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dc.contributor.authorGuddeti, Raja Sekhar
dc.contributor.authorHegde, Padmaraj
dc.contributor.authorChawla, Arun
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authorPes, Maria Pilar Laguna
dc.contributor.authorKapadia, Aseem
dc.date.accessioned2020-08-21T06:43:18Z
dc.date.available2020-08-21T06:43:18Z
dc.date.issued2020en_US
dc.identifier.citationGuddeti, R. S., Hegde, P., Chawla, A., de la Rosette, J. M. C. H., Pes, M. P. L. ve Kapadia, A. (2020). Super-mini percutaneous nephrolithotomy (PCNL) vs standard PCNL for the management of renal calculi of <2 cm: A randomised controlled study. BJU International, 126(2), 273-279. https://dx.doi.org/10.1111/bju.15144en_US
dc.identifier.issn1464-4096
dc.identifier.issn1464-410X
dc.identifier.urihttps://dx.doi.org/10.1111/bju.15144
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5747
dc.description.abstractObjective To compare the effectiveness and safety of standard percutaneous nephrolithotomy (sPCNL) and super-mini PCNL (SMP). Patients and Methods A total of 150 patients presenting with renal calculi of <2 cm were randomised to either sPCNL (Group 1) or SMP (Group 2). Randomisation was based on centralised computer-generated numbers. Variables studied included: stone-free rates (SFRs), operative time, intra- and postoperative complications, postoperative pain score, analgesic requirement, and hospital stay. Statistical analysis was performed using at-test or Mann-WhitneyU-test for continuous variables and chi-squared test or Fisher's exact test for categorical variables. Results Between September 2018 and April 2019, 75 patients were included in each group. The SFRs of the groups were similar (97.33 vs 98.66%,P= 0.56). The mean (sd)operative time was significantly longer in Group 2, at 36.40 (14.07) vs 23.12 (11.96) min (P< 0.001). The mean (sd)decrease in haemoglobin was significantly less in Group 2, at 3.0 (4.9) vs 7.5 (6.5) g/L (P< 0.001). The mean (sd)pain score at 24 h was significantly lower in Group 2, at 0.3 (0.46) vs 0.75 (0.53) (P< 0.001). The mean (sd)analgesic requirement was significantly less in Group 2, at 67 (22.49) vs 91.5 (30.56) mg tramadol (P< 0.001). The mean (sd) hospital stay was significantly less in Group 2, at 28.38 (3.6) vs 39.84 (3.7) h (P< 0.001). Conclusions SMP is equally as effective as sPCNL for managing renal calculi of <2 cm, with improved safety. Although SMP is associated with a longer operative time, it has a significantly lower incidence of bleeding and postoperative pain, and a shorter hospital stay.en_US
dc.language.isoengen_US
dc.publisherWileyen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectRenal Calculien_US
dc.subjectStone-Free Rateen_US
dc.subjectMorbidityen_US
dc.subjectComplicationen_US
dc.titleSuper-mini percutaneous nephrolithotomy (PCNL) vs standard PCNL for the management of renal calculi of <2 cm: A randomised controlled studyen_US
dc.typearticleen_US
dc.relation.journalBJU Internationalen_US
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalıen_US
dc.authorid0000-0002-6308-1763en_US
dc.authorid0000-0003-0906-4417en_US
dc.identifier.volume126en_US
dc.identifier.issue2en_US
dc.identifier.startpage273en_US
dc.identifier.endpage279en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1111/bju.15144en_US


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