Influence of sheath size on suction mini-PCNL outcomes

We aim to evaluate the association between sheath size and outcomes in suction mini-percutaneous nephrolithotomy (SM-PCNL). A prospective, multicentre study enrolled 1534 patients undergoing SM-PCNL from March to November 2024 across 30 centres. Patients were stratified into three groups: Group 1 (1...

Descripción completa

Detalles Bibliográficos
Autores: Gauhar, Vineet|||0000-0002-3740-7141, Somani, Bhaskar K.|||0000-0002-6248-6478, Yuen, S.K.K.|||0000-0002-9956-1558, Sarica, Kemal, Zawadzki, Marek, Singh, Abhishek, Fong, K.Y.|||0000-0001-8194-0800, Cormio, Angelo|||0000-0002-6897-7040, Zhu, Wei, Kalathia, Jaisukh|||0000-0002-2194-3804, Gadzhiev, Nariman K.|||0000-0002-6255-0193, Malkhasyan, Vigen, Shwani, Yadgar, Angerri Feu, Oriol|||0000-0003-3363-6585, Chew, Ben Hall|||0000-0002-5315-0710, Zheng, Guohua|||0000-0002-3110-8933, Herrmann, Thomas R. W., Castellani, Daniele|||0000-0001-7354-9190
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:dnet:uabarcelona_::24989246517202971a4c1699928f1334
Acceso en línea:https://ddd.uab.cat/record/326393
https://dx.doi.org/urn:doi:10.1002/bco2.70134
Access Level:acceso abierto
Palabra clave:Kidney calculi
Lithotripsy
Percutaneous nephrolithotomy
Sheath
Suction
Descripción
Sumario:We aim to evaluate the association between sheath size and outcomes in suction mini-percutaneous nephrolithotomy (SM-PCNL). A prospective, multicentre study enrolled 1534 patients undergoing SM-PCNL from March to November 2024 across 30 centres. Patients were stratified into three groups: Group 1 (14-15 Fr, n = 780), Group 2 (16-18 Fr, n = 388), and Group 3 (20-22 Fr, n = 366). Primary outcome was 30-day stone-free rate (SFR) determined by non-contrast CT. Secondary outcomes included complications, operative times and hospital stay. Group 3 achieved the highest zero residual fragment rate (92.6%) compared to Groups 2 (80.7%) and 1 (79.5%) (p.