Review Article

Minimally Invasive Percutaneous Nephrolithotomy versus Retrograde Intrarenal Surgery for Upper Urinary Stones: A Systematic Review and Meta-Analysis

Table 1

Summary of included studies.

StudyInstitution (country)Study periodStudy designLEInclusion criteria⁢Cases, Study quality

mPCNLRIRS
Lee et al. [11]Dongguk University Ilsan Hospital (South Korea)2014-2015RCT2b>1 cm, single or multiple renal stones3533
Ozgor et al. [12]Haseki Teaching and Research Hospital (Turkey)2012–2015Retrospective case control3b1-2 cm, BMI > 30 kg/m2, any location5656
Wilhelm et al. [13]University Medical Centre Freiburg (Germany)2013-2014Matched-pair analysis3b1–3.5 cm2525
Pan et al. [14]Renji Hospital (China)2005–2011Prospective case control3b2-3 cm, single stone, any location5956
Kirac et al. [15]Koru Hospital (Turkey)2009–2012Retrospective case control3b<1.5 cm, lower pole3736
Kumar et al. [16]V.M. Medical College and Safdarjung Hospital (India)2012-2013RCT2b1-2 cm, single stone, lower pole4143
Sabnis et al. [17]Muljibhai Patel Urological Hospital (India)2009–2011Prospective case control3b1-2 cm, single or multiple stones, any location3232
Kruck et al. [18]Multiple institutions (Germany)2001–2007Retrospective case control3bAny size, any location172108
Hu et al. [19]Tongji Hospital (China)2010–2015Retrospective case control3b1-2 cm, any location, older than 60 years old10480
Zeng et al. [20]The First Affiliated Hospital of Guangzhou Medical University (China)2012–2014Matched-pair analysis3b>2 cm, any location, solitary kidney5353
Zhang et al. [21]Wu Jieping Urology Center (China)2010–2012Prospective case control3b1-2 cm, single stone, proximal ureter3244
Gu et al. [22]Jiangsu Province Hospital (China)2010-2011RCT2b≥1.5 cm, proximal ureter3029
Knoll et al. [23]Klinikum Sindelfingen-Boeblingen Medical Center (Germany)2008–2010Prospective case control3b1–3 cm, solitary renal calculi, any location2521

LE = level of evidence; mPCNL = minimally invasive PCNL; RIRS = retrograde intrarenal surgery, RCT = randomized controlled trials.
Newcastle–Ottawa Scale (score from 0 to 9).
Jadad scale (score from 0 to 5).