Evidence map›Paper›PMID 41234249›Full record

ArticleFrontiers in surgery2025

Comparison of clinical efficacy, immune response and postoperative adverse reactions of transurethral holmium laser lithotripsy and percutaneous nephrolithotomy in elderly patients with complex upper urinary tract renal calculi: a retrospective cohort study.

Dian Fu, Rui Chen, Xiaoming Yi, Ding Wu, Haowei He, Ping Li, Wenquan Zhou, Jingping Ge, Wen Cheng

Abstract read
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Dian Fu *Department of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Rui Chen *Department of Urology, The Ninth Medical Center, Chinese PLA General Hospital, Beijing, China.
Xiaoming Yi *Department of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Ding WuDepartment of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Haowei HeDepartment of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Ping LiDepartment of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Wenquan ZhouDepartment of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Jingping GeDepartment of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Wen ChengDepartment of Urology, Jingling College of Clinical Medicine, Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to evaluate the clinical efficacy, immune response, and postoperative adverse effects of transurethral holmium laser lithotripsy (RIRS) vs. percutaneous nephrolithotomy (PCNL) in elderly patients with complex upper urinary tract renal calculi. Methods: A retrospective analysis was conducted on 70 elderly patients treated from January 2020 to January 2021. The control group ( Results: The observation group showed less bleeding, shorter hospital stays, higher hemoglobin decrease, and longer operation time ( Conclusions: For elderly patients with complex renal calculi, transurethral holmium laser lithotripsy offers superior stone clearance and reduced renal damage compared to PCNL, despite a longer operation time. Consideration of individual patient conditions is crucial for selecting the optimal procedure.

Indexed as

elderly patients with complex upper urinary tract renal calculiimmune reactionPCNLpostoperative adverse reactionsretrograde intrarenal surgery (RIRS)transurethral holmium laser lithotripsy

Identifiers

PMID41234249
PMCPMC12605300

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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.