PMID- 37750960
OWN - NLM
STAT- MEDLINE
DCOM- 20231109
LR  - 20231220
IS  - 1433-8726 (Electronic)
IS  - 0724-4983 (Linking)
VI  - 41
IP  - 11
DP  - 2023 Nov
TI  - Needle-perc-assisted endoscopic surgery (NAES) for patients with complicated 
      solitary kidney stones: a prospective randomized study from a single center.
PG  - 3121-3127
LID - 10.1007/s00345-023-04576-9 [doi]
AB  - PURPOSE: The goal of this study is to compare traditional percutaneous 
      nephrolithotomy (PCNL) and needle-perc-assisted endoscopic surgery (NAES) in the 
      treatment of complicated solitary kidney stones via a single-center randomized 
      controlled prospective study. METHODS: A total of patients with complex (Guy's 
      score II-IV) solitary kidney stones between July 2019 to June 2022 were enrolled 
      in the study. Participants were stratified into two groups: needle-perc-assisted 
      endoscopic surgery group (group A) and traditional PCNL group (group B). All 
      procedures were finished by X-ray free technique. The clinical characteristics 
      and outcomes were analyzed. RESULTS: A total of 90 (44 in Group A and 46 in Group 
      B) patients were finally included in our study. There were no statistically 
      differences in terms of gender, age, body mass index (BMI), stone burden between 
      two groups. The mean operative duration of Group A was significant higher than 
      group B (95.1 +/- 21.4 min vs 72.5 +/- 29.5 min, p=0.02). The 1-month stone-free rate 
      (SFR) was significant higher in Group A than B (90.9% vs 73.9%, p=0.03). A less 
      hemoglobin drop (p=0.01), shorter postoperative in-hospital day (p=0.04), and 
      lower severe complication (Clavien-Dindo III and above) rates (p=0.03) were 
      observed in Group A. CONCLUSION: For patients with solitary kidney stones, NAES 
      technique provides a higher one-session SFR, a better renal function recovery and 
      compared with traditional PCNL.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Zeng, Xue
AU  - Zeng X
AUID- ORCID: 0000-0001-6433-2272
AD  - Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung 
      Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping 
      District, Beijing, 102218, China.
FAU - Diao, Xiaolin
AU  - Diao X
AD  - Department of Medicine, Peking University Hospital, Beijing, 100871, China.
FAU - Jin, Song
AU  - Jin S
AD  - Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung 
      Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping 
      District, Beijing, 102218, China.
FAU - Hu, Weiguo
AU  - Hu W
AD  - Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung 
      Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping 
      District, Beijing, 102218, China.
FAU - Bai, Wenjie
AU  - Bai W
AD  - Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung 
      Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping 
      District, Beijing, 102218, China.
FAU - Li, Jianxing
AU  - Li J
AD  - Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung 
      Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping 
      District, Beijing, 102218, China.
FAU - Xiao, Bo
AU  - Xiao B
AD  - Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung 
      Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping 
      District, Beijing, 102218, China. beidaxiaobo@163.com.
LA  - eng
GR  - XMLX202118/Beijing Municipal Administration of Hospitals Clinical Medicine 
      Development of Special Funding/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20230926
PL  - Germany
TA  - World J Urol
JT  - World journal of urology
JID - 8307716
SB  - IM
MH  - Humans
MH  - *Solitary Kidney
MH  - Prospective Studies
MH  - *Nephrostomy, Percutaneous/methods
MH  - Retrospective Studies
MH  - *Kidney Calculi/complications/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Needle-perc
OT  - Percutaneous nephrolithotomy
OT  - Solitary kidney stone
EDAT- 2023/09/26 13:42
MHDA- 2023/11/09 06:42
CRDT- 2023/09/26 11:07
PHST- 2023/04/18 00:00 [received]
PHST- 2023/08/15 00:00 [accepted]
PHST- 2023/11/09 06:42 [medline]
PHST- 2023/09/26 13:42 [pubmed]
PHST- 2023/09/26 11:07 [entrez]
AID - 10.1007/s00345-023-04576-9 [pii]
AID - 10.1007/s00345-023-04576-9 [doi]
PST - ppublish
SO  - World J Urol. 2023 Nov;41(11):3121-3127. doi: 10.1007/s00345-023-04576-9. Epub 
      2023 Sep 26.