{"id":"https://openalex.org/W4413969999","doi":"https://doi.org/10.1177/08927790251372540","title":"Ultrasound-Only-Guided vs Fluoroscopy-Guided Mini-Percutaneous Nephrolithotomy in Children: A Randomized Comparative Trial","display_name":"Ultrasound-Only-Guided vs Fluoroscopy-Guided Mini-Percutaneous Nephrolithotomy in Children: A Randomized Comparative Trial","publication_year":2025,"publication_date":"2025-10-01","ids":{"openalex":"https://openalex.org/W4413969999","doi":"https://doi.org/10.1177/08927790251372540","pmid":"https://pubmed.ncbi.nlm.nih.gov/40899319"},"language":"en","primary_location":{"id":"doi:10.1177/08927790251372540","doi":"https://doi.org/10.1177/08927790251372540","is_oa":false,"landing_page_url":"https://doi.org/10.1177/08927790251372540","pdf_url":null,"source":{"id":"https://openalex.org/S182300451","display_name":"Journal of Endourology","issn_l":"0892-7790","issn":["0892-7790","1557-900X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Endourology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054189521","display_name":"Ahmad A. Elderwy","orcid":"https://orcid.org/0000-0001-7546-7228","observed_orcids":["https://orcid.org/0000-0001-7546-7228"]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Ahmad A. Elderwy","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034419625","display_name":"Ahmed Abdelhamid Shahat","orcid":"https://orcid.org/0000-0002-4625-1046","observed_orcids":["https://orcid.org/0000-0002-4625-1046"]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Ahmed A. Shahat","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021166624","display_name":"Ayman Elqady","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Ayman A. Elqady","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030011699","display_name":"Islam F. Abdelkawi","orcid":"https://orcid.org/0000-0002-6386-3909","observed_orcids":["https://orcid.org/0000-0002-6386-3909"]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":true,"raw_author_name":"Islam F. Abdelkawi","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":"https://orcid.org/0000-0002-6386-3909","affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055743370","display_name":"Ahmed S. Safwat","orcid":"https://orcid.org/0000-0003-0096-5323","observed_orcids":["https://orcid.org/0000-0003-0096-5323"]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Ahmed S. Safwat","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039637404","display_name":"Hassan A. Abolella","orcid":"https://orcid.org/0000-0002-2104-5748","observed_orcids":["https://orcid.org/0000-0002-2104-5748"]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Hassan A. Abolella","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003916681","display_name":"Guohua Zeng","orcid":"https://orcid.org/0000-0002-3110-8933","observed_orcids":["https://orcid.org/0000-0002-3110-8933"]},"institutions":[{"id":"https://openalex.org/I4210098361","display_name":"First Affiliated Hospital of Guangzhou Medical University","ror":"https://ror.org/00z0j0d77","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210098361"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Guohua Zeng","raw_affiliation_strings":["Department of Urology, The first affiliated hospital of Guangzhou medical university, Guangzhou, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, The first affiliated hospital of Guangzhou medical university, Guangzhou, China","institution_ids":["https://openalex.org/I4210098361"]}]},{"author_position":"middle","author":{"id":null,"display_name":"M.A. Abdelaziz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"M.A. Abdelaziz","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080954903","display_name":"Ahmad Elbadry I. Abonnoor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I91041137","display_name":"Assiut University","ror":"https://ror.org/01jaj8n65","country_code":"EG","type":"education","lineage":["https://openalex.org/I91041137"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Ahmad Elbadry I. Abonnoor","raw_affiliation_strings":["Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt","institution_ids":["https://openalex.org/I91041137"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5030011699"],"corresponding_institution_ids":["https://openalex.org/I91041137"],"apc_list":null,"apc_paid":null,"fwci":1.7236,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.84389262,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"39","issue":"10","first_page":"1010","last_page":"1017"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mini-percutaneous-nephrolithotomy","display_name":"mini-percutaneous nephrolithotomy","score":0.9079999923706055},{"id":"https://openalex.org/keywords/pediatric-urolithiasis","display_name":"pediatric urolithiasis","score":0.8899999856948853},{"id":"https://openalex.org/keywords/ultrasound-guided-access","display_name":"ultrasound-guided access","score":0.8119999766349792},{"id":"https://openalex.org/keywords/fluoroscopy-guided-access","display_name":"fluoroscopy-guided access","score":0.9580000042915344},{"id":"https://openalex.org/keywords/ionizing-radiation-avoidance","display_name":"ionizing radiation avoidance","score":0.7839999794960022},{"id":"https://openalex.org/keywords/stone-free-rate","display_name":"stone-free rate","score":0.7639999985694885},{"id":"https://openalex.org/keywords/tract-dilation","display_name":"tract dilation","score":0.6209999918937683},{"id":"https://openalex.org/keywords/nephrostomy-tube","display_name":"nephrostomy tube","score":0.9179999828338623},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7789999842643738},{"id":"https://openalex.org/keywords/guy-s-stone-score","display_name":"Guy's stone