Home > Riviste > Minerva Urology and Nephrology > Fascicoli precedenti > Minerva Urology and Nephrology 2021 June;73(3) > Minerva Urology and Nephrology 2021 June;73(3):299-308

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo
Share

 

REVIEW   

Minerva Urology and Nephrology 2021 June;73(3):299-308

DOI: 10.23736/S2724-6051.20.04042-4

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Fluoroless versus conventional ureteroscopy for urinary stones: a systematic review and meta-analysis

Liao PENG, Wei WANG, Xiaoshuai GAO, Xingpeng DI, Deyi LUO

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China



INTRODUCTION: The aim of this review was to comprehensively assess the effectiveness and safety of fluoroless ureteroscopy (URS) vs. conventional URS for urinary stones.
EVIDENCE ACQUISITION: An exhaustive search on PubMed, EMBASE, Web of Science and Cochrane Library were performed to find eligible research before May 2020. Result parameters including stone-free rate (SFR), operation time, repeat procedure rate and complication rate were assessed using RevMan 5.3 (Cochrane Training; https://training.cochrane.org/online-learning/core-software-cochrane-reviews/revman/revman-5-download).
EVIDENCE SYNTHESIS: Seven studies (5 retrospective studies and 2 prospective randomized controlled trials) involving 1404 individuals were included. Pooled results demonstrated that the operation time in fluoroless URS group was slightly longer than conventional URS group (weighted mean difference [MD]=2.79, P=0.0001), but no statistically significant differences regarding SFR (odds ratio [OR]=1.18, P=0.57), repeat procedure rate (OR=1.32, P=0.52), and total complication rate (OR=0.75, P=0.16) were observed between two techniques.
CONCLUSIONS: Flourless URS is equally safe and effective to conventional URS procedure with zero radiation exposure. However, it needs to be cautiously conducted in selected patients and fluoroscopy equipment should always be available intraoperatively.


KEY WORDS: Ureteroscopy; Fluoroscopy; Meta-analysis

inizio pagina