SWL literature
SWL Literature

Kim CH. et al., 2021: Effectiveness of Percutaneous Nephrolithotomy, Retrograde Intrarenal Surgery, and Extracorporeal Shock Wave Lithotripsy for Treatment of Renal Stones: A Systematic Review and Meta-Analysis

Kim CH, Chung DY, Rha KH, Lee JY, Lee SH.
Department of Nursing Science, College of Nursing, Gachon University, Incheon 22212, Korea.
Department of Urology, Inha University School of Medicine, Incheon 22212, Korea.
Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul 03722, Korea.
Center of Evidence Based Medicine, Institute of Convergence Science, Yonsei University, Seoul 03722, Korea.

Abstract

Background and objectives: To perform a updated systematic review and meta-analysis comparing effectiveness of percutaneous nephrolithotomy (PCNL), retrograde intrarenal surgery (RIRS), and extracorporeal shock wave lithotripsy (ESWL) for treatment of renal stones (RS). Materials and Methods: A total of 37 studies were included in this systematic review and meta-analysis about effectiveness to treat RS. Endpoints were stone-free rates (SFR), incidence of auxiliary procedure, retreatment, and complications. We also conducted a sub-analysis of ≥2 cm stones. Results: First, PCNL had the highest SFR than others regardless of stone sizes and RIRS showed a higher SFR than ESWL in <2 cm stones. Second, auxiliary procedures were higher in ESWL than others, and it did not differ between PCNL and RIRS. Finally, in <2 cm stones, the retreatment rate of ESWL was higher than others. RIRS required significantly more retreatment procedures than PCNL in ≥2 cm stones. Complication was higher in PCNL than others, but there was no statistically significant difference in complications between RIRS and PCNL in ≥2 cm stones. For ≥2 cm stones, PCNL had the highest SFR, and auxiliary procedures and retreatment rates were significantly lower than others. Conclusions: We suggest that PCNL is a safe and effective treatment, especially for large RS.
Medicina (Kaunas). 2020 Dec 30;57(1):26. doi: 10.3390/medicina57010026. PMID: 33396839. FREE ARTICLE

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Comments 1

Peter Alken on Wednesday, July 21 2021 08:30

The merit of the publication is the collection of the literature between 1991 and 2017. Twelve randomized controlled clinical trials and 25 observational studies were evaluated. I did not find new aspects in the results.

Peter Alken

The merit of the publication is the collection of the literature between 1991 and 2017. Twelve randomized controlled clinical trials and 25 observational studies were evaluated. I did not find new aspects in the results. Peter Alken
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Friday, July 30 2021

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