Table 3.

Effect of PCNL on renal function indexes

ReferencesType of studyPatients, nMethod of assessmentTime points of assessmentRenal function
Ünsal et al. [27]RCT (three different dilatation techniques of percutaneous track)50
  • Tc-99 QDMSAa

  • sCr

  • Preoperatively

  • 3–6 months post-operatively

No difference between groups and with baseline
Moosanejad et al. [28]RCT (postop ureteral stenting or not)84sCr
  • Preoperatively

  • 24-h post-operatively

No difference between groups
Chatham et al. [29]Prospective observational19
  • TC-99 AG3b

  • sCr

  • Preoperatively

  • 2.22-days post-operatively

Stable or improved
Moskovitz et al. [30]Prospective observational87Tc-99 QDMSAa
  • Preoperatively

  • 1-month post-operatively

  • 5- to 24-months post-operatively

Stable
Kiliç et al. [31]Prospective observational24CDUS
  • Preoperatively

  • 1-day post-operatively

  • 3-, 6- and 12-months post-operatively

Stable
Bayrak et al. [32]Prospective observational80
  • sCr

  • eCrCl (Cockroft–Gault)

  • Preoperatively

  • 72-h post-operatively

Improved (P < 0.001)
Su et al. [33]Prospective observational44eGFR (MDRD)
  • Preoperatively

  • 2- and 24-h post-operatively

  • 6-months post-operatively

Stable or improved (P < 0.001)
Handa et al. [34]Retrospective observational196sCr
  • Pre-op

  • 24-h post-op

Decreased (P < 0.001)
Hegarty and Desai[35]Retrospective observational20
  • sCr

  • CrCl

NR
  • Single tract PCNL: stable

  • Multitract PCNL: decreased (P < 0.05)

Bilen et al. [36]Retrospective observational185eGFR (MDRD)
  • Preoperatively

  • Before discharge

  • 3-months post-operatively

Improved (P = 0.02)
Nouralizadeh et al. [37]Retrospective observational94eCrCl (Cockroft–Gault)
  • Preoperatively

  • 6-, 24-, 48-, and 72-h post-operatively

  • Preoperatively versus 72 h: stable

  • Preoperatively versus 24 and 48 h: decreased (P < 0.05)

Bucuras et al. [38]Retrospective observational189sCr
  • Preoperatively

  • 24-h postoperatively

Stable
El-Tabey et al. [39]Retrospective observational200eCrCl (Cockroft–Gault)NRImproved (P < 0.001)
ReferencesType of studyPatients, nMethod of assessmentTime points of assessmentRenal function
Ünsal et al. [27]RCT (three different dilatation techniques of percutaneous track)50
  • Tc-99 QDMSAa

  • sCr

  • Preoperatively

  • 3–6 months post-operatively

No difference between groups and with baseline
Moosanejad et al. [28]RCT (postop ureteral stenting or not)84sCr
  • Preoperatively

  • 24-h post-operatively

No difference between groups
Chatham et al. [29]Prospective observational19
  • TC-99 AG3b

  • sCr

  • Preoperatively

  • 2.22-days post-operatively

Stable or improved
Moskovitz et al. [30]Prospective observational87Tc-99 QDMSAa
  • Preoperatively

  • 1-month post-operatively

  • 5- to 24-months post-operatively

Stable
Kiliç et al. [31]Prospective observational24CDUS
  • Preoperatively

  • 1-day post-operatively

  • 3-, 6- and 12-months post-operatively

Stable
Bayrak et al. [32]Prospective observational80
  • sCr

  • eCrCl (Cockroft–Gault)

  • Preoperatively

  • 72-h post-operatively

Improved (P < 0.001)
Su et al. [33]Prospective observational44eGFR (MDRD)
  • Preoperatively

  • 2- and 24-h post-operatively

  • 6-months post-operatively

Stable or improved (P < 0.001)
Handa et al. [34]Retrospective observational196sCr
  • Pre-op

  • 24-h post-op

Decreased (P < 0.001)
Hegarty and Desai[35]Retrospective observational20
  • sCr

  • CrCl

NR
  • Single tract PCNL: stable

  • Multitract PCNL: decreased (P < 0.05)

Bilen et al. [36]Retrospective observational185eGFR (MDRD)
  • Preoperatively

  • Before discharge

  • 3-months post-operatively

Improved (P = 0.02)
Nouralizadeh et al. [37]Retrospective observational94eCrCl (Cockroft–Gault)
  • Preoperatively

  • 6-, 24-, 48-, and 72-h post-operatively

  • Preoperatively versus 72 h: stable

  • Preoperatively versus 24 and 48 h: decreased (P < 0.05)

Bucuras et al. [38]Retrospective observational189sCr
  • Preoperatively

  • 24-h postoperatively

Stable
El-Tabey et al. [39]Retrospective observational200eCrCl (Cockroft–Gault)NRImproved (P < 0.001)
a

Tc-99 QDMSA was used for assessment of renal defects, differential function and GFR (Gates method).

b

Tc-99 MAG3 was used for measurement of differential function.

Tc-99 QDMSA, quantitative SPECT of technetium-99 dimercaptosuccinic acid; Tc-99 MAG3, technetium-99m mercaptoacetyltriglycine; CDUS, colour Doppler ultrasonography; eCrCl, estimated creatinine clearance.

