dc.contributor.author | Kankaria, Sanket | |
dc.contributor.author | Gali, Kasi Viswanath | |
dc.contributor.author | Chawla, Arun | |
dc.contributor.author | Bhaskara, Sunil Pillai | |
dc.contributor.author | Hegde, Padmaraj | |
dc.contributor.author | Somani, Bhaskar | |
dc.contributor.author | de la Rosette, Jean J. M. C. H. | |
dc.contributor.author | del Pilar Laguna Pes, Maria | |
dc.date.accessioned | 2024-05-27T05:21:18Z | |
dc.date.available | 2024-05-27T05:21:18Z | |
dc.date.issued | 2024 | en_US |
dc.identifier.citation | Kankaria, 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 | en_US |
dc.identifier.issn | 0724-4983 | |
dc.identifier.issn | 1433-8726 | |
dc.identifier.uri | http://dx.doi.org/10.1007/s00345-024-04954-x | |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/12503 | |
dc.description.abstract | Purpose: 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. | en_US |
dc.language.iso | eng | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Clavien–Dindo Complications | en_US |
dc.subject | Miniaturized | en_US |
dc.subject | PCNL | en_US |
dc.subject | Renal | en_US |
dc.subject | Standard | en_US |
dc.subject | Stone Clearance | en_US |
dc.subject | Stones | en_US |
dc.subject | Suction | en_US |
dc.subject | Super-Mini | en_US |
dc.title | 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 | en_US |
dc.type | article | en_US |
dc.relation.ispartof | World Journal of Urology | en_US |
dc.department | İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı | en_US |
dc.authorid | 0000-0002-6308-1763 | en_US |
dc.authorid | 0000-0003-0906-4417 | en_US |
dc.identifier.volume | 42 | en_US |
dc.identifier.issue | 1 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.1007/s00345-024-04954-x | en_US |
dc.institutionauthor | de la Rosette, Jean J. M. C. H. | |
dc.institutionauthor | del Pilar Laguna Pes, Maria | |
dc.identifier.wosquality | Q2 | en_US |
dc.identifier.wos | 001207756800003 | en_US |
dc.identifier.scopus | 2-s2.0-85191350836 | en_US |
dc.identifier.pmid | 38658395 | en_US |
dc.identifier.scopusquality | Q1 | en_US |