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Systematic review and meta-analysis to compare success rates of retrograde intrarenal surgery versus percutaneous nephrolithotomy for renal stones >2 cm: An update.

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dc.contributor.author강승구-
dc.contributor.author이주용-
dc.contributor.author정해도-
dc.contributor.author조강수-
dc.date.accessioned2018-07-20T11:54:45Z-
dc.date.available2018-07-20T11:54:45Z-
dc.date.issued2017-
dc.identifier.issn0025-7974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161488-
dc.description.abstractBACKGROUND: We performed a systematic review and meta-analysis comparing stone-free rates between retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL), using updated, more reliable evidence. MATERIALS AND METHODS: Randomized controlled trials comparing RIRS and PCNL for >2 cm stones were identified from electronic databases. Stone-free rates for the procedures were compared by qualitative and quantitative syntheses (meta-analyses). Outcome variables are shown as risk ratios (RRs) with 95% confidence intervals (CIs). RESULTS: Eleven articles were included in this study. Most recently published studies exhibited relatively low quality during quality assessment. For the meta-analysis comparing success (stone-free) rates between PCNL and RIRS, the forest plot using the random-effects model showed an RR of 1.11 (95% CI 1.02-1.21, P < .014) favoring PCNL. After determining the among-study heterogeneity, subgroup analysis was performed of 9 studies with less heterogeneity: the stone-free rate of PCNL was superior to that of RIRS using a fixed-effect model (RR 1.07, 95% CI 1.01-1.14, P < .019) for these studies. CONCLUSIONS: RIRS can be a safe and effective procedure for selected patients with large renal stones. However, in this meta-analysis, the postoperative stone-free rate of PCNL was higher than that of RIRS in patients with >2 cm renal stones.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfMEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHHumans-
dc.subject.MESHKidney Calculi/surgery-
dc.subject.MESHNephrolithotomy, Percutaneous/methods-
dc.subject.MESHRandomized Controlled Trials as Topic-
dc.subject.MESHUrologic Surgical Procedures/methods-
dc.titleSystematic review and meta-analysis to compare success rates of retrograde intrarenal surgery versus percutaneous nephrolithotomy for renal stones >2 cm: An update.-
dc.typeArticle-
dc.contributor.collegeOthers-
dc.contributor.departmentSeverance Hospital-
dc.contributor.googleauthorSung Ku Kang-
dc.contributor.googleauthorKang Su Cho-
dc.contributor.googleauthorDong Hyuk Kang-
dc.contributor.googleauthorHae Do Jung-
dc.contributor.googleauthorJong Kyou Kwon-
dc.contributor.googleauthorJoo Yong Lee-
dc.identifier.doi10.1097/MD.0000000000009119-
dc.contributor.localIdA05292-
dc.contributor.localIdA03161-
dc.contributor.localIdA03759-
dc.contributor.localIdA03801-
dc.relation.journalcodeJ02214-
dc.identifier.eissn1536-5964-
dc.identifier.pmid29245347-
dc.contributor.alternativeNameKang, Sung Ku-
dc.contributor.alternativeNameLee, Joo Yong-
dc.contributor.alternativeNameJung, Hae Do-
dc.contributor.alternativeNameCho, Kang Su-
dc.contributor.affiliatedAuthorKang, Sung Ku-
dc.contributor.affiliatedAuthorLee, Joo Yong-
dc.contributor.affiliatedAuthorJung, Hae Do-
dc.contributor.affiliatedAuthorCho, Kang Su-
dc.citation.volume96-
dc.citation.number49-
dc.citation.startPagee9119-
dc.identifier.bibliographicCitationMEDICINE, Vol.96(49) : e9119, 2017-
dc.identifier.rimsid61395-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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