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Aliança Internacional de Urolitíase (IAU) consenso sobre a nefrolitotomia percutânea miniaturizada

  • role： Corresponding author, Contribute equally, First author通信作者, 同等贡献者, 第一作者
  • Affiliation：

    Department of Urology and Guangdong Key Laboratory of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510230, China

  • Email：gzgyzgh@vip.sina.com
  • Introduction：* gzgyzgh@vip.sina.com
Guo-Hua Zeng1*,  
  • role： Contribute equally同等贡献者
  • Affiliation：

    Department of Urology and Guangdong Key Laboratory of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510230, China

Wen Zhong1,  
  • role： Contribute equally同等贡献者
  • Affiliation：

    Department of Urology, San Bassiano Hospital, 36061 Vicenza, Italy

Giorgio Mazzon2,  
  • Affiliation：

    Department of Urology and Guangdong Key Laboratory of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510230, China

Wei Zhu1,  
  • Affiliation：

    Department of Urology, Siloah St. Trudpert Hospital, 75179 Pforzheim, Germany

Sven Lahme3,  
  • Affiliation：

    Department of Urology, Vayodha Hospital, Kathmandu 44600, Nepal

Sanjay Khadgi4,  
  • Affiliation：

    Department of Urology, Muljibhai Patel Urological Hospital, Nadiad 387001, India

Janak Desai5,  
  • Affiliation：

    Department of Urology, Centre for Minimally-Invasive Endourology, Global Rainbow Healthcare, Agra 282007, India

Madhu Agrawal6,  
  • Affiliation：

    Department of Urology, Stony Brook University School of Medicine, Stony Brook, NY 11794, USA

David Schulsinger7,  
  • Affiliation：

    Department of Urology, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, NY 10029, USA

Mantu Gupta8,  
  • Affiliation：

    Department of Urology, Fondazione IRCSS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy

Emanuele Montanari9,  
  • Affiliation：

    Department of Urology, Barcelona Clinical Hospital, 08036 Barcelona, Spain

Juan Manuel Lopez Martinez10,  
  • Affiliation：

    Department of Urology, Sabah Al Ahmad Urology Centre, 20005 Kuwait, Kuwait

Shabir Almousawi11,  
  • Affiliation：

    Department of Surgery, Section of Urology, Veterans Memorial Medical Center, 1110 Quezon City, Metro Manila, Philippines

Vincent Emanuel F. Malonzo12,  
  • Affiliation：

    Department of Urology, Darent Valley Hospital, Dartford DA2 8DA, UK

Seshadri Sriprasad13,  
  • Affiliation：

    Department of Urology, University of Belgrade, 11120 Belgrade, Serbia

Otas Durutovic14,  
  • Affiliation：

    Department of Urology, Stone and Endourology Unit, University College London Hospitals NHS Foundation Trust, London NW1 2BU, UK

Vimoshan Arumuham15,  
  • Affiliation：

    Department of Urology, Hospital, University of Parma, 43126 Parma, Italy

Stefania Ferretti16,  
  • Affiliation：

    Department of Urology, King Fahd Hospital, 23325 Jeddah, Saudi Arabia

Wissam Kamal17,  
  • Affiliation：

    Department of Urology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China

Ke-Wei Xu18,  
  • Affiliation：

    Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China

Fan Cheng19,  
  • Affiliation：

    Department of Urology, Shanghai Changhai Hospital, Second Military Medical University, Shanghai 200433, China

Xiao-Feng Gao20,  
  • Affiliation：

    Department of Urology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530022, China

Ji-Wen Cheng21,  
  • Affiliation：

    Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK

Bhaskar Somani22,  
  • Affiliation：

    Department of Urology, Hadassah Hebrew University Hospital, 91120 Jerusalem, Israel

Mordechai Duvdevani23,  
  • Affiliation：

    Department of Urology, Pantai Hospital, 11900 Penang, Malaysia

Kah Ann Git24,  
  • Affiliation：

    Department of Urology, Vienna General Hospital, Medical University of Vienna, 1090 Vienna, Austria

Christian Seitz25,  
  • Affiliation：

    Department of Urology, Hospital de Clinicas Jose de San Martin, 1120 Buenos Aires, Argentina

