International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy

Zhong, Wen|||0000-0003-0540-7195; Gupta, M.; Seitz, Christian; Bernardo Lambrich, Noemí; Fiori, C.; Angerri Feu, Oriol|||0000-0003-3363-6585; Pearle, M.; Shrestha, S.; Sarica, K.; Zeng, Guo-Hua; Mazzon, Giorgio; Zhu, Wei; Lahme, Sven; Khadgi, Sanjay; Desai, Janak; Agrawal, Madhu; Schulsinger, David; Montanari, Emanuele; Martinez, Juan Manuel Lopez; Almousawi, Shabir; Malonzo, Vincent Emanuel F.; Sriprasad, Seshadri; Durutović, Otas; Arumuham, Vimoshan; Ferretti, Stefania; Kamal, Wissam; Xu, Ke-Wei; Cheng, Fan; Gao, Xiao-Feng; Cheng, Ji-Wen; Somani, Bhaskar K.|||0000-0002-6248-6478; Duvdevani, Mordechai; Git, Kah Ann; Ibrahim, Tarek Ahmed Amin; Aquino, Albert; Yasui, Takahiro; Knoll, Thomas; Papatsoris, Athanasios; Gadzhiev, Nariman K.|||0000-0002-6255-0193; Zhanbyrbekuly, Ulanbek; Ramos, Hugo Lopez; Saltirov, Iliya; Moussa, Mohamad; Giusti, Guido; Vicentini, Fabio; Suarez, Edgar Beltran; Preminger, Glenn M.; Wu, Qing-Hui; Ghani, Khurshid; Maroccolo, Marcus; Brehmer, Marianne; Osther, Palle J.; Zawadzki, Marek; Tursunkulov, Azimdjon N.|||0000-0002-1400-178X; Kytaibekovich, Monolov Nurbek; Abuvohidov, Abdusamad Abdukakhorovich; Lara, Cesar Antonio Recalde; Noori, Zamari; Zanetti, Stefano Paolo; de la Rosette, Jean; Denstedt, John; Ye, Zhang-Qun; Choong, Simon

International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy

Over the past three decades, there has been increasing interest in miniaturized percutaneous nephrolithotomy (mPCNL) techniques featuring smaller tracts as they offer potential solutions to mitigate complications associated with standard PCNL (sPCNL). However, despite this growing acceptance and rec...

Descripción completa

Detalles Bibliográficos
Autores:	Zhong, Wen\|\|\|0000-0003-0540-7195, Gupta, M., Seitz, Christian, Bernardo Lambrich, Noemí, Fiori, C., Angerri Feu, Oriol\|\|\|0000-0003-3363-6585, Pearle, M., Shrestha, S., Sarica, K., Zeng, Guo-Hua, Mazzon, Giorgio, Zhu, Wei, Lahme, Sven, Khadgi, Sanjay, Desai, Janak, Agrawal, Madhu, Schulsinger, David, Montanari, Emanuele, Martinez, Juan Manuel Lopez, Almousawi, Shabir, Malonzo, Vincent Emanuel F., Sriprasad, Seshadri, Durutović, Otas, Arumuham, Vimoshan, Ferretti, Stefania, Kamal, Wissam, Xu, Ke-Wei, Cheng, Fan, Gao, Xiao-Feng, Cheng, Ji-Wen, Somani, Bhaskar K.\|\|\|0000-0002-6248-6478, Duvdevani, Mordechai, Git, Kah Ann, Ibrahim, Tarek Ahmed Amin, Aquino, Albert, Yasui, Takahiro, Knoll, Thomas, Papatsoris, Athanasios, Gadzhiev, Nariman K.\|\|\|0000-0002-6255-0193, Zhanbyrbekuly, Ulanbek, Ramos, Hugo Lopez, Saltirov, Iliya, Moussa, Mohamad, Giusti, Guido, Vicentini, Fabio, Suarez, Edgar Beltran, Preminger, Glenn M., Wu, Qing-Hui, Ghani, Khurshid, Maroccolo, Marcus, Brehmer, Marianne, Osther, Palle J., Zawadzki, Marek, Tursunkulov, Azimdjon N.\|\|\|0000-0002-1400-178X, Kytaibekovich, Monolov Nurbek, Abuvohidov, Abdusamad Abdukakhorovich, Lara, Cesar Antonio Recalde, Noori, Zamari, Zanetti, Stefano Paolo, de la Rosette, Jean, Denstedt, John, Ye, Zhang-Qun, Choong, Simon
Tipo de recurso:	artículo
Fecha de publicación:	2024
País:	España
Institución:	Universitat Autònoma de Barcelona
Repositorio:	Dipòsit Digital de Documents de la UAB
Idioma:	inglés
OAI Identifier:	oai:ddd.uab.cat:309314
Acceso en línea:	https://ddd.uab.cat/record/309314 https://dx.doi.org/urn:doi:10.1186/s40779-024-00562-3
Access Level:	acceso abierto
Palabra clave:	Expert consensus Kidney stone Miniaturized PCNL (mPCNL) Operation Percutaneous nephrolithotomy (PCNL)