Table 3.

Effect of PCNL on renal function indexes

ReferencesType of studyPatients, nMethod of assessmentTime points of assessmentRenal function
Ünsal et al. [27]RCT (three different dilatation techniques of percutaneous track)50
  • Tc-99 QDMSAa

  • sCr

  • Preoperatively

  • 3–6 months post-operatively

No difference between groups and with baseline
Moosanejad et al. [28]RCT (postop ureteral stenting or not)84sCr
  • Preoperatively

  • 24-h post-operatively

No difference between groups
Chatham et al. [29]Prospective observational19
  • TC-99 AG3b

  • sCr

  • Preoperatively

  • 2.22-days post-operatively

Stable or improved
Moskovitz et al. [30]Prospective observational87Tc-99 QDMSAa
  • Preoperatively

  • 1-month post-operatively

  • 5- to 24-months post-operatively

Stable
Kiliç et al. [31]Prospective observational24CDUS
  • Preoperatively

  • 1-day post-operatively

  • 3-, 6- and 12-months post-operatively

Stable
Bayrak et al. [32]Prospective observational80
  • sCr

  • eCrCl (Cockroft–Gault)

  • Preoperatively

  • 72-h post-operatively

Improved (P < 0.001)
Su et al. [33]Prospective observational44eGFR (MDRD)
  • Preoperatively

  • 2- and 24-h post-operatively

  • 6-months post-operatively

Stable or improved (P < 0.001)
Handa et al. [34]Retrospective observational196sCr
  • Pre-op

  • 24-h post-op

Decreased (P < 0.001)
Hegarty and Desai[35]Retrospective observational20
  • sCr

  • CrCl

NR
  • Single tract PCNL: stable

  • Multitract PCNL: decreased (P < 0.05)

Bilen et al. [36]Retrospective observational185eGFR (MDRD)
  • Preoperatively

  • Before discharge

  • 3-months post-operatively

Improved (P = 0.02)
Nouralizadeh et al. [37]Retrospective observational94eCrCl (Cockroft–Gault)
  • Preoperatively

  • 6-, 24-, 48-, and 72-h post-operatively

  • Preoperatively versus 72 h: stable

  • Preoperatively versus 24 and 48 h: decreased (P < 0.05)

Bucuras et al. [38]Retrospective observational189sCr
  • Preoperatively

  • 24-h postoperatively

Stable
El-Tabey et al. [39]Retrospective observational200eCrCl (Cockroft–Gault)NRImproved (P < 0.001)
ReferencesType of studyPatients, nMethod of assessmentTime points of assessmentRenal function
Ünsal et al. [27]RCT (three different dilatation techniques of percutaneous track)50
  • Tc-99 QDMSAa

  • sCr

  • Preoperatively

  • 3–6 months post-operatively

No difference between groups and with baseline
Moosanejad et al. [28]RCT (postop ureteral stenting or not)84sCr
  • Preoperatively

  • 24-h post-operatively

No difference between groups
Chatham et al. [29]Prospective observational19
  • TC-99 AG3b

  • sCr

  • Preoperatively

  • 2.22-days post-operatively

Stable or improved
Moskovitz et al. [30]Prospective observational87Tc-99 QDMSAa
  • Preoperatively

  • 1-month post-operatively

  • 5- to 24-months post-operatively

Stable
Kiliç et al. [31]Prospective observational24CDUS
  • Preoperatively

  • 1-day post-operatively

  • 3-, 6- and 12-months post-operatively

Stable
Bayrak et al. [32]Prospective observational80
  • sCr

  • eCrCl (Cockroft–Gault)

  • Preoperatively

  • 72-h post-operatively

Improved (P < 0.001)
Su et al. [33]Prospective observational44eGFR (MDRD)
  • Preoperatively

  • 2- and 24-h post-operatively

  • 6-months post-operatively

Stable or improved (P < 0.001)
Handa et al. [34]Retrospective observational196sCr
  • Pre-op

  • 24-h post-op

Decreased (P < 0.001)
Hegarty and Desai[35]Retrospective observational20
  • sCr

  • CrCl

NR
  • Single tract PCNL: stable

  • Multitract PCNL: decreased (P < 0.05)

Bilen et al. [36]Retrospective observational185eGFR (MDRD)
  • Preoperatively

  • Before discharge

  • 3-months post-operatively

Improved (P = 0.02)
Nouralizadeh et al. [37]Retrospective observational94eCrCl (Cockroft–Gault)
  • Preoperatively

  • 6-, 24-, 48-, and 72-h post-operatively

  • Preoperatively versus 72 h: stable

  • Preoperatively versus 24 and 48 h: decreased (P < 0.05)

Bucuras et al. [38]Retrospective observational189sCr
  • Preoperatively

  • 24-h postoperatively

Stable
El-Tabey et al. [39]Retrospective observational200eCrCl (Cockroft–Gault)NRImproved (P < 0.001)
a

Tc-99 QDMSA was used for assessment of renal defects, differential function and GFR (Gates method).

b

Tc-99 MAG3 was used for measurement of differential function.

Tc-99 QDMSA, quantitative SPECT of technetium-99 dimercaptosuccinic acid; Tc-99 MAG3, technetium-99m mercaptoacetyltriglycine; CDUS, colour Doppler ultrasonography; eCrCl, estimated creatinine clearance.

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