Sara M Toema, Nihal S Amer, Paul C Jones
The impact of three learning methods on dental students' satisfaction and knowledge acquisition
Journal of dental education
despite advances noninvasive minimally invasive techniques proximal ureteral stones impaction require open laparoscopic surgery systematic reviews metaanalyses compared efficacy safety open proximal ureterolithotomy laparoscopic approaches aim study compare efficacy safety open laparoscopic proximal ureterolithotomy ureteral stone management following prisma guidelines systematic searches conducted five databases pubmed scopus sciencedirect web science proquest identify articles comparing two surgical approaches operative time blood loss pain score hospital stay recovery time complications collected compared heterogeneitybased metaanalysis randomeffects fixedeffects models conducted two randomized controlled trials four observational cohort studies 386 participants met criteria open surgery significantly less time laparoscopic ureterolithotomy mean difference md 2663 minutes 95ci 1432 3894 p00001 intraoperative blood loss md 127 ml 95ci 664 409 p064 overall complications 068 95ci 041 115 p016 significantly different two approaches laparoscopic ureterolithotomy reduced visual analogue scale vas pain scores md 253 95ci 347 203 p000001 hospital stays md 240 days 95ci 342 138 days p003 recovery time md 967 days 95ci 1081 853 days p000001 conclusion open proximal ureterolithotomy less time laparoscopic surgery reduced postoperative pain hospital stay recovery time methods comparable intraoperative bleeding complications