Trial reportWorld journal of urology2019
Perioperative and long-term results of retroperitoneal laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for staghorn calculi: a single-center randomized controlled trial.
Trial report in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Efficacy and safety of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for treatment of large renal stones: a meta-analysis.The Journal of international medical research · 2021Pooled it
- Efficacy and safety of 3D printing-assisted percutaneous nephrolithotomy in complex renal calculi.Scientific reports · 2022Trial
- Outcomes and predictors of postoperative complications in patients undergoing laparoscopic ureterolithotomy: a retrospective analysis.BMC urology · 2025Article
- Case report of a giant kidney stone removed by transperitoneal laparoscopic pyelolithotomy.BMC urology · 2025Article
- Letter to the editor for the article "a comparison on safety and efficacy between 24 fr versus 18 fr pneumatic balloon dilators for percutaneous treatment of renal stones between 10 and 20 mm: results from a contemporary cohort".World journal of urology · 2025Article
- Comparative analysis of retro vs. transperitoneal laparoscopic pyelolithotomy for large renal stones.Urolithiasis · 2024Article
- The experience of a tertiary referral center with laparoscopic pyelolithotomy for large renal stones during 18 years.Scientific reports · 2023Article
- Renal function markers in single-kidney patients after percutaneous nephrolithotomy: A pilot study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022Article
- Open surgery versus percutaneous nephrolithotomy for management of staghorn calculi.American journal of clinical and experimental urology · 2022Article
- Management of staghorn stones in special situations.Asian journal of urology · 2020Review
- Analysis of the clinical effect and long-term follow-up results of retroperitoneal laparoscopic ureterolithotomy in the treatment of complicated upper ureteral calculi (report of 206 cases followed for 10 years).International urology and nephrology · 2019Article
- Pyelolithotomy in a Patient with Complete Coraliform Calcification Induced by a Double-J Ureteral Stent.Case reports in urology · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo compare the perioperative and long-term outcomes of retroperitoneal laparoscopic pyelolithotomy (RLP) and percutaneous nephrolithotomy (PCNL) for the treatment of staghorn calculi.
methodsFrom May 2011 to March 2017, eligible patients with staghorn calculi were randomly assigned to two groups: RLP and PCNL. Patients underwent the operations prospectively. Subsequently, a follow-up protocol was performed. Perioperative data related to the efficacy, safety and long-term outcomes (stone recurrence and functional changes in the affected kidney) were comparatively analyzed between the two groups.
resultsOverall, 105 patients underwent surgical treatment, including 51 in the RLP group and 54 in the PCNL group. There was no difference in demographics or stone characteristics between the two groups. The single-session stone-free rate (SFR) was higher (88.2% vs. 64.8%), the mean hemoglobin drop was lower (0.4 ± 0.3 vs. 1.7 ± 0.9 g/dL), the rate of postoperative fever was lower (5.9% vs. 20.4%), but operative time was longer (135.7 ± 35.5 vs. 101.9 ± 41.2 min) and the total cost was more expensive (5546 ± 772 vs. 3861 ± 402 USD)in the RLP group than in the PCNL group (all p < 0.05). The mean increase in the split function (8.3 ± 3.1 vs. 4.2 ± 2.4 mL/min) and the rate of improvement of the affected kidney (56.3% vs. 35.3%) were significantly higher in the RLP group than in the PCNL group at 1 year after surgery (both p < 0.05). However, the rate of stone recurrence was similar between the groups at a mean follow-up of 47.3 ± 18.6 months.
conclusionsPCNL remains the first-line treatment for most cases of staghorn calculi. Nevertheless, in some selected cases with the extrarenal and dilated pelvis, RLP can be considered as an alternative management of staghorn calculi, which was associated with a high single-session SFR, low rates of complications, and better functional preservation of the affected kidney.
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