score","score":0.652999997138977}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9272849559783936},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.4900270700454712},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.33403974771499634},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3220675587654114}],"mesh":[{"descriptor_ui":"D000074642","descriptor_name":"Nephrolithotomy, Percutaneous","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005471","descriptor_name":"Fluoroscopy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007669","descriptor_name":"Kidney Calculi","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D007669","descriptor_name":"Kidney Calculi","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014463","descriptor_name":"Ultrasonography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018084","descriptor_name":"Ultrasonography, Interventional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/08927790251372540","doi":"https://doi.org/10.1177/08927790251372540","is_oa":false,"landing_page_url":"https://doi.org/10.1177/08927790251372540","pdf_url":null,"source":{"id":"https://openalex.org/S182300451","display_name":"Journal of Endourology","issn_l":"0892-7790","issn":["0892-7790","1557-900X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Endourology","raw_type":"journal-article"},{"id":"pmid:40899319","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40899319","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of endourology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":31,"referenced_works":["https://openalex.org/W107769492","https://openalex.org/W1524507985","https://openalex.org/W1763327012","https://openalex.org/W1974642704","https://openalex.org/W2011930875","https://openalex.org/W2013788625","https://openalex.org/W2025241238","https://openalex.org/W2066331786","https://openalex.org/W2119906309","https://openalex.org/W2120824651","https://openalex.org/W2122187880","https://openalex.org/W2172559020","https://openalex.org/W2414237399","https://openalex.org/W2554533714","https://openalex.org/W2556925014","https://openalex.org/W2561863724","https://openalex.org/W2769396898","https://openalex.org/W2775115564","https://openalex.org/W2789995765","https://openalex.org/W2889048684","https://openalex.org/W2893218823","https://openalex.org/W2905132584","https://openalex.org/W2945063058","https://openalex.org/W2985732143","https://openalex.org/W3025710187","https://openalex.org/W3044379209","https://openalex.org/W3118317371","https://openalex.org/W3174018910","https://openalex.org/W3175996436","https://openalex.org/W4206019991","https://openalex.org/W4214748258"],"related_works":["https://openalex.org/W3174018910","https://openalex.org/W7166880982","https://openalex.org/W4404776263","https://openalex.org/W4408389092","https://openalex.org/W2789995765","https://openalex.org/W7128719327","https://openalex.org/W4206019991","https://openalex.org/W3118317371","https://openalex.org/W2122187880","https://openalex.org/W4400606615"],"abstract_inverted_index":{"Background":[0],"and":[1,26,56,79,92,113,166,185,197,213,240,253],"objective:":[2],"Avoidance":[3],"of":[4,9,19,119,204],"ionizing":[5],"radiation":[6],"during":[7,111],"management":[8],"pediatric":[10],"urolithiasis":[11],"is":[12,221],"imperative.":[13],"Objectives":[14],"are":[15],"to":[16,27,130,211,230],"evaluate":[17],"feasibility":[18],"ultrasound-only-guided":[20],"mini-percutaneous":[21],"nephrolithotomy":[22],"(PNL)":[23],"in":[24,46,108,114,127,194,199,219],"children":[25,48,220],"compare":[28],"it":[29,228,245],"with":[30,42,225],"fluoroscopic":[31,226],"guidance.":[32],"Methods:":[33],"Randomized":[34],"comparative":[35],"trial":[36],"(NCT03250559)":[37],"including":[38],"60":[39],"renal":[40],"units":[41],"stones":[43],">1":[44],"cm":[45],"57":[47],"\u226414":[49],"years.":[50,100],"Exclusion":[51],"criteria":[52],"were":[53,74,177],"anomalous":[54],"kidney":[55],"Guy\u2019s":[57,205,258],"stone":[58,183,254],"score":[59],"IV.":[60],"Mini-PNL":[61],"was":[62,84,106,125,192],"either":[63],"ultrasound":[64,103,124,195],"or":[65],"fluoroscopy":[66,105,122,200],"guided":[67],"(30":[68],"cases":[69,116,129],"each).":[70],"The":[71,174],"two":[72,128,175],"groups":[73,176],"compared":[75],"regarding":[76,179,249],"operative":[77,181],"details":[78],"postoperative":[80],"outcomes.":[81],"Stone":[82],"clearance":[83,184],"evaluated":[85],"by":[86],"computed":[87],"tomography":[88],"2":[89],"weeks":[90],"postoperatively":[91],"on":[93],"last":[94,188],"follow-up.":[95],"Follow-up":[96],"period":[97],"ranged":[98],"1.17\u20133.42":[99],"Results:":[101],"In":[102,121,223],"group,":[104,123],"needed":[107,126],"one":[109],"case":[110],"access":[112,250],"three":[115],"for":[117,257],"detection":[118],"residuals.":[120],"manage":[131],"fluid":[132],"collection.":[133],"Fluoroscopy":[134],"group":[135,196],"had":[136],"significantly":[137],"fewer":[138,145],"dilated":[139,232],"tracts":[140,147],"(":[141,148,155,162,170],"p":[142,149,156,163,171],"=":[143,150,164,172],"0.021),":[144],"supra-costal":[146],"0.002),":[151],"lower":[152],"calyceal":[153,235],"approach":[154],"<":[157],"0.001),":[158],"more":[159,231],"nephrostomy":[160,238],"tubes":[161],"0.008),":[165],"shorter":[167],"hospital":[168,242],"stay":[169],"0.010).":[173],"comparable":[178,247],"other":[180],"details,":[182],"complications.":[186],"On":[187],"follow-up,":[189],"stone-free":[190],"rate":[191],"86.2%":[193],"93.3%":[198],"group.":[201],"After":[202],"exclusion":[203],"III":[206],"cases,":[207],"these":[208],"rates":[209],"increased":[210],"96%":[212],"96.6%,":[214],"respectively.":[215],"Conclusions:":[216],"Ultrasound-only-guided":[217],"mini-PNL":[218],"feasible.":[222],"comparison":[224],"guidance,":[227],"leads":[229],"tracts,":[233],"higher":[234],"approaches,":[236],"less":[237],"tubes,":[239],"longer":[241],"stay.":[243],"However,":[244],"yields":[246],"outcomes":[248],"time,":[251],"complications,":[252],"clearance,":[255],"especially":[256],"I/II":[259],"cases.":[260]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-10-10T00:00:00"}