Percutaneous Nephrolithotomy Access: A Meta-Analysis Comparing Access by Urologist vs Radiologist
Joshua Ghoulian1,2, Alex Nourian1, Zafardjan Dalimov1
1Department of Urology, Einstein Healthcare Network, Philadelphia, Pennsylvania, USA.
Journal of Endourology
|September 22, 2022
Summary
Urologist-performed percutaneous nephrolithotomy (PCNL) access offers better stone-free rates and fewer major complications. Interventional radiology access may lead to less blood loss, with similar transfusion rates between the two approaches for PCNL.
Area of Science:
- Nephrology
- Urology
- Interventional Radiology
Background:
- Percutaneous nephrolithotomy (PCNL) is a key procedure for managing large or complex kidney stones.
- Percutaneous renal access is a critical step in PCNL, achievable by urologists or interventional radiologists.
- Comparing outcomes between urologist- and interventional radiologist-mediated access is essential for optimizing patient care.
Conclusions:
- Urologist-acquired access in PCNL may result in superior stone clearance and reduced major complications.
- Interventional radiologist-mediated access might be associated with less blood loss.
- Both approaches demonstrate comparable outcomes regarding unusable access, operative time, and minor complications.
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