SynthesisThe Journal of international medical research2021
Efficacy and safety of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for treatment of large renal stones: a meta-analysis.
Synthesis in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Retroperitoneal laparoscopic pyelolithotomy as salvage therapy for refractory infectious renal calculi: A case report.Urology case reports · 2026Article
- 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
- Comparative analysis of retro vs. transperitoneal laparoscopic pyelolithotomy for large renal stones.Urolithiasis · 2024Article
- Retroperitoneal vs transperitoneal laparoscopic pyelolithotomy; a single surgeon's experience.World journal of urology · 2024Article
- The experience of a tertiary referral center with laparoscopic pyelolithotomy for large renal stones during 18 years.Scientific reports · 2023Article
- Analysis of Nephrolithiasis Treatment in Highest Reference Hospital-Occurrence of Acromegaly in the Study Group.Journal of clinical medicine · 2023Article
- Swiss LithoClast® Trilogy Lithotripter for Use in Robotic Pyelolithotomy.CRSLS : MIS case reports from SLSArticle
- Predisposing factors for angioembolization in persistent hematuria after percutaneous nephrolithotomy: a retrospective analysis.Therapeutic advances in urologyArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to compare the efficacy and safety of laparoscopic pyelolithotomy (LPL) versus percutaneous nephrolithotomy (PCNL) for treating renal stones larger than 2 cm.
methodsWe searched the PubMed, Embase, Web of Science, SinoMed, and Chinese National Knowledge Infrastructure databases for studies that compared the surgical outcomes of LPL and PCNL. We conducted a meta-analysis of the retrieved studies, expressed as weighted mean difference or risk ratios with 95% confidence intervals.
resultsWe included 25 studies (1831 patients). LPL was associated with a significantly higher stone-free rate, lower rates of blood loss, complementary treatment, blood transfusion, and complications, and less reduction in hemoglobin level compared with PCNL. LPL and PCNL were similar in terms of duration of hospital stay, conversion rate, changes in glomerular filtration rate and creatinine level, and mean time of postoperative analgesia. However, LPL was associated with a longer operation time than PCNL.
conclusionLPL appears to be more effective and safer than PCNL in patients with large renal stones, by increasing the stone-free rate and reducing blood loss, complementary treatment, blood transfusion, and complications compared with PCNL. LPL may thus be a useful modality for treating patients with large renal stones.
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