Norberto Bernardo26,  
  • Affiliation：

    Department of Urology, Hamad Medical Corporation, 2001 Doha, Qatar

Tarek Ahmed Amin Ibrahim27,  
  • Affiliation：

    Department of Urology, Jose R. Reyes Memorial Medical Center, 1003 Manila, Philippines

Albert Aquino28,  
  • Affiliation：

    Department of Nephrourology, Nagoya City University Graduate School of Medical Sciences, Nagoya 464-0083, Japan

Takahiro Yasui29,  
  • Affiliation：

    Department of Urology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Turin, Italy

Cristian Fiori30,  
  • Affiliation：

    Department of Urology, Klinikum Sindelfingen-Boeblingen, University of Tuebingen, 71032 Tuebingen, Germany

Thomas Knoll31,  
  • Affiliation：

    Department of Urology, Sismanogleion General Hospital, School of Medicine, National and Kapodistrian University of Athens, 15126 Athens, Greece

Athanasios Papatsoris32,  
  • Affiliation：

    Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia 194100

Nariman Gadzhiev33,  
  • Affiliation：

    Department of Urology and Andrology, Astana Medical University, 010000 Astana, Kazakhstan

Ulanbek Zhanbyrbekuly34,  
  • Affiliation：

    Department of Urology, Puigvert Foundation, Autonomous University of Barcelona, 08025 Barcelona, Spain

Oriol Angerri35,  
  • Affiliation：

    Department of Urology, San Ignacio University Hospital, 110231 Bogotá, Colombia

Hugo Lopez Ramos36,  
  • Affiliation：

    Department of Urology and Nephrology, Military Medical Academy, 1431 Sofia, Bulgaria

Iliya Saltirov37,  
  • Affiliation：

    Department of Urology, Al Zahraa Hospital University Medical Center and Lebanese University, Beirut 10001, Lebanon

Mohamad Moussa38,  
  • Affiliation：

    Department of Urology, IRCCS San Raffaele Hospital, Ville Turro Division, 20127 Milan, Italy

Guido Giusti39,  
  • Affiliation：

    Department of Urology, Endourology and Stone Disease Section, University of Sao Paulo Medical School, Sao Paulo 05508, Brazil

Fabio Vicentini40,  
  • Affiliation：

    Department of Urology, Specialty Hospital La Raza, National Medical Center of the Mexican Institute of Social Security, 97217 Mexico City, Mexico

Edgar Beltran Suarez41,  
  • Affiliation：

    Department of Urology, UT Southwestern Medical Center, Dallas, TX 75390, USA

Margaret Pearle42,  
  • Affiliation：

    Division of Urologic Surgery, Duke University Medical Center, Durham, NC 27705, USA

Glenn M. Preminger43,  
  • Affiliation：

    Department of Urology, National University Hospital, Singapore 119074, Singapore

Qing-Hui Wu44,  
  • Affiliation：

    Urology Unit, Department of Surgery, University Malaya Medical Center, 50603 Kuala Lumpur, Malaysia

Chu Ann Chai45,  
  • Affiliation：

    Department of Urology, Division of Endourology, University of Michigan, Ann Arbor, MI 48109, USA

Khurshid Ghani46,  
  • Affiliation：

    Department of Urology, Hospital de Base of the Federal District, Brasília 70330-150, Brazil

Marcus Maroccolo47,  
  • Affiliation：

    Department of Urology, Karolinska University Stockholm Sweden and Aarhus University Hospital, 17176 Stockholm, Denmark

Marianne Brehmer48,  
  • Affiliation：

    Department of Urology, Lillebaelt Hospital, University of Southern Denmark, 246000 Vejle, Denmark

Palle J. Osther49,  
  • Affiliation：

    Department of Urology, St. Anna Hospital, 05500 Piaseczno, Poland

Marek Zawadzki50,  
  • Affiliation：

    Department of Urology, Akfa Medline Hospital, 100211 Tashkent, Uzbekistan

Azimdjon Tursunkulov51,  
  • Affiliation：

    Department of Urology, DOC University Clinic, 760000 Bishkek, Kyrgyzstan

Monolov Nurbek Kytaibekovich52,  
  • Affiliation：

    Department of Urology, Tajik State Medical University, 734003 Dushanbe, Tajikistan

