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Can suction technology be a potential game changer that reshapes pediatric endourological interventions? Results from a scoping review.

Authors :
Gauhar, Vineet
Yuen, Steffi Kar Kei
Traxer, Olivier
Nedbal, Carlotta
Leung, David Ka-Wai
Ko, Ivan Ching Ho
Gadzhiev, Nariman
Somani, Bhaskar
Castellani, Daniele
Sarica, Kemal
Source :
World Journal of Urology. 11/25/2024, Vol. 42 Issue 1, p1-8. 8p.
Publication Year :
2024

Abstract

Purpose: To systematically review the use of suction/vacuum-assisted retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) in children/adolescents with kidney stones. Methods: The PICOS model (Patient Intervention Comparison Outcome Study type) was used to frame and answer the clinical question; P: children and adolescent men with kidney stones; I: use of suction during PCNL or RIRS; C: no suction devices or none; O: complications and stone-free rate (SFR); S: prospective and retrospective studies; case reports. The literature search was performed on 14th May 2024 using Embase, PubMed, and Scopus. Only English papers were accepted. Results: Ten articles were included. There were 9 papers on mini-PCNL and the remaining one compared mini-PCNL with RIRS. PCNL studies found excellent SFR (73-100%) with zero transfusion rate and a low rate of infectious complications (fever up to 9.6% and sepsis rate of 1%). Among these studies, there was a case report on the use of shock pulse lithotripter with complete stone clearance. Conclusions: Our review shows that there is little data on the use of suction/vacuum-assisted mini-PCNL/RIRS in kidney stone children/adolescents. However, these preliminary data demonstrated that vacuum-assisted mini-PCNL had excellent SFR with a low rate of complications. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07244983
Volume :
42
Issue :
1
Database :
Academic Search Index
Journal :
World Journal of Urology
Publication Type :
Academic Journal
Accession number :
181119105
Full Text :
https://doi.org/10.1007/s00345-024-05353-y