{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:10:02Z","timestamp":1787008202007,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To conduct a comparative, nonrandomized study to assess the feasibility of mini-Endoscopic Combined Intrarenal Surgery (ECIRS) using supine Mini-percutaneous nephrolithotomy (PCNL) access (16F) in Galdakao-Modified Supine Valdivia position for managing proximal large-volume impacted ureteral calculi as ambulatory day-care surgery vis-a-vis standalone ureteroscopy (URS) with push-back PCNL, if needed. The primary aim was to study the outcomes and stone-free rates (SFRs). Secondary aim was to compare the intraoperative and short-term postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Data of 60 patients undergoing ECIRS (Group 1) from January 2016 to December 2019 were collected prospectively in a nonrandomized fashion from a single center after Ethics Committee approval. A matched-paired analysis was performed with retrospectively collated data of 60 patients undergoing standard URS\/pushback PCNL (Group 2) using analysis of variance, Fisher's exact test, and Chi-square test.\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Results:<\/jats:title>\n                    <jats:p>\n                      Group 1 patients had a significantly shorter procedure time\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      Group 2 (42.1\u2009\u00b1\u200911.2 minutes\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      52.1\u2009\u00b1\u200913.7 minutes;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Group 1 (59\/60) patients had an overall single stage SFR of 98.3%, which was significantly higher than single-stage SFR of 83% in Group 2 (50\/60) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.002). Group 2 patients had a higher incidence of fever (10\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      4,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01). However, there were no cases of sepsis in either group. Rest of the complications were comparable for both, as the need for ancillary procedures was significantly higher in Group 2 (10%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      1.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients were discharged on the same day in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The findings of our study suggest that, in large and impacted proximal ureteric stones, combined minimally invasive endoscopic approach offers the best option to render the patient stone free by a single intervention. With better intra- and postoperative outcomes and safety profile, Mini-ECIRS may be considered as an ambulatory procedure in this setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2022.0234","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T00:55:07Z","timestamp":1668819307000},"page":"251-256","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Ambulatory Minimally Invasive Endoscopic Combined Intrarenal Surgery in Management of Large Impacted Proximal Ureteral Calculi: A Feasibility Study at a Tertiary Referral Center"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6956-5523","authenticated-orcid":false,"given":"Dilip K.","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Urology, Pushpanjali Hospital and Research Center Pvt Ltd, Agra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5657-1062","authenticated-orcid":false,"given":"Madhu Sudan","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Urology, Rainbow Hospital, Agra, India."},{"name":"Urology Division, Department of Surgery, S.N. Medical College, Agra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1668-7006","authenticated-orcid":false,"given":"Milap","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Urology, Max Superspecialty Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthickeyan","family":"Naganathan","sequence":"additional","affiliation":[{"name":"Department of Urology, Frontline Hospital and Research Center, Trichy, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2904-351X","authenticated-orcid":false,"given":"Zeeshan","family":"Hameed","sequence":"additional","affiliation":[{"name":"Department of Urology, Father Muller Medical College, Mangalore, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3740-7141","authenticated-orcid":false,"given":"Vineet","family":"Gauhar","sequence":"additional","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.5812\/numonthly.3936"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/iju.IJU_89_18"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)40874-3"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.1999.13.441"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.37.3.3565"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.9871"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0393-2249.17.02841-7"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.22037\/uj.v0i0.4208"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.073"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-015-1541-4"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012607"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.06.049"},{"key":"e_1_3_4_14_2","unstructured":"T\u00fcrk C Neisius A Petrik A et al. 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