Abdusamad Abdukakhorovich Abuvohidov53,  
  • Affiliation：

    Department of Urology, Tte. Ettiene 215, 110309 Fernando de La Mora, Paraguay

Cesar Antonio Recalde Lara54,  
  • Affiliation：

    Department of Urology, Aria Apollo Hospital, Ameriat Square, 3001 Herat, Afghanistan

Zamari Noori55,  
  • Affiliation：

    Department of Urology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, 28-20122 Milan, Italy

Stefano Paolo Zanetti56,  
  • Affiliation：

    Department of Surgery, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu 44600, Nepal

Sunil Shrestha57,  
  • Affiliation：

    Department of Urology, Istanbul Medipol University, Istanbul 34815, Turkey

Jean de la Rosette58,  
  • Affiliation：

    Department of Surgery, Division of Urology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada

John Denstedt59,  
  • Affiliation：

    Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China

Zhang-Qun Ye60,  
  • Affiliation：

    Department of Urology, Medical School, Biruni University, Istanbul 34020, Turkey

Kemal Sarica61,  
  • role： Corresponding author通信作者
  • Affiliation：

    Department of Urology, University College Hospital of London, London NW1 2BU, UK

  • Email：schoong@aol.com
  • Introduction：schoong@aol.com
Simon Choong62*

Resumo

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.

Palavras-chave

Percutaneous nephrolithotomy (PCNL);Miniaturized PCNL (mPCNL);Expert consensus;Kidney stone;Operation

