ArticleWorld journal of urology2025
Vacuum-assisted mini-percutaneous nephrolithotomy is associated with lower rates of infectious complications compared to standard procedures in low-risk patients: a single-center experience.
Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- A gender-based investigation of risk factors for infectious complications after percutaneous nephrolithotomy for kidney stones: insight for personalized management.World journal of urology · 2026Article
- Acute Kidney Injury Following Mini Percutaneous Nephrolithotomy for Renal Stones: predictors and Follow-up Evaluation in Real-life Setting.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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14 authors.
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Abstract
purposeTo evaluate the impact of vacuum-assisted mini-percutaneous nephrolithotomy (vamPCNL) vs. vacuum-cleaner mPCNL (vcmPCNL) on the rate of postoperative infectious complications in a cohort of patients with low risk factors for infections.
methodsWe retrospectively analysed data from 229 patients who underwent mPCNL between 01/2016 and 09/2024. Patient's demographics, stones characteristics and operative data were collected. vamPCNL and vcmPCNL were performed based on the surgeon's preference. Low-risk patients were defied as: preoperative negative urine culture, no history of previous UTIs and immune system disease, no preoperative indwelling stent or catheter, single-stage procedure. Complications were graded according to modified Clavien classification. Descriptive statistics and logistic regression models were used to identify factors associated with postoperative infectious complications.
resultsMedian (IQR) age and stone volume were 56 (47-66) years and 1.7 (0.8-3.6) cm
conclusionIn a cohort of patients with kidney stones and low-risk factors for infections, approximately 10% of participants developed infectious complications after mPCNL. Patients with infectious complications had higher stone burden and longer procedural time than those who did not, as expected. vamPCNL confirmed to be associates with lower risk of infections, compared to vcmPCNL, even in patients with low risk factors.
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