id	ES_83fdf2b5dd852023ca2f64e2d194609c
oai_identifier_str	oai:ddd.uab.cat:309314
network_acronym_str	ES
network_name_str	España
repository_id_str
dc.title.none.fl_str_mv	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
title	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
spellingShingle	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy Zhong, Wen\|\|\|0000-0003-0540-7195 Expert consensus Kidney stone Miniaturized PCNL (mPCNL) Operation Percutaneous nephrolithotomy (PCNL)
title_short	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
title_full	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
title_fullStr	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
title_full_unstemmed	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
title_sort	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
dc.creator.none.fl_str_mv	Zhong, Wen\|\|\|0000-0003-0540-7195 Gupta, M. Seitz, Christian Bernardo Lambrich, Noemí Fiori, C. Angerri Feu, Oriol\|\|\|0000-0003-3363-6585 Pearle, M. Shrestha, S. Sarica, K. Zeng, Guo-Hua Mazzon, Giorgio Zhu, Wei Lahme, Sven Khadgi, Sanjay Desai, Janak Agrawal, Madhu Schulsinger, David Montanari, Emanuele Martinez, Juan Manuel Lopez Almousawi, Shabir Malonzo, Vincent Emanuel F. Sriprasad, Seshadri Durutović, Otas Arumuham, Vimoshan Ferretti, Stefania Kamal, Wissam Xu, Ke-Wei Cheng, Fan Gao, Xiao-Feng Cheng, Ji-Wen Somani, Bhaskar K.\|\|\|0000-0002-6248-6478 Duvdevani, Mordechai Git, Kah Ann Ibrahim, Tarek Ahmed Amin Aquino, Albert Yasui, Takahiro Knoll, Thomas Papatsoris, Athanasios Gadzhiev, Nariman K.\|\|\|0000-0002-6255-0193 Zhanbyrbekuly, Ulanbek Ramos, Hugo Lopez Saltirov, Iliya Moussa, Mohamad Giusti, Guido Vicentini, Fabio Suarez, Edgar Beltran Preminger, Glenn M. Wu, Qing-Hui Ghani, Khurshid Maroccolo, Marcus Brehmer, Marianne Osther, Palle J. Zawadzki, Marek Tursunkulov, Azimdjon N.\|\|\|0000-0002-1400-178X Kytaibekovich, Monolov Nurbek Abuvohidov, Abdusamad Abdukakhorovich Lara, Cesar Antonio Recalde Noori, Zamari Zanetti, Stefano Paolo de la Rosette, Jean Denstedt, John Ye, Zhang-Qun Choong, Simon
author	Zhong, Wen\|\|\|0000-0003-0540-7195
author_facet	Zhong, Wen\|\|\|0000-0003-0540-7195 Gupta, M. Seitz, Christian Bernardo Lambrich, Noemí Fiori, C. Angerri Feu, Oriol\|\|\|0000-0003-3363-6585 Pearle, M. Shrestha, S. Sarica, K. Zeng, Guo-Hua Mazzon, Giorgio Zhu, Wei Lahme, Sven Khadgi, Sanjay Desai, Janak Agrawal, Madhu Schulsinger, David Montanari, Emanuele Martinez, Juan Manuel Lopez Almousawi, Shabir Malonzo, Vincent Emanuel F. Sriprasad, Seshadri Durutović, Otas Arumuham, Vimoshan Ferretti, Stefania Kamal, Wissam Xu, Ke-Wei Cheng, Fan Gao, Xiao-Feng Cheng, Ji-Wen Somani, Bhaskar K.\|\|\|0000-0002-6248-6478 Duvdevani, Mordechai Git, Kah Ann Ibrahim, Tarek Ahmed Amin Aquino, Albert Yasui, Takahiro Knoll, Thomas Papatsoris, Athanasios Gadzhiev, Nariman K.\|\|\|0000-0002-6255-0193 Zhanbyrbekuly, Ulanbek Ramos, Hugo Lopez Saltirov, Iliya Moussa, Mohamad Giusti, Guido Vicentini, Fabio Suarez, Edgar Beltran Preminger, Glenn M. Wu, Qing-Hui Ghani, Khurshid Maroccolo, Marcus Brehmer, Marianne Osther, Palle J. Zawadzki, Marek Tursunkulov, Azimdjon N.\|\|\|0000-0002-1400-178X Kytaibekovich, Monolov Nurbek Abuvohidov, Abdusamad Abdukakhorovich Lara, Cesar Antonio Recalde Noori, Zamari Zanetti, Stefano Paolo de la Rosette, Jean Denstedt, John Ye, Zhang-Qun Choong, Simon
author_role	author
author2	Gupta, M. Seitz, Christian Bernardo Lambrich, Noemí Fiori, C. Angerri Feu, Oriol\|\|\|0000-0003-3363-6585 Pearle, M. Shrestha, S. Sarica, K. Zeng, Guo-Hua Mazzon, Giorgio Zhu, Wei Lahme, Sven Khadgi, Sanjay Desai, Janak Agrawal, Madhu Schulsinger, David Montanari, Emanuele Martinez, Juan Manuel Lopez Almousawi, Shabir Malonzo, Vincent Emanuel F. Sriprasad, Seshadri Durutović, Otas Arumuham, Vimoshan Ferretti, Stefania Kamal, Wissam Xu, Ke-Wei Cheng, Fan Gao, Xiao-Feng Cheng, Ji-Wen Somani, Bhaskar K.\|\|\|0000-0002-6248-6478 Duvdevani, Mordechai Git, Kah Ann Ibrahim, Tarek Ahmed Amin Aquino, Albert Yasui, Takahiro Knoll, Thomas Papatsoris, Athanasios Gadzhiev, Nariman K.\|\|\|0000-0002-6255-0193 Zhanbyrbekuly, Ulanbek Ramos, Hugo Lopez Saltirov, Iliya Moussa, Mohamad Giusti, Guido Vicentini, Fabio Suarez, Edgar Beltran Preminger, Glenn M. Wu, Qing-Hui Ghani, Khurshid Maroccolo, Marcus Brehmer, Marianne Osther, Palle J. Zawadzki, Marek Tursunkulov, Azimdjon N.\|\|\|0000-0002-1400-178X Kytaibekovich, Monolov Nurbek Abuvohidov, Abdusamad Abdukakhorovich Lara, Cesar Antonio Recalde Noori, Zamari Zanetti, Stefano Paolo de la Rosette, Jean Denstedt, John Ye, Zhang-Qun Choong, Simon