References

  1. 1..
    Hill AJ, Basourakos SP, Lewicki P, Wu X, Arenas-Gallo C, Chuang D, et al. Incidence of kidney stones in the United States: the continuous National Health and Nutrition Examination survey. J Urol. 2022;207(4):851-6.
  2. 2..
    Zeng G, Mai Z, Xia S, Wang Z, Zhang K, Wang L, et al. Prevalence of kidney stones in China: an ultrasonography based cross-sectional study. BJU Int. 2017;120(1):109-16.
  3. 3..
    Karagiannis A, Skolarikos A, Alexandrescu E, Basic D, Geavlete P, Maletta A, et al. Epidemiologic study of urolithiasis in seven countries of South-Eastern Europe: S.E.G.U.R. 1 study. Arch Ital Urol Androl. 2017;89(3):173-7.
  4. 4..
    Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical management of stones: American Urological Association/Endourological Society guideline. PART II J Urol. 2016;196(4):1161-9.
  5. 5..
    Kyriazis I, Panagopoulos V, Kallidonis P, Özsoy M, Vasilas M, Liatsikos E. Complications in percutaneous nephrolithotomy. World J Urol. 2015;33(8):1069-77.
  6. 6..
    Gadzhiev N, Malkhasyan V, Akopyan G, Petrov S, Jefferson F, Okhunov Z. Percutaneous nephrolithotomy for staghorn calculi: troubleshooting and managing complications. Asian J Urol. 2020;7(2):139-48.
  7. 7..
    Wu K, Li X, Yuan J, Guo W, Shan C. Secondary minimally invasive percutaneous nephrolithomy followed by nephrostomy for staghorn stones. Acad J Guangzhou Med Coll. 1993;21(2):13-6 (in Chinese).
  8. 8..
    Jackman SV, Docimo SG, Cadeddu JA, Bishoff JT, Kavoussi LR, Jarrett TW. The “mini-perc” technique: a less invasive alternative to percutaneous nephrolithotomy. World J Urol. 1998;16(6):371-4.
  9. 9..
    Lahme S, Bichler KH, Strohmaier WL, Götz T. Minimally invasive PCNL in patients with renal pelvic and calyceal stones. Eur Urol. 2001;40(6):619-24.
  10. 10..
    Desai M, Mishra S. ‘Microperc’ micro percutaneous nephrolithotomy: evidence to practice. Curr Opin Urol. 2012; 22(2):134-8.
  11. 11..
    Desai J, Zeng G, Zhao Z, Zhong W, Chen W, Wu W. A novel technique of ultra-mini-percutaneous nephrolithotomy: introduction and an initial experience for treatment of upper urinary calculi less than 2 cm. Biomed Res Int. 2013;2013:490793.
  12. 12..
    Zeng G, Wan S, Zhao Z, Zhu J, Tuerxun A, Song C, et al. Super-mini percutaneous nephrolithotomy (SMP): a new concept in technique and instrumentation. BJU Int. 2016;117(4):655-61.
  13. 13..
    Zeng G, Cai C, Duan X, Xu X, Mao H, Li X, et al. Mini percutaneous nephrolithotomy is a noninferior modality to standard percutaneous nephrolithotomy for the management of 20–40 mm renal calculi: a multicenter randomized controlled trial. Eur Urol. 2021;79(1):114-21.
  14. 14..
    Wishahi M, El Feel A, Elkhouly A, Fahmy A, Roshdy M, Elbaz AG, et al. Concerns about stone free rate and procedure events of percutaneous nephrolithotripsy (PCNL) for 2–4 cm kidney stones by standard-PCNL vs mini-PCNL-comparative randomised study. BMC Urol. 2023;23(1):96.
  15. 15..
    Kandemir E, Savun M, Sezer A, Erbin A, Akbulut MF, Sarılar Ö. Comparison of miniaturized percutaneous nephrolithotomy and standard percutaneous nephrolithotomy in secondary patients: a randomized prospective study. J Endourol. 2020;34(1):26-32.
  16. 16..
    Atassi N, Knoll T. Future of kidney stone management: surgical intervention miniaturization of PCNL: where is the limit?. Curr Opin Urol. 2020;30(2):107-12.
  17. 17..
    Zeng G, Zhong W, Pearle M, Choong S, Chew B, Skolarikos A, et al. European Association of Urology section of urolithiasis and International Alliance of Urolithiasis joint consensus on percutaneous nephrolithotomy. Eur Urol Focus. 2022;8(2):588-97.
  18. 18..
    Zeng G, Zhong W, Mazzon G, Choong S, Pearle M, Agrawal M, et al. International Alliance of Urolithiasis (IAU) guideline on percutaneous nephrolithotomy. Minerva Urol Nephrol. 2022;74(6):653-68.
  19. 19..
    Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol. 1976;10(3):257-9.
  20. 20..
    Williams PL, Webb C. The Delphi technique: a methodological discussion. J Adv Nurs. 1994;19(1):180-6.
  21. 21..
