Effectiveness and Safety of Suction-Assisted Technologies in Pediatric Endourological Stone Surgery: A Systematic Review by the EAU-YAU Pediatric Urology Working Group.
11 affiliations
- 1Department of Pediatric Urology, Health Science University Gazi Yasargil Training and Research Hospital, Diyarbakır, Türkiye.
- 2Department of Pediatric Urology, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
- 3Division of Pediatric Urology, Department of Urology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Türkiye.
- 4Division of Urology, Department of Surgery, University of Toronto, Ontario, Canada.
- 5Division of Pediatric Urology, Department of Urology, Fundació Puigvert, Barcelona, Spain.
- 6Department of Pediatric Urology, Ordensklinikum Linz Hospital of the Sisters of Charity, Linz, Austria.
- 7Department of Pediatric Surgery, Buzzi Children's Hospital, Milan, Italy.
- 8Department of Pediatric Urology, University Medical Center Groningen, Groningen, Netherlands.
- 9Department of Pediatric Urology, University Hospital of Patras, Patras, Greece.
- 10Department of Urology, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain.
- 11Department of Pediatric Urology, Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, Netherlands.
Abstract
Although new suction/vacuum technologies have been tested in adults in recent years, they remain uncommon in pediatric practice. This systematic review aimed to analyze the existing literature on the effectiveness and safety of new suction technologies for pediatric endourological stone interventions. We conducted a systematic review (PROSPERO CRD420261335417) following the PRISMA 2020 and Cochrane guidelines, searching PubMed, Embase, MEDLINE, Web of Science, and Scopus to identify all published reports on new suction/vacuum technologies for pediatric endourological stone interventions through February 2026. The primary outcomes were intraoperative and postoperative complications and stone-free rates (SFRs). Secondary outcomes included operative time, hospital stay, and the need for ancillary procedures. We used the MINORS tool to assess the risk of bias in nonrandomized cohort studies. The review included a total of 367 patients (370 renal units) aged 1-17 years who underwent endourological stone surgery. The vacuum-assisted mini-PCNL group had a higher SFR of 81.3-100% and lower complication and reintervention rates of 0-27.