Ultrasound-guided versus fluoroscopy-guided percutaneous nephrolithotomy: a systematic review and meta-analysis

研究成果: 雜誌貢獻文章

摘要

Purpose: To evaluate the efficacy and safety of ultrasound-guided (UG) versus fluoroscopy-guided (FG) percutaneous nephrolithotomy (PCNL). Methods: A systematic search of PubMed (MEDLINE), Embase, and the Cochrane Library was conducted to identify randomized controlled trials that compared UG-PCNL with FG-PCNL, and a meta-analysis of those studies was completed. The primary outcomes assessed were stone-free rate (SFR) and complication rate. Secondary outcomes assessed were the successful access-creation rate, time necessary for entrance into the target calyx, auxiliary procedure rate, transfusion rate, hemoglobin decrease after surgery, surgery duration, and hospital stay. Results: Eight studies comprising 966 patients were included in the meta-analysis. Compared with FG-PCNL, UG-PCNL had comparable stone-free rates [odds ratio (OR) 0.95; 95% confidence interval (CI) 0.67–1.35; p = 0.79] irrespective of the patient’s position, and a favorable safety profile resulting in a lower complication rate (OR 0.56; 95% CI 0.36–0.86; p = 0.009). No statistical difference was found between UG and FG groups in secondary outcomes. Conclusions: UG-PCNL is as effective as FG-PCNL and has the advantage of lower complication rates. In addition, UG-PCNL could be performed with patients in the supine position without compromising its efficacy.
原文英語
期刊World Journal of Urology
DOIs
出版狀態接受/付印 - 一月 1 2018

指紋

Percutaneous Nephrostomy
Fluoroscopy
Meta-Analysis
Odds Ratio
Confidence Intervals
Safety
Supine Position
PubMed
MEDLINE
Libraries
Length of Stay
Hemoglobins
Randomized Controlled Trials

ASJC Scopus subject areas

  • Urology

引用此文

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title = "Ultrasound-guided versus fluoroscopy-guided percutaneous nephrolithotomy: a systematic review and meta-analysis",
abstract = "Purpose: To evaluate the efficacy and safety of ultrasound-guided (UG) versus fluoroscopy-guided (FG) percutaneous nephrolithotomy (PCNL). Methods: A systematic search of PubMed (MEDLINE), Embase, and the Cochrane Library was conducted to identify randomized controlled trials that compared UG-PCNL with FG-PCNL, and a meta-analysis of those studies was completed. The primary outcomes assessed were stone-free rate (SFR) and complication rate. Secondary outcomes assessed were the successful access-creation rate, time necessary for entrance into the target calyx, auxiliary procedure rate, transfusion rate, hemoglobin decrease after surgery, surgery duration, and hospital stay. Results: Eight studies comprising 966 patients were included in the meta-analysis. Compared with FG-PCNL, UG-PCNL had comparable stone-free rates [odds ratio (OR) 0.95; 95{\%} confidence interval (CI) 0.67–1.35; p = 0.79] irrespective of the patient’s position, and a favorable safety profile resulting in a lower complication rate (OR 0.56; 95{\%} CI 0.36–0.86; p = 0.009). No statistical difference was found between UG and FG groups in secondary outcomes. Conclusions: UG-PCNL is as effective as FG-PCNL and has the advantage of lower complication rates. In addition, UG-PCNL could be performed with patients in the supine position without compromising its efficacy.",
keywords = "Fluoroscopy, Meta-analysis, Nephrolithotomy, Percutaneous, Ultrasonography, Urinary calculi",
author = "Yang, {Yu Hsiang} and Wen, {Yu Ching} and Chen, {Kuan Chou} and Chiehfeng Chen",
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AU - Chen, Chiehfeng

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N2 - Purpose: To evaluate the efficacy and safety of ultrasound-guided (UG) versus fluoroscopy-guided (FG) percutaneous nephrolithotomy (PCNL). Methods: A systematic search of PubMed (MEDLINE), Embase, and the Cochrane Library was conducted to identify randomized controlled trials that compared UG-PCNL with FG-PCNL, and a meta-analysis of those studies was completed. The primary outcomes assessed were stone-free rate (SFR) and complication rate. Secondary outcomes assessed were the successful access-creation rate, time necessary for entrance into the target calyx, auxiliary procedure rate, transfusion rate, hemoglobin decrease after surgery, surgery duration, and hospital stay. Results: Eight studies comprising 966 patients were included in the meta-analysis. Compared with FG-PCNL, UG-PCNL had comparable stone-free rates [odds ratio (OR) 0.95; 95% confidence interval (CI) 0.67–1.35; p = 0.79] irrespective of the patient’s position, and a favorable safety profile resulting in a lower complication rate (OR 0.56; 95% CI 0.36–0.86; p = 0.009). No statistical difference was found between UG and FG groups in secondary outcomes. Conclusions: UG-PCNL is as effective as FG-PCNL and has the advantage of lower complication rates. In addition, UG-PCNL could be performed with patients in the supine position without compromising its efficacy.

AB - Purpose: To evaluate the efficacy and safety of ultrasound-guided (UG) versus fluoroscopy-guided (FG) percutaneous nephrolithotomy (PCNL). Methods: A systematic search of PubMed (MEDLINE), Embase, and the Cochrane Library was conducted to identify randomized controlled trials that compared UG-PCNL with FG-PCNL, and a meta-analysis of those studies was completed. The primary outcomes assessed were stone-free rate (SFR) and complication rate. Secondary outcomes assessed were the successful access-creation rate, time necessary for entrance into the target calyx, auxiliary procedure rate, transfusion rate, hemoglobin decrease after surgery, surgery duration, and hospital stay. Results: Eight studies comprising 966 patients were included in the meta-analysis. Compared with FG-PCNL, UG-PCNL had comparable stone-free rates [odds ratio (OR) 0.95; 95% confidence interval (CI) 0.67–1.35; p = 0.79] irrespective of the patient’s position, and a favorable safety profile resulting in a lower complication rate (OR 0.56; 95% CI 0.36–0.86; p = 0.009). No statistical difference was found between UG and FG groups in secondary outcomes. Conclusions: UG-PCNL is as effective as FG-PCNL and has the advantage of lower complication rates. In addition, UG-PCNL could be performed with patients in the supine position without compromising its efficacy.

KW - Fluoroscopy

KW - Meta-analysis

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KW - Ultrasonography

KW - Urinary calculi

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