    Witjes JA, Babjuk M, Bellmunt J, Bruins HM, De Reijke TM, De Santis M, et al. EAU-ESMO consensus statements on the management of advanced and variant bladder cancer-an international collaborative multistakeholder effort+: under the auspices of the EAU and ESMO guidelines committees. Eur Urol. 2020;77(2):223-50.
  22. 22..
    Tepeler A, Sarica K. Standard, mini, ultra-mini, and micro percutaneous nephrolithotomy: what is next? A novel labeling system for percutaneous nephrolithotomy according to the size of the access sheath used during procedure. Urolithiasis. 2013;41(4):367-8.
  23. 23..
    Choong S, Denstedt J, Zeng G, Sarica K, Mazzon G, et al. Classification and standardized reporting of percutaneous nephrolithotomy (PCNL): International Alliance of Urolithiasis (IAU) consensus statements. Minerva Urol Nephrol. 2022;74(1):110-8.
  24. 24..
    Sharma G, Sharma A, Devana SK, Singh SK. Mini versus standard percutaneous nephrolithotomy for the management of renal stone disease: systematic review and meta-analysis of randomized controlled trials. Eur Urol Focus. 2022;8(5):1376-85.
  25. 25..
    Qin P, Zhang D, Huang T, Fang L, Cheng Y. Comparison of mini percutaneous nephrolithotomy and standard percutaneous nephrolithotomy for renal stones > 2 cm: a systematic review and meta-analysis. Int Braz J Urol. 2022;48(4):637-48.
  26. 26..
    Zhu W, Liu Y, Liu L, Lei M, Yuan J, Wan SP, et al. Minimally invasive versus standard percutaneous nephrolithotomy: a meta-analysis. Urolithiasis. 2015;43(6):563-70.
  27. 27..
    Wan C, Wang D, Xiang J, Yang B, Xu J, Zhou G, et al. Comparison of postoperative outcomes of mini percutaneous nephrolithotomy and standard percutaneous nephrolithotomy: a meta-analysis. Urolithiasis. 2022;50(5):523-33.
  28. 28..
    Abdelhafez MF, Wendt-Nordahl G, Kruck S, Mager R, Stenzl A, Knoll T, et al. Minimally invasive versus conventional large-bore percutaneous nephrolithotomy in the treatment of large-sized renal calculi: Surgeon’s preference?. Scand J Urol. 2016;50(3):212-5.
  29. 29..
    Mahmood SN, Aziz BO, Tawfeeq HM, Fakhralddin SS. Mini- versus standard percutaneous nephrolithotomy for treatment of pediatric renal stones: is smaller enough?. J Pediatr Urol. 2019;15(6):664.e1-e6.
  30. 30..
    Rashid AO, Amin SH, Al Kadum MA, Mohammed SK, Buchholz N. Minipercutaneous nephrolithotomy for complex staghorn stones in children. Urol Int. 2019;102(3):356-9.
  31. 31..
    Mousawi SA, Guzel R, Zaid M, Eryildirim B, Sarica K. Minipercutaneous nephrolithotomy in the management of large and complex renal calculi in children: How effective is it?. J Endourol. 2023;37(4):387-93.
  32. 32..
    Li X, He Z, Wu K, Li S, Zeng G, Yuan J, et al. Chinese minimally invasive percutaneous nephrolithotomy: the Guangzhou experience. J Endourol. 2009;23(10):1693-7.
  33. 33..
    Bader MJ, Gratzke C, Seitz M, Sharma R, Stief CG, Desai M. The “all-seeing needle”: initial results of an optical puncture system confirming access in percutaneous nephrolithotomy. Eur Urol. 2011;59(6):1054-9.
  34. 34..
    Zhong W, Zeng G, Wu W, Chen W, Wu K. Minimally invasive percutaneous nephrolithotomy with multiple mini tracts in a single session in treating staghorn calculi. Urol Res. 2011; 39(2):117-22.
  35. 35..
    Zeng G, Zhu W, Lam W. Miniaturised percutaneous nephrolithotomy: its role in the treatment of urolithiasis and our experience. Asian J Urol. 2018;5(4):295-302.
  36. 36..
    Zhong W, Wen J, Peng L, Zeng G. Enhanced super-mini-PCNL (eSMP): low renal pelvic pressure and high stone removal efficiency in a prospective randomized controlled trial. World J Urol. 2021;39(3):929-34.
  37. 37..
    Yang Z, Song L, Xie D, Deng X, Zhu L, Fan D, et al. The new generation mini-PCNL system - monitoring and controlling of renal pelvic pressure by suctioning device for efficient and safe PCNL in managing renal staghorn calculi. Urol Int. 2016;97(1):61-6.
  38. 38..
    Du C, Song L, Wu X, Fan D, Zhu L, Liu S, et al. Suctioning minimally invasive percutaneous nephrolithotomy with a patented system is effective to treat renal staghorn calculi: a prospective multicenter study. Urol Int. 2018;101(2):143-9.
