Comparing Flexible Ureteroscopy and Percutaneous Nephrolithotomy for Lower Pole Stone
DOI:
https://doi.org/10.29303/jku.v11i4.840Keywords:
Percutaneous nephrolithotomy · Micropercutaneous nephrolithotomy · Retrograde intrarenal surgery · Flexible ureteroscopy · Lower pole stoneAbstract
A total of 10 comparative studies involving 1241 participants with lower pole calyx stone size 1.0 – 3.0 cm were included for this systematic review. Our review found out that stone free rate PCNL procedure range around 83.3% - 98.3% and FURS procedure range around 78.6% - 93.2%; operative time of PCNL procedure range around 46.2 + 24.3 to 85.5 + 41.1 minutes meanwhile FURS procedure range around 55.8 + 11.4 to 123.0 + 57.4 minutes; hospital stay of PCNL procedure range around 0.3 + 0.04 to 5.3 + 1.20 days and hospital stay of FURS procedure range around 0.16 + 0.04 to 3.2 + 0.52 days; and complications rate after PCNL procedure range around 4.4% - 25% and after FURS procedure range around 4.6% - 21.6%. Most of studies shown that PCNL procedure have higher stone free rate, shorter operative time, longer hospital stays and higher complications rate compared against FURS procedure.
References
1. Mazzucchi E, Berto FCG, Denstedt J, et al. Treatment of renal lower pole stones: an update. Int Braz J Urol 2022; 48: 165–174.
2. Jones P, Rai BP, Aboumarzouk O, et al. Treatment options and outcomes for lower pole stone management: Are we there yet? Ann Transl Med 2016; 4: 2015–2017.
3. Kallidonis P, Adamou C, Ntasiotis P, et al. The best treatment approach for lower calyceal stones ?20 mm in maximal diameter: mini percutaneous nephrolithotripsy, retrograde intrarenal surgery or shock wave lithotripsy A systematic review and meta-analysis of the literature conducted by the European Section of Uro-Technology and Young Academic Urologists. Minerva Urol Nephrol 2022; 73: 711–723.
4. Donaldson JF, Lardas M, Scrimgeour D, et al. Systematic review and meta-analysis of the clinical effectiveness of shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy for lower-pole renal stones. Eur Urol 2015; 67: 612–616.
5. Cabrera JD, Manzo BO, Torres JE, et al. Mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of 10–20 mm lower pole renal stones: a systematic review and meta-analysis. World J Urol 2020; 38: 2621–2628.
6. Bozzini G, Verze P, Arcaniolo D, et al. A prospective randomized comparison among SWL, PCNL and RIRS for lower calyceal stones less than 2 cm: a multicenter experience: A better understanding on the treatment options for lower pole stones. World J Urol 2017; 35: 1967–1975.
7. Armagan A, Karatag T, Buldu I, et al. Comparison of flexible ureterorenoscopy and micropercutaneous nephrolithotomy in the treatment for moderately size lower-pole stones. World J Urol 2015; 33: 1827–1831.
8. Kirac M, Bozkurt ÖF, Tunc L, et al. Comparison of retrograde intrarenal surgery and minipercutaneous nephrolithotomy in management of lower-pole renal stones with a diameter of smaller than 15 mm. Urol Res 2013; 41: 241–246.
9. Coskun A, Eryildirim B, Sarica K, et al. Comparison of Mini Percutaneous Nephrolithotomy (Mini PCNL) and Retrograde Intrarenal Surgery (RIRS) for the Minimal Invasive Management of Lower Caliceal Stones. Urol J 2021; 18: 485–490.
10. Kandemir A, Guven S, Balasar M, et al. A prospective randomized comparison of micropercutaneous nephrolithotomy (Microperc) and retrograde intrarenal surgery (RIRS) for the management of lower pole kidney stones. World J Urol 2017; 35: 1771–1776.
11. Fayad AS, Elsheikh MG, Ghoneima W. Tubeless mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for lower calyceal stones of ?2 cm: A prospective randomised controlled study. Arab J Urol 2017; 15: 36–41.
12. Zhang H, Hong TY, Li G, et al. Comparison of the Efficacy of Ultra-Mini PCNL, Flexible Ureteroscopy, and Shock Wave Lithotripsy on the Treatment of 1-2 cm Lower Pole Renal Calculi. Urol Int 2019; 102: 194–198.
13. Shabana W, Oquendo F, Hodhod A, et al. Miniaturized Ambulatory Percutaneous Nephrolithotomy Versus Flexible Ureteroscopy in the Management of Lower Calyceal Renal Stones 10-20 mm: A Propensity Score Matching Analysis. Urology 2021; 156: 65–70.
