ReviewSurgery journal (New York, N.Y.)2020
Mini PCNL Over Standard PCNL: What Makes it Better?
Review in Surgery journal (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.
- Retrograde intrarenal surgery versus miniaturized percutaneous nephrolithotomy for renal calculi: a grade-assessed meta-analysis of randomized controlled trials with trial sequential analysis.World journal of urology · 2026Pooled it
- Efficacy and safety of super-mini percutaneous nephrolithotomy in the treatment of urinary calculi: a systematic review and meta-analysis.BMC urology · 2023Pooled it
- Mini-PCNL (percutaneous nephrolithotomy) vs. FURSL (flexible ureteroscopy and laser lithotripsy): a head-to-head comparison in treating calyceal diverticulum stones: a prospective randomized study.World journal of urology · 2025Trial
- A novel less-traumatic needle for kidney puncture: first clinical experience.International urology and nephrology · 2023Trial
- The Outcomes of Minimally Invasive Percutaneous Nephrolithotomy with Different Access Sizes for the Single Renal Stone ≤25 mm: A Randomized Prospective Study.Urologia internationalis · 2022Trial
- Artificial intelligence-based prediction of stone-free status in patients undergoing mini-percutaneous nephrolithotomy without retrograde insertion of a ureteral catheter.World journal of urology · 2026Observational
- Article
- Comparative Analysis of Surgical Outcomes Between Robotic-Assisted Pyelolithotomy and Mini-Percutaneous Nephrolithotomy for Renal Stones Larger Than 2 cm in Older Adults: A One-Year Follow-Up Study.International journal of nephrology and renovascular disease · 2025Article
- Innovations in kidney stone management: mini-PCNL for staghorn calculi in resource-limited settings.Frontiers in urology · 2025Article
- Operation time as a prognostic indicator on postoperative complications following percutaneous nephrolithotomy.SAGE open medicine · 2025Article
- Outcomes and Complications of Percutaneous Nephrolithotomy (PCNL): A Single-Center Experience.Cureus · 2024Article
- A new alternative to percutaneous nephrolithotomy: A case report.International journal of surgery case reports · 2024Article
- Micro cost-effectiveness analysis of standard vs. mini percutaneous nephrolithotomy A single Canadian institution's experience.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Percutaneous nephrolithotomy or flexible ureteral lithotripsy, which one is better for patients with upper ureteral calculi of 1.5-2.0 cm in diameter.BMC urology · 2024Article
- Prevention of complications in endourological management of stones: What are the basic measures needed before, during, and after interventions?Asian journal of urology · 2024Review
- Nonpapillary Prone Endoscopic Combined Intrarenal Surgery (ECIRS): Five-Year Experience and Outcomes from a High-Volume Center.Journal of clinical medicine · 2024Article
- Article
- Miniaturizing the approach to upper tract renal calculi: Is smaller always better? A narrative review.Current urology · 2023Review
- Which position is more advantageous for percutaneous nephrolithotomy: supine or prone?Urolithiasis · 2023Article
- Analysis of Nephrolithiasis Treatment in Highest Reference Hospital-Occurrence of Acromegaly in the Study Group.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The incidence of small- and medium-size renal stones is rising. Stone clearance, bleeding, urine leak, and infectious complications are major concerns for urologists. They can choose the best technique from a list of armamentarium available. Minimally invasive approach like percutaneous nephrolithotomy (PCNL) has significantly influenced renal stone management since 1976. Miniaturization of the instruments innovate more effective and safer alternatives for urolithasis management. The outcome of mini-PCNL is explored and compared with standard PCNL in this review. Original research articles were reviewed using a systematic approach (keyword electronic database search). Duplicates were excluded in each step and 19 original articles out of 156 hits were analyzed. Mini-PCNL has significantly less bleeding complications and hospital stay. There were no significant difference in stone free rate between mini-PCNL and standard PCNL. The stone-free rate and complications rates were less dependent on the technique of puncture, tract dilatation, and energy used to fragment stones. The total operative time became slightly longer in mini-PCNL attributed to the sheath size and stone fragments retrieval. We found that mini-PCNL is as effective as standard PCNL with fewer complications. Stone burden is the key factor responsible for overall stone-free rate. However, the recommendation is limited by quality of study and the sample sizes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.