Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis
ObjectiveTo evaluate and compare the efficacy and safety between an external stent and a Double J stent for pediatric Pyeloplasty.MethodsThrough a systematical search of multiple scientific databases in July 2022, we performed a systematic review and meta-analysis of the primary outcomes of interest...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.933845/full |
| _version_ | 1818516495118893056 |
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| author | Chunyang Meng Lijian Gan Kangsen Li Lei Peng Jinze Li Junbao Yang Yunxiang Li |
| author_facet | Chunyang Meng Lijian Gan Kangsen Li Lei Peng Jinze Li Junbao Yang Yunxiang Li |
| author_sort | Chunyang Meng |
| collection | DOAJ |
| description | ObjectiveTo evaluate and compare the efficacy and safety between an external stent and a Double J stent for pediatric Pyeloplasty.MethodsThrough a systematical search of multiple scientific databases in July 2022, we performed a systematic review and meta-analysis of the primary outcomes of interest according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), whose protocol was registered with PROSPERO(CRD42021274087).ResultsEleven studies involving 1,758 patients were included. No significant differences were observed in operative time (MD: 2.26; 95% CI −9.62 to 14.14; P = 0.79), operative success rate (OR: 1.10; 95% CI 0.57 to 2.10; P = 0.780), length of hospital stay (MD: 0.65; 95% CI −0.04 to 1.34; P = 0.063), or complications (OR: 0.87; 95%CI 0.48 to 1.56; P = 0.630) between external stents and DJ stents in pediatric pyeloplasty. According to the subgroup analysis, we found the external stent group had a shorter operative time than the DJ stent group in terms of robot-assisted laparoscopic pyeloplasty (MD: −17.13; 95% CI −32.8 to −1.45; P = 0.032).ConclusionsThere were no significant differences in operative time, operative success rate, length of hospital stay, or complications between external stents and DJ stents in pediatric pyeloplasty. The external stented procedure seemed to have less operative time when using robot-assisted laparoscopic pyeloplasty. However, due to the limitations of our analysis, more studies are still required to support our conclusion.Systematic review registrationThis systematic review has been registered on PROSPERO, the registration ID is CRD42021274087. |
| first_indexed | 2024-12-11T00:43:02Z |
| format | Article |
| id | doaj.art-4881b7ad267346f38eaf568802e34496 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-11T00:43:02Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-4881b7ad267346f38eaf568802e344962022-12-22T01:26:52ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-08-011010.3389/fped.2022.933845933845Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysisChunyang Meng0Lijian Gan1Kangsen Li2Lei Peng3Jinze Li4Junbao Yang5Yunxiang Li6Department of Urology, The Affiliated Nanchong Central Hospital of North Sichuan Medical College (University), Nanchong, ChinaDepartment of Urology, The Affiliated Nanchong Central Hospital of North Sichuan Medical College (University), Nanchong, ChinaDepartment of Urology, The Affiliated Nanchong Central Hospital of North Sichuan Medical College (University), Nanchong, ChinaDepartment of Urology, The Second Hospital of Lanzhou University Medical School, Lanzhou, ChinaDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Medical Genetics and Cell Biology, North Sichuan Medical College (University), Nanchong, ChinaDepartment of Urology, The Affiliated Nanchong Central Hospital of North Sichuan Medical College (University), Nanchong, ChinaObjectiveTo evaluate and compare the efficacy and safety between an external stent and a Double J stent for pediatric Pyeloplasty.MethodsThrough a systematical search of multiple scientific databases in July 2022, we performed a systematic review and meta-analysis of the primary outcomes of interest according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), whose protocol was registered with PROSPERO(CRD42021274087).ResultsEleven studies involving 1,758 patients were included. No significant differences were observed in operative time (MD: 2.26; 95% CI −9.62 to 14.14; P = 0.79), operative success rate (OR: 1.10; 95% CI 0.57 to 2.10; P = 0.780), length of hospital stay (MD: 0.65; 95% CI −0.04 to 1.34; P = 0.063), or complications (OR: 0.87; 95%CI 0.48 to 1.56; P = 0.630) between external stents and DJ stents in pediatric pyeloplasty. According to the subgroup analysis, we found the external stent group had a shorter operative time than the DJ stent group in terms of robot-assisted laparoscopic pyeloplasty (MD: −17.13; 95% CI −32.8 to −1.45; P = 0.032).ConclusionsThere were no significant differences in operative time, operative success rate, length of hospital stay, or complications between external stents and DJ stents in pediatric pyeloplasty. The external stented procedure seemed to have less operative time when using robot-assisted laparoscopic pyeloplasty. However, due to the limitations of our analysis, more studies are still required to support our conclusion.Systematic review registrationThis systematic review has been registered on PROSPERO, the registration ID is CRD42021274087.https://www.frontiersin.org/articles/10.3389/fped.2022.933845/fullUPJOexternal stentDouble Jpediatric pyeloplastymeta-analysis |
| spellingShingle | Chunyang Meng Lijian Gan Kangsen Li Lei Peng Jinze Li Junbao Yang Yunxiang Li Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis Frontiers in Pediatrics UPJO external stent Double J pediatric pyeloplasty meta-analysis |
| title | Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis |
| title_full | Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis |
| title_fullStr | Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis |
| title_full_unstemmed | Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis |
| title_short | Comparison of external stents and DJ stents techniques for pediatric pyeloplasty: A systematic review and meta-analysis |
| title_sort | comparison of external stents and dj stents techniques for pediatric pyeloplasty a systematic review and meta analysis |
| topic | UPJO external stent Double J pediatric pyeloplasty meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.933845/full |
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