  39. 39..
    Kambadakone AR, Eisner BH, Catalano OA, Sahani DV. New and evolving concepts in the imaging and management of urolithiasis: urologists’ perspective. Radiographics. 2010;30(3): 603-23.
  40. 40..
    Worster A, Preyra I, Weaver B, Haines T. The accuracy of noncontrast helical computed tomography versus intravenous pyelography in the diagnosis of suspected acute urolithiasis: a meta-analysis. Ann Emerg Med. 2002;40(3):280-6.
  41. 41..
    Thalgott M, Kurtz F, Gschwend JE, Straub M. Diagnostic imaging of urolithiais. Current recommendations and new developments. Urologe A. 2015;54(7):948-55 (in German).
  42. 42..
    Sankar K, Anand K, Ramani S, Gayathri B. A randomized control trial to compare hemodynamic parameters of patients undergoing percutaneous nephrolithotomy under combined spinal-epidural and general anesthesia in a tertiary hospital. Local Reg Anesth. 2023;16:41-9.
  43. 43..
    Movasseghi G, Hassani V, Mohaghegh MR, Safaeian R, Safari S, Zamani MM, et al. Comparison between spinal and general anesthesia in percutaneous nephrolithotomy. Anesth Pain Med. 2014;4(1):e13871.
  44. 44..
    Chen Y, Zhou Z, Sun W, Zhao T, Wang H. Minimally invasive percutaneous nephrolithotomy under peritubal local infiltration anesthesia. World J Urol. 2011;29(6):773-7.
  45. 45..
    Basiri A, Kashi AH, Zeinali M, Nasiri MR, Valipour R, Sarhangnejad R. Limitations of spinal anesthesia for patient and surgeon during percutaneous nephrolithotomy. Urol J. 2018;15(4):164-7.
  46. 46..
    Zhao Z, Fan J, Liu Y, de la Rosette J, Zeng G. Percutaneous nephrolithotomy: position, position, position!. Urolithiasis. 2018;46(1):79-86.
  47. 47..
    Mourmouris P, Berdempes M, Markopoulos T, Lazarou L, Tzelves L, Skolarikos A. Patient positioning during percutaneous nephrolithotomy: What is the current best practice?. Res Rep Urol. 2018;10:189-93.
  48. 48..
    Li J, Gao L, Li Q, Zhang Y, Jiang Q. Supine versus prone position for percutaneous nephrolithotripsy: a meta-analysis of randomized controlled trials. Int J Surg. 2019;66:62-71.
  49. 49..
    Melo PAS, Vicentini FC, Perrella R, Murta CB, Claro JFA. Comparative study of percutaneous nephrolithotomy performed in the traditional prone position and in three different supine positions. Int Braz J Urol. 2019;45(1):108-17.
  50. 50..
    Carrion DM, Cansino JR, Quintana LM, Gómez Rivas J, Mainez Rodriguez JA, Pérez-Carral JR, et al. Prone percutaneous nephrolithotomy: its advantages and our technique for puncture. Transl Androl Urol. 2018;7(6):950-9.
  51. 51..
    Scoffone CM, Cracco CM, Cossu M, Grande S, Poggio M, Scarpa RM. Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position: a new standard for percutaneous nephrolithotomy?. Eur Urol. 2008;54(6):1393-403.
  52. 52..
    Yue G, Lei Y, Karagöz MA, Zhu H, Cheng D, Cai C, et al. Comparison of the prone split-leg position with the traditional prone position in percutaneous nephrolithotomy: a propensity score-matching study. J Endourol. 2021;35(9):1333-9.
  53. 53..
    Alken P. Percutaneous nephrolithotomy - the puncture. BJU Int. 2022;129(1):17-24.
  54. 54..
    Armitage JN, Withington J, Fowler S, Finch WJG, Burgess NA, Irving SO, et al. Percutaneous nephrolithotomy access by urologist or interventional radiologist: practice and outcomes in the UK. BJU Int. 2017;119(6):913-8.
  55. 55..
    Liu Q, Zhou L, Cai X, Jin T, Wang K. Fluoroscopy versus ultrasound for image guidance during percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis. 2017;45(5):481-7.
  56. 56..
    Ng FC, Yam WL, Lim TYB, Teo JK, Ng KK, Lim SK. Ultrasound-guided percutaneous nephrolithotomy: advantages and limitations. Investig Clin Urol. 2017;58(5):346-52.
  57. 57..
    Breda A, Territo A, Scoffone C, Seitz C, Knoll T, Herrmann T, et al. The evaluation of radiologic methods for access guidance in percutaneous nephrolithotomy: a systematic review of the literature. Scand J Urol. 2018;52(2):81-6.
  58. 58..
    Wu Y, Xun Y, Lu Y, Hu H, Qin B, Wang S. Effectiveness and safety of four tract dilation methods of percutaneous nephrolithotomy: a meta-analysis. Exp Ther Med. 2020;19(4):2661-71.
