Evidence map›Paper›PMID 40426203›Full record

ArticleBMC urology2025

Effectiveness and safety of greenlight laser in ureteroscopic parapelvic cyst incision: a retrospective analysis.

Yongxiang Shao, Meng Cheng, Conglei Hu, Lingchen Kong, Zilong Liang, Haofeng Pang, Haiyang Du, Liping Yao, Qian Zhang, Fei Liu

Abstract readComparative Study
In one paragraph

Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Yongxiang ShaoDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Meng ChengDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Conglei HuDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Lingchen KongDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Zilong LiangDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Haofeng PangDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Haiyang DuDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China.
Liping YaoNational Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Air Force Medical University, Air Force Medical University, Xi'an, 710032, China. lipingy@fmmu.edu.cn.
Qian ZhangDepartment of Aviation Medicine, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China. zhangqian2@fmmu.edu.cn.
Fei LiuDepartment of Urology, Xijing Hospital, Air Force Medical University, Xi'an, 710032, China. liufeiyh@163.com.

Funding

Clinical Research Projects of AFMU No. 2023LC2301Research on major national science and technology projects No. 82070973Shaanxi Province Innovation Capability Supporting Program (No. 2024CX-GXPT-39
6 · The paper itself

Abstract

objectiveDifferent surgical managements for parapelvic cysts may vary in efficacy and safety. Considering the distinct characteristics of greenlight laser, this study aimed to compare three treatments for parapelvic cysts: flexible ureteroscopic internal incision and drainage with greenlight laser, or with holmium laser, and retroperitoneal laparoscopic cyst unroofing. The focus was on evaluating and contrasting the advantages of greenlight versus holmium laser in this context. PATIENTS AND

methodsA total of 62 patients with parapelvic cysts who underwent surgical treatment from January 2018 to January 2023 and met the inclusion and exclusion criteria were retrospectively collected. All patients received CT or ultrasound examination, and were diagnosed with parapelvic cysts by radiologists and urologists. Patients were divided into three groups according to treatment: (1) flexible ureteroscopy with greenlight laser internal incision (n = 18), (2) flexible ureteroscopy with holmium laser internal incision (n = 21), and (3) laparoscopic cyst unroofing decompression (n = 23). Outcomes of the 3 groups were analyzed. The safety and effectiveness of the three surgical methods were evaluated by comparing the imaging examination data before and 6 months after the operation.

resultsThere were no significant differences in age, gender, side, or size of the cysts among the three groups. Shorter operation time, less intraoperative blood loss, and fewer postoperative complications were observed in flexible ureteroscopic laser endotomy groups, compared to laparoscopic group.

conclusionFlexible ureteroscopic laser internal incision demonstrated several advantages over laparoscopic surgery, including shorter operation time and less blood loss. The greenlight laser exhibited obvious advantage of shorter incision time in the treatment of parapelvic cyst, which made it worthy of clinical application. Our findings might provide evidence to the selection of ideal methods for treating parapelvic cysts.

Indexed as

CystsLasers, Solid-StateLaser TherapyUreteroscopyAdultAgedFemaleHumansLaparoscopyMaleMiddle AgedRetrospective StudiesTreatment OutcomeFlexible ureteroscopyGreenlight laserLaparoscopic decorticationParapelvic cysts

Identifiers

PMID40426203
PMCPMC12107980

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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.