14. Koyuncu H, Yencilek F, Kalkan M, et al. Intrarenal surgery vs percutaneous nephrolithotomy in the management of lower pole stones greater than 2 cm. Int Braz J Urol 2015; 41: 245–251.
15. Jung GH, Jung JH, Ahn TS, et al. Comparison of retrograde intrarenal surgery versus a single-session percutaneous nephrolithotomy for lower-pole stones with a diameter of 15 to 30 mm: A propensity score-matching study. Korean J Urol 2015; 56: 525–532.
2. Jones P, Rai BP, Aboumarzouk O, et al. Treatment options and outcomes for lower pole stone management: Are we there yet? Ann Transl Med 2016; 4: 2015–2017.
3. Kallidonis P, Adamou C, Ntasiotis P, et al. The best treatment approach for lower calyceal stones ?20 mm in maximal diameter: mini percutaneous nephrolithotripsy, retrograde intrarenal surgery or shock wave lithotripsy A systematic review and meta-analysis of the literature conducted by the European Section of Uro-Technology and Young Academic Urologists. Minerva Urol Nephrol 2022; 73: 711–723.
4. Donaldson JF, Lardas M, Scrimgeour D, et al. Systematic review and meta-analysis of the clinical effectiveness of shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy for lower-pole renal stones. Eur Urol 2015; 67: 612–616.
5. Cabrera JD, Manzo BO, Torres JE, et al. Mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of 10–20 mm lower pole renal stones: a systematic review and meta-analysis. World J Urol 2020; 38: 2621–2628.
6. Bozzini G, Verze P, Arcaniolo D, et al. A prospective randomized comparison among SWL, PCNL and RIRS for lower calyceal stones less than 2 cm: a multicenter experience: A better understanding on the treatment options for lower pole stones. World J Urol 2017; 35: 1967–1975.
7. Armagan A, Karatag T, Buldu I, et al. Comparison of flexible ureterorenoscopy and micropercutaneous nephrolithotomy in the treatment for moderately size lower-pole stones. World J Urol 2015; 33: 1827–1831.
8. Kirac M, Bozkurt ÖF, Tunc L, et al. Comparison of retrograde intrarenal surgery and minipercutaneous nephrolithotomy in management of lower-pole renal stones with a diameter of smaller than 15 mm. Urol Res 2013; 41: 241–246.
9. Coskun A, Eryildirim B, Sarica K, et al. Comparison of Mini Percutaneous Nephrolithotomy (Mini PCNL) and Retrograde Intrarenal Surgery (RIRS) for the Minimal Invasive Management of Lower Caliceal Stones. Urol J 2021; 18: 485–490.
10. Kandemir A, Guven S, Balasar M, et al. A prospective randomized comparison of micropercutaneous nephrolithotomy (Microperc) and retrograde intrarenal surgery (RIRS) for the management of lower pole kidney stones. World J Urol 2017; 35: 1771–1776.
11. Fayad AS, Elsheikh MG, Ghoneima W. Tubeless mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for lower calyceal stones of ?2 cm: A prospective randomised controlled study. Arab J Urol 2017; 15: 36–41.
12. Zhang H, Hong TY, Li G, et al. Comparison of the Efficacy of Ultra-Mini PCNL, Flexible Ureteroscopy, and Shock Wave Lithotripsy on the Treatment of 1-2 cm Lower Pole Renal Calculi. Urol Int 2019; 102: 194–198.
13. Shabana W, Oquendo F, Hodhod A, et al. Miniaturized Ambulatory Percutaneous Nephrolithotomy Versus Flexible Ureteroscopy in the Management of Lower Calyceal Renal Stones 10-20 mm: A Propensity Score Matching Analysis. Urology 2021; 156: 65–70.
14. Koyuncu H, Yencilek F, Kalkan M, et al. Intrarenal surgery vs percutaneous nephrolithotomy in the management of lower pole stones greater than 2 cm. Int Braz J Urol 2015; 41: 245–251.
15. Jung GH, Jung JH, Ahn TS, et al. Comparison of retrograde intrarenal surgery versus a single-session percutaneous nephrolithotomy for lower-pole stones with a diameter of 15 to 30 mm: A propensity score-matching study. Korean J Urol 2015; 56: 525–532.
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Published
2022-12-30
How to Cite
Pandu Ishaq Nandana, & M. Hairul Umam. (2022). Comparing Flexible Ureteroscopy and Percutaneous Nephrolithotomy for Lower Pole Stone. Jurnal Kedokteran, 11(4), 1246–1251. https://doi.org/10.29303/jku.v11i4.840
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Literature Review