  59. 59..
    Li Y, Yang L, Xu P, Shen P, Qian S, Wei W, et al. One-shot versus gradual dilation technique for tract creation in percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis. 2013;41(5):443-8.
  60. 60..
    York NE, Borofsky MS, Chew BH, Dauw CA, Paterson RF, Denstedt JD, et al. Randomized controlled trial comparing three different modalities of lithotrites for intracorporeal lithotripsy in percutaneous nephrolithotomy. J Endourol. 2017;31(11):1145-51.
  61. 61..
    Życzkowski M, Bogacki R, Nowakowski K, Muskała B, Rajwa P, Bryniarski P, et al. Application of pneumatic lithotripter and holmium laser in the treatment of ureteral stones and kidney stones in children. Biomed Res Int. 2017;2017:2505034.
  62. 62..
    Enikeev D, Taratkin M, Klimov R, Alyaev Y, Rapoport L, Gazimiev M, et al. Thulium-fiber laser for lithotripsy: first clinical experience in percutaneous nephrolithotomy. World J Urol. 2020;38(12):3069-74.
  63. 63..
    Chen S, Zhu L, Yang S, Wu W, Liao L, Tan J. High- vs low-power holmium laser lithotripsy: a prospective, randomized study in patients undergoing multitract minipercutaneous nephrolithotomy. Urology. 2012;79(2):293-7.
  64. 64..
    Croghan SM, Skolarikos A, Jack GS, Manecksha RP, Walsh MT, O’Brien FJ, et al. Upper urinary tract pressures in endourology: a systematic review of range, variables and implications. BJU Int. 2023;131(3):267-79.
  65. 65..
    Tokas T, Tzanaki E, Nagele U, Somani BK. Role of intrarenal pressure in modern day endourology (mini-PCNL and flexible URS): a systematic review of literature. Curr Urol Rep. 2021;22(10):52.
  66. 66..
    Zhong W, Zeng G, Wu K, Li X, Chen W, Yang H. Does a smaller tract in percutaneous nephrolithotomy contribute to high renal pelvic pressure and postoperative fever?. J Endourol. 2008;22(9):2147-51.
  67. 67..
    Alsmadi J, Fan J, Zhu W, Wen Z, Zeng G. The influence of super-mini percutaneous nephrolithotomy on renal pelvic pressure in vivo. J Endourol. 2018;32(9):819-23.
  68. 68..
    Nagele U, Horstmann M, Sievert KD, Kuczyk MA, Walcher U, Hennenlotter J, et al. A newly designed amplatz sheath decreases intrapelvic irrigation pressure during mini-percutaneous nephrolitholapaxy: an in-vitro pressure-measurement and microscopic study. J Endourol. 2007;21(9):1113-6.
  69. 69..
    DiBianco JM, Ghani KR. Precision stone surgery: current status of miniaturized percutaneous nephrolithotomy. Curr Urol Rep. 2021;22(4):24.
  70. 70..
    de la Rosette JJ, Zuazu JR, Tsakiris P, Elsakka AM, Zudaire JJ, Laguna MP, et al. Prognostic factors and percutaneous nephrolithotomy morbidity: a multivariate analysis of a contemporary series using the Clavien classification. J Urol. 2008; 180(6):2489-93.
  71. 71..
    Lai WS, Assimos D. Factors associated with postoperative infection after percutaneous nephrolithotomy. Rev Urol. 2018;20(1):7-11.
  72. 72..
    Rivera M, Viers B, Cockerill P, Agarwal D, Mehta R, Krambeck A. Preand postoperative predictors of infection-related complications in patients undergoing percutaneous nephrolithotomy. J Endourol. 2016;30(9):982-6.
  73. 73..
    Chen D, Jiang C, Liang X, Zhong F, Huang J, Lin Y, et al. Early and rapid prediction of postoperative infections following percutaneous nephrolithotomy in patients with complex kidney stones. BJU Int. 2019;123(6):1041-7.
  74. 74..
    Liu M, Chen J, Gao M, Zeng H, Cui Y, Zhu Z, et al. Preoperative midstream urine cultures vs renal pelvic urine culture or stone culture in predicting systemic inflammatory response syndrome and urosepsis after percutaneous nephrolithotomy: a systematic review and meta-analysis. J Endourol. 2021;35(10):1467-78.
  75. 75..
    Walton-Diaz A, Vinay JI, Barahona J, Daels P, González M, Hidalgo JP, et al. Concordance of renal stone culture: PMUC, RPUC, RSC and post-PCNL sepsis-a non-randomized prospective observation cohort study. Int Urol Nephrol. 2017;49(1):31-5.
  76. 76..
    De Lorenzis E, Boeri L, Gallioli A, Fontana M, Zanetti SP, Longo F, et al. Feasibility and relevance of urine culture during stone fragmentation in patients undergoing percutaneous nephrolithotomy and retrograde intrarenal surgery: a prospective study. World J Urol. 2021;39(6):1725-32.
