMP group had significantly longer mean operative times (51.62 ± 10.17 min vs 35.6 ± 6.8 min, p = 0.03). Intraoperative calyceal injury (1/50 vs 7/50, p = 0.42) and mean postoperative drop in haemoglobin (0.8 ± 0.7 g/dl vs 1.2 ± 0.81, p = 0.21) were lower in the SMP group, but not statistically significant. SMP group showed significantly lower mean postoperative pain VAS scores (5.4 ± 0.7 vs 5.9 ± 0.9, p = 0.03) and mean duration of hospital stay (28.38 ± 3.6 h vs 39.84 ± 3.7 h, p = 0.0001). Complications up to Clavien grade 2 were comparable, with grade ? 3 complications higher in the standard group, but not statistically significant. Conclusion: Super-mini PCNL is equally effective as standard PCNL in treating renal calculi up to 3 cm, with significantly reduced postoperative pain and duration of hospital stay and lower risk of Clavien grade ? 3 complications, although with higher operative times.
dc.identifier.citationKankaria, S., Gali, K. V., Chawla, A., Bhaskara, S. P., Hegde, P., Somani, B. ... del Pilar Laguna Pes, M. (2024). Super-mini PCNL (SMP) with suction versus standard PCNL for the management of renal calculi of 1.5 cm-3 cm: a randomized controlled study from a university teaching hospital. World Journal of Urology, 42(1). http://dx.doi.org/10.1007/s00345-024-04954-x
dc.identifier.doi10.1007/s00345-024-04954-x
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue1
dc.identifier.pmid38658395
dc.identifier.scopus2-s2.0-85191350836
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1007/s00345-024-04954-x
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12503
dc.identifier.volume42
dc.identifier.wos001207756800003en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorde la Rosette, Jean J. M. C. H.
dc.institutionauthordel Pilar Laguna Pes, Maria
dc.language.isoen
dc.relation.ispartofWorld Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectClavien–Dindo Complications
dc.subjectMiniaturized
dc.subjectPCNL
dc.subjectRenal
dc.subjectStandard
dc.subjectStone Clearance
dc.subjectStones
dc.subjectSuction
dc.subjectSuper-Mini
dc.titleSuper-mini PCNL (SMP) with suction versus standard PCNL for the management of renal calculi of 1.5 cm-3 cm: a randomized controlled study from a university teaching hospital
dc.typeArticle

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