Does displacement of lower pole stones during retrograde intrarenal surgery improves stone-free status? A systematic review and meta-analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSANTANA, Roberto Nogueira
dc.contributor.authorPORTO, Breno Cordeiro
dc.contributor.authorPASSEROTTI, Carlo Camargo
dc.contributor.authorARTIFON, Everson Luiz de Almeida
dc.contributor.authorOTOCH, Jose Pinhata
dc.contributor.authorCRUZ, Jose Arnaldo Shiomi da
dc.date.accessioned2024-02-15T14:37:47Z
dc.date.available2024-02-15T14:37:47Z
dc.date.issued2023
dc.description.abstractPurpose: Kidney stones are one of the most common urological diseases worldwide. The size and location of the stone are the most important factors in determining the most suitable treatment options. The aim of this review was to evaluate the displacement of lower pole stones. Methods: Three studies assessing the efficacy of translocating kidney stones from the lower pole of the kidney to other locations during retrograde intrarenal surgery published in the last 20 years were included. A systematic search was conducted in the PubMed, Embase, Latin American and Caribbean Health Sciences Literature (LILACS), and Web of Science databases using the following search terms: ""Lower pole,"" ""Lithotripsy."" Meta-analysis was performed using Review Manager version 5.4. Results: Stone-free rates were improved through displacement (odds ratio - OR = -0.15; 95% confidence interval-95%CI -0.24--0.05; p = 0.002; I2 = 21%), but at the cost of increased surgical duration (mean difference = -12.50; 95%CI -24.06--0.95; p = 0.03; I2 = 94%). Although this represents a potentially negative outcome, the improvement in clearance rates justifies the additional investment of time and effort. Conclusion: Displacement of lower pole kidney stones for subsequent lithotripsy brings significant benefits in terms of stone-free rate, with no difference in laser energy usage. However, it results in increased surgical time. Despite these factors, the benefits to patients undergoing the procedure are substantial.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationACTA CIRURGICA BRASILEIRA, v.38, article ID E386623, 10p, 2023
dc.identifier.doi10.1590/acb386623
dc.identifier.eissn1678-2674
dc.identifier.issn0102-8650
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/57799
dc.language.isoeng
dc.publisherACTA CIRURGICA BRASILEIRAeng
dc.relation.ispartofActa Cirurgica Brasileira
dc.rightsopenAccesseng
dc.rights.holderCopyright ACTA CIRURGICA BRASILEIRAeng
dc.subjectLithotripsyeng
dc.subjectKidney Calculieng
dc.subjectUreteroscopyeng
dc.subject.otherureterorenoscopyeng
dc.subject.othermanagementeng
dc.subject.othercalculieng
dc.subject.otherimpacteng
dc.subject.wosSurgeryeng
dc.titleDoes displacement of lower pole stones during retrograde intrarenal surgery improves stone-free status? A systematic review and meta-analysiseng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalSANTANA, Roberto Nogueira:Univ Nove de Julho, Surg Dept, Sao Bernardo Do Campo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcBRENO CORDEIRO PORTO
hcfmusp.contributor.author-fmusphcCARLO CAMARGO PASSEROTTI
hcfmusp.contributor.author-fmusphcEVERSON LUIZ DE ALMEIDA ARTIFON
hcfmusp.contributor.author-fmusphcJOSE PINHATA OTOCH
hcfmusp.contributor.author-fmusphcJOSE ARNALDO SHIOMI DA CRUZ
hcfmusp.description.articlenumberE386623
hcfmusp.description.volume38
hcfmusp.origemWOS
hcfmusp.origem.pubmed38055401
hcfmusp.origem.scopus2-s2.0-85178458244
hcfmusp.origem.wosWOS:001123873600001
hcfmusp.publisher.citySAO PAULOeng
hcfmusp.publisher.countryBRAZILeng
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Artigos e Materiais de Revistas Científicas - FM/MCG
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