  77. 77..
    Akman T, Binbay M, Sari E, Yuruk E, Tepeler A, Akcay M, et al. Factors affecting bleeding during percutaneous nephrolithotomy: single surgeon experience. J Endourol. 2011;25(2):327-33.
  78. 78..
    Harraz AM, Osman Y, El-Nahas AR, Elsawy AA, Fakhreldin I, Mahmoud O, et al. Residual stones after percutaneous nephrolithotomy: comparison of intraoperative assessment and postoperative non-contrast computerized tomography. World J Urol. 2017;35(8):1241-6.
  79. 79..
    Gökce M, Gülpinar O, Ibiş A, Karaburun M, Kubilay E, Süer E. Retrograde vs. antegrade fl exible nephroscopy for detection of residual fragments following PNL: a prospective study with computerized tomography control. Int Braz J Urol. 2019;45(3):581-7.
  80. 80..
    Cracco CM, Scoffone CM. ECIRS (Endoscopic Combined Intrarenal Surgery) in the Galdakao-modified supine Valdivia position: a new life for percutaneous surgery?. World J Urol. 2011;29(6):821-7.
  81. 81..
    Portis AJ, Laliberte MA, Drake S, Holtz C, Rosenberg MS, Bretzke CA. Intraoperative fragment detection during percutaneous nephrolithotomy: evaluation of high magnification rotational fluoroscopy combined with aggressive nephroscopy. J Urol. 2006;175(1):162-6.
  82. 82..
    Kanno T, Kubota M, Funada S, Okada T, Higashi Y, Yamada H. The utility of the kidneys-ureters-bladder radiograph as the sole imaging modality and its combination with ultrasonography for the detection of renal stones. Urology. 2017;104:40-4.
  83. 83..
    Van den Broeck T, Zhu X, Kusters A, Futterer J, Langenhuijsen J, d’’Ancona F. Percutaneous nephrolithotomy with intraoperative computed tomography scanning improves stone-free rates. J Endourol. 2021;35(3):267-73.
  84. 84..
    Agrawal MS, Agarwal M. Percutaneous nephrolithotomy: large tube, small tube, tubeless, or totally tubeless?. Indian J Urol. 2013;29(3):219-24.
  85. 85..
    Shah HN, Sodha HS, Khandkar AA, Kharodawala S, Hegde SS, Bansal MB. A randomized trial evaluating type of nephrostomy drainage after percutaneous nephrolithotomy: small bore v tubeless. J Endourol. 2008;22(7):1433-9.
  86. 86..
    Karami H, Gholamrezaie HR. Totally tubeless percutaneous nephrolithotomy in selected patients. J Endourol. 2004;18(5):475-6.
  87. 87..
    Skolarikos A, Papatsoris AG. Diagnosis and management of postpercutaneous nephrolithotomy residual stone fragments. J Endourol. 2009;23(10):1751-5.
  88. 88..
    Park J, Hong B, Park T, Park HK. Effectiveness of noncontrast computed tomography in evaluation of residual stones after percutaneous nephrolithotomy. J Endourol. 2007;21(7):684-7.
  89. 89..
    Brain E, Geraghty RM, Lovegrove CE, Yang B, Somani BK. Natural history of post-treatment kidney stone fragments: a systematic review and meta-analysis. J Urol. 2021;206(3):526-38.
  90. 90..
    Suarez-Ibarrola R, Hein S, Miernik A. Residual stone fragments: clinical implications and technological innovations. Curr Opin Urol. 2019;29(2):129-34.
  91. 91..
    Prezioso D, Barone B, Di Domenico D, Vitale R. Stone residual fragments: a thorny problem. Urologia. 2019;86(4):169-76.
  92. 92..
    Taguchi K, Cho SY, Ng AC, Usawachintachit M, Tan YK, Deng YL, et al. The Urological Association of Asia clinical guideline for urinary stone disease. Int J Urol. 2019;26(7):688-709.
  93. 93..
    Gourgiotis S, Germanos S, Dimopoulos N, Vougas V, Anastasiou T, Baratsis S. Renal injury: 5-year experience and literature review. Urol Int. 2006;77(2):97-103.
  94. 94..
    Zhong W, Xu J, Mazzon G, Zheng Z, Maolei Y, Li Z, et al. Translation and validation of the Chinese version of Wisconsin Stone Quality of Life questionnaire in patients with kidney stones. Minerva Urol Nephrol. 2023;75(3):353-8.
  95. 95..
    Quiroz YY, Llorens E, Motta G, Tobia S, Bujons A. Ultra-mini Pcnl with clear Petra® suction-evacuation access sheath and warming irrigation fluid system (Rocamed®) for stone treatment in children. J Pediatr Urol. 2021;17(5):750-2.

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