author2_role	author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Universitat Autònoma de Barcelona. Departament de Medicina
dc.subject.none.fl_str_mv	Expert consensus Kidney stone Miniaturized PCNL (mPCNL) Operation Percutaneous nephrolithotomy (PCNL)
topic	Expert consensus Kidney stone Miniaturized PCNL (mPCNL) Operation Percutaneous nephrolithotomy (PCNL)
description	Over the past three decades, there has been increasing interest in miniaturized percutaneous nephrolithotomy (mPCNL) techniques featuring smaller tracts as they offer potential solutions to mitigate complications associated with standard PCNL (sPCNL). However, despite this growing acceptance and recognition of its benefits, unresolved controversies and acknowledged limitations continue to impede widespread adoption due to a lack of consensus on optimal perioperative management strategies and procedural tips and tricks. In response to these challenges, an international panel comprising experts from the International Alliance of Urolithiasis (IAU) took on the task of compiling an expert consensus document on mPCNL procedures aimed at providing urologists with a comprehensive clinical framework for practice. This endeavor involved conducting a systematic literature review to identify research gaps (RGs), which formed the foundation for developing a structured questionnaire survey. Subsequently, a two-round modified Delphi survey was implemented, culminating in a group meeting to generate final evidence-based comments. All 64 experts completed the second-round survey, resulting in a response rate of 100.0%. Fifty-eight key questions were raised focusing on mPCNLs within 4 main domains, including general information (13 questions), preoperative work-up (13 questions), procedural tips and tricks (19 questions), and postoperative evaluation and follow-up (13 questions). Additionally, 9 questions evaluated the experts' experience with PCNLs. Consensus was reached on 30 questions after the second-round survey, while professional statements for the remaining 28 key questions were provided after discussion in an online panel meeting. mPCNL, characterized by a tract smaller than 18 Fr and an innovative lithotripsy technique, has firmly established itself as a viable and effective approach for managing upper urinary tract stones in both adults and pediatrics. It offers several advantages over sPCNL including reduced bleeding, fewer requirements for nephrostomy tubes, decreased pain, and shorter hospital stays. The series of detailed techniques presented here serve as a comprehensive guide for urologists, aiming to improve their procedural understanding and optimize patient outcomes.
publishDate	2024
dc.date.none.fl_str_mv	2 2024-01-01 2024 2024-01-01
dc.type.none.fl_str_mv	Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://ddd.uab.cat/record/309314 https://dx.doi.org/urn:doi:10.1186/s40779-024-00562-3
url	https://ddd.uab.cat/record/309314 https://dx.doi.org/urn:doi:10.1186/s40779-024-00562-3
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	application/pdf
dc.source.none.fl_str_mv	reponame:Dipòsit Digital de Documents de la UAB instname:Universitat Autònoma de Barcelona
instname_str	Universitat Autònoma de Barcelona
reponame_str	Dipòsit Digital de Documents de la UAB
collection	Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_	1869412176478863360
