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- W4382058228 abstract "Abstract Objective To investigate the effectiveness and safety of ureteral access sheaths (UAS) in flexible ureteroscopic lithotripsy of upper urinary tract stones through a comprehensive systematic review and meta-analysis. Methods We conducted a meta-analysis and systematic review of the UAS in flexible ureteroscopy lithotripsy on April 12, 2023 (PROSPERO ID : CRD42022368459). The main outcomes of the meta-analysis included stone-free rate (SFR), intra and post-operation complications, hospitalization duration, and operation time. Results Twenty-one studies with 11335 patients satisfied the inclusion criteria. The results showed that compared with the UAS group, the non-UAS group had a higher stone-free rate(SFR) (OR = 0.76, 95%CI 0.60–0.95, P = 0.01) and shorter operation time(MD = 11.21, 95% CI 5.66–16.76, P < 0.00001), but no significant difference in postoperative complications(OR = 1.20, 95% CI 0.79–1.82, P = 0.38), intraoperative complications(OR = 1.20, 95%CI 0.85–1.70, P = 0.57), and hospitalization duration (MD = -0.03, 95%CI -0.30-0.24, P = 0.84). Conclusion Our findings indicate that UAS usage results in unfavorable surgical outcomes with no benefit in preventing surgical complications. Therefore, we recommend re-evaluating the usage of UAS as a surgical aid in patients with large stones." @default.
- W4382058228 created "2023-06-27" @default.
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- W4382058228 date "2023-06-26" @default.
- W4382058228 modified "2023-09-25" @default.
- W4382058228 title "Evaluation of the effectiveness and safety of UAS in the treatment of upper urinary tract stones with flexible ureteroscopy lithotripsy: a meta-analysis and systematic review" @default.
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- W4382058228 doi "https://doi.org/10.21203/rs.3.rs-3055544/v1" @default.
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