Evidence map›Paper›PMID 36251056›Full record

ArticleWorld journal of urology2022

Nonpapillary prone endoscopic combined intrarenal surgery: effectiveness, safety and tips, and tricks.

Panagiotis Kallidonis, Arman Tsaturyan, Gabriel Faria-Costa, Begona Ballesta Martinez, Angelis Peteinaris, Constantinos Adamou, Konstantinos Pagonis, Anastasios Natsos, Theofanis Vrettos, Evangelos Liatsikos

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

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
1.1field-weighted citation impact, top 22% 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, 7 citations in OpenAlex.

  1. Article
  2. Current role of endoscopic combined intrarenal surgery in the management of renal stones: A scoping review.Indian journal of urology : IJU : journal of the Urological Society of India
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 3 countries.

Panagiotis KallidonisDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece. pkallidonis@yahoo.com.ORCID http://orcid.org/0000-0002-6854-4501
Arman TsaturyanDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
Gabriel Faria-CostaDepartment of Urology, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal.
Begona Ballesta MartinezDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
Angelis PeteinarisDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
Constantinos AdamouDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
Konstantinos PagonisDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
Anastasios NatsosDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
Theofanis VrettosDepartment of Anesthesiology and ICU, University of Patras, Patras, Greece.
Evangelos LiatsikosDepartment of Urology, University of Patras Medical School, University of Patras, 26500, Rio, Patras, Greece.
University of Patras · GRUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effectiveness and safety of nonpapillary prone endoscopic combined intrarenal surgery (ECIRS) and provide practical tips and tricks for the successful accomplishment of the procedure respecting the anatomical particularities. MATERIAL AND

methodsThis study is an analysis of a prospectively collected database including all cases of ECIRS performed between January 2019 and December 2021 in a high-volume tertiary center. All patients underwent the procedure in prone-split leg position. A nonpapillary renal puncture was performed. The used access sheaths were 22Fr or 30Fr. Lithotripsy was performed anterogradely with a dual-energy lithotripter with incorporated suction and retrogradely with holmium Yttrium-Aluminum-Garnet laser.

resultsA total of 33 patients were included. The initial stone-free rate (SFR) was 84.8% and the final SFR was 90.9%. The median stone size was 35 mm and 60% of patients had staghorn calculi. The prevalence of renal abnormalities was 21.3%, including 3 cases of horseshoe kidney, 2 cases of malrotation and 2 cases with complete duplicated systems. The median operative time was 47 min. The median hospital stay was 3 days and median hemoglobin loss was 1.2 gr/dL. Overall, the complication rate was 9.1%, all being Grade II complications (n = 2 fever and n = 1 transient bleeding).

conclusionsNonpapillary prone ECIRS is an effective and safe procedure. Standardization of the procedure is critical to achieve good outcomes. Patients who benefit the most are probably the ones where additional punctures can be avoided using this technique, namely patients with renal abnormalities, incrusted ureteral stents and staghorn stones.

Indexed as

Kidney CalculiLithotripsyNephrostomy, PercutaneousStaghorn CalculiHumansKidneyRetrospective StudiesTreatment OutcomeUreteroscopyUrogenital AbnormalitiesECIRSIndicationsIntrarenal surgeryNonpapillary PCNLTips and tricks

Identifiers

PMID36251056
PMCPMC9712319
OpenAlexW4306404586

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.