TY - JOUR

T1 - Can suction technology be a potential game changer that reshapes pediatric endourological interventions?

T2 - Results from a scoping review

AU - Gauhar, Vineet

AU - Yuen, Steffi Kar Kei

AU - Traxer, Olivier

AU - Nedbal, Carlotta

AU - Leung, David Ka-Wai

AU - Ko, Ivan Ching Ho

AU - Gadzhiev, Nariman

AU - Somani, Bhaskar

AU - Castellani, Daniele

AU - Sarica, Kemal

N1 - © 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

PY - 2024/11/25

Y1 - 2024/11/25

N2 - 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.

AB - 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.

KW - Humans

KW - Child

KW - Suction/methods

KW - Kidney Calculi/surgery

KW - Nephrolithotomy, Percutaneous/methods

KW - Adolescent

U2 - 10.1007/s00345-024-05353-y

DO - 10.1007/s00345-024-05353-y

M3 - Article

C2 - 39585477

VL - 42

SP - 645

JO - World Journal of Urology

JF - World Journal of Urology

SN - 0724-4983

IS - 1

ER -