spelling	International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomyZhong, Wen\|\|\|0000-0003-0540-7195Gupta, M.Seitz, ChristianBernardo Lambrich, NoemíFiori, C.Angerri Feu, Oriol\|\|\|0000-0003-3363-6585Pearle, M.Shrestha, S.Sarica, K.Zeng, Guo-HuaMazzon, GiorgioZhu, WeiLahme, SvenKhadgi, SanjayDesai, JanakAgrawal, MadhuSchulsinger, DavidMontanari, EmanueleMartinez, Juan Manuel LopezAlmousawi, ShabirMalonzo, Vincent Emanuel F.Sriprasad, SeshadriDurutović, OtasArumuham, VimoshanFerretti, StefaniaKamal, WissamXu, Ke-WeiCheng, FanGao, Xiao-FengCheng, Ji-WenSomani, Bhaskar K.\|\|\|0000-0002-6248-6478Duvdevani, MordechaiGit, Kah AnnIbrahim, Tarek Ahmed AminAquino, AlbertYasui, TakahiroKnoll, ThomasPapatsoris, AthanasiosGadzhiev, Nariman K.\|\|\|0000-0002-6255-0193Zhanbyrbekuly, UlanbekRamos, Hugo LopezSaltirov, IliyaMoussa, MohamadGiusti, GuidoVicentini, FabioSuarez, Edgar BeltranPreminger, Glenn M.Wu, Qing-HuiGhani, KhurshidMaroccolo, MarcusBrehmer, MarianneOsther, Palle J.Zawadzki, MarekTursunkulov, Azimdjon N.\|\|\|0000-0002-1400-178XKytaibekovich, Monolov NurbekAbuvohidov, Abdusamad AbdukakhorovichLara, Cesar Antonio RecaldeNoori, ZamariZanetti, Stefano Paolode la Rosette, JeanDenstedt, JohnYe, Zhang-QunChoong, SimonExpert consensusKidney stoneMiniaturized PCNL (mPCNL)OperationPercutaneous nephrolithotomy (PCNL)Over the past three decades, there has been increasing interest in miniaturized percutaneous nephrolithotomy (mPCNL) techniques featuring smaller tracts as they offer potential solutions to mitigate complications associated with standard PCNL (sPCNL). However, despite this growing acceptance and recognition of its benefits, unresolved controversies and acknowledged limitations continue to impede widespread adoption due to a lack of consensus on optimal perioperative management strategies and procedural tips and tricks. In response to these challenges, an international panel comprising experts from the International Alliance of Urolithiasis (IAU) took on the task of compiling an expert consensus document on mPCNL procedures aimed at providing urologists with a comprehensive clinical framework for practice. This endeavor involved conducting a systematic literature review to identify research gaps (RGs), which formed the foundation for developing a structured questionnaire survey. Subsequently, a two-round modified Delphi survey was implemented, culminating in a group meeting to generate final evidence-based comments. All 64 experts completed the second-round survey, resulting in a response rate of 100.0%. Fifty-eight key questions were raised focusing on mPCNLs within 4 main domains, including general information (13 questions), preoperative work-up (13 questions), procedural tips and tricks (19 questions), and postoperative evaluation and follow-up (13 questions). Additionally, 9 questions evaluated the experts' experience with PCNLs. Consensus was reached on 30 questions after the second-round survey, while professional statements for the remaining 28 key questions were provided after discussion in an online panel meeting. mPCNL, characterized by a tract smaller than 18 Fr and an innovative lithotripsy technique, has firmly established itself as a viable and effective approach for managing upper urinary tract stones in both adults and pediatrics. It offers several advantages over sPCNL including reduced bleeding, fewer requirements for nephrostomy tubes, decreased pain, and shorter hospital stays. The series of detailed techniques presented here serve as a comprehensive guide for urologists, aiming to improve their procedural understanding and optimize patient outcomes.Universitat Autònoma de Barcelona. Departament de Medicina 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/309314https://dx.doi.org/urn:doi:10.1186/s40779-024-00562-3reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3093142026-06-06T12:50:31Z
score	15,811543

International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy

Similares en LA Referencia