Evidence map›Paper›PMID 34853917›Full record

ArticleWorld journal of urology2022

The use of ureteral access sheath during mini-percutaneous nephrolithotomy with high-power holmium YAG laser.

Arman Tsaturyan, Marco Lattarulo, Constantinos Adamou, Konstantinos Pagonis, Angelis Peteinaris, Despoina Liourdi, Theofanis Vrettos, Evangelos Liatsikos, Panagiotis Kallidonis

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Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Arman TsaturyanDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
Marco LattaruloDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
Constantinos AdamouDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
Konstantinos PagonisDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
Angelis PeteinarisDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
Despoina LiourdiDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
Theofanis VrettosDepartment of Anesthesiology and ICU, University of Patras, Patras, Greece.
Evangelos LiatsikosDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece. liatsikos@yahoo.com.
Panagiotis KallidonisDepartment of Urology, University of Patras Medical School, 26500, Patras, Rio, Greece.
University of Patras · GRAgios Andreas Hospital · GRMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present our preliminary results and describe a technical modification of mini-PCNL (12Fr) with the insertion of a ureteral access sheath (UAS) to facilitate the procedure.

methodsA prospective study for the time period of January 2020 to January 2021 was conducted including patients with renal stones sized ≤ 25 mm in whom prone mini-PCNL (tract size 12Fr) together with the retrograde insertion of UAS was performed. All patients had been prestented at least 1 week prior to the planned surgery. A single-step tract dilation to 12Fr diameter was performed through a nonpapillary medial puncture. The lithotripsy was achieved using high-power holmium yttrium aluminum garnet laser (Ho:YAG) with the 60 W power setting (40 Hz and 1.5 J). The follow-up investigations were planned at 1-month after the surgery.

resultsIn total, 32 patients with the median age and stone size of 56.5 (IQR = 53-62) years and 20.8 (IQR = 19.3-22.7) mm were included. The median operative and cumulative fluoroscopy time were 34.0 (IQR = 29.9-37.5) and 1.9 (1.8-2.1) min, respectively. The stone-free rate (SFR) at 1-month follow-up was 93.8% (30/32). Only one patient developed a fever and required prolonged antibiotic administration. None of the patients experienced clinically significant bleeding.

conclusionOur preliminary results showed that the use of UASs during mini-PCNL procedures is feasible and provides directed evacuation of the stone fragments reaching 93.8% SFR at a 1-month follow-up. Future well-designed studies are necessary to prove our findings.

Indexed as

Kidney CalculiLasers, Solid-StateLithotripsyNephrolithotomy, PercutaneousHumansMaleProspective StudiesTreatment OutcomeHigh power Ho:YAGIntrarenal pressureMini-PCNLUreteral access sheath

Identifiers

PMID34853917
OpenAlexW3215007138

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Registered trials

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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.