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| Meta-analysis of efficacy and safety of percutaneous nephrolithotomy surgery and retrograde intrarenal surgery for treatment of solitary kidney calculi |
| NI Dawei XI Junhua WU Wei YANG Zhenxing ZHANG Yanbin▲ |
| Department of Urology, the Second Hospital of Hefei, Anhui Province, Hefei 230011, China |
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Abstract Objective To systematically evaluate the efficacy and safety of percutaneous nephrolithotomy surgery (PCNL) and retrograde intrarenal surgery (RIRS) in the patients with solitary kidney calculi. Methods Wanfang, VIP and CNKI databases were retrieved by computer and hand to obtain relevant Chinese documents, and PubMed and Web of Knowledge databases were retrieved to obtain relevant English documents. The search date is June 2010 to June 2017. The Chinese search terms include "flexible ureteroscope, percutaneous nephroscopy, isolated kidney" and so on. Subsequently, literature screening, data extraction and quality evaluation were carried out, the data in the relevant document obtained were divided into PCNL group and RIRS group. Results The stone clearance rate in PCNL group was higher than that in RIRS group (P < 0.00001, OR = 2.54, 95%CI: 1.80-3.58), the operation time was shorter than that in RIRS group (P < 0.0001, MD = -21.69, 95%CI: -31.85--11.53), the bleeding volume in RIRS group was less than that in PCNL group (P = 0.03, MD = 76.28, 95%CI: 5.99-146.56), the hospitalization time was shorter than that in PCNL group (P = 0.0003, MD = 2.41, 95%CI: 1.09-3.74), and the risk of transfusion was also lower than that of the PCNL group (P = 0.02，OR = 6.37, 95%CI: 1.42-28.52); there was no significant difference in the overall complications between the two groups. Conclusion The choice of treatment method for solitary kidney calculi can be judged by balancing the advantages and disadvantages of surgery and combining the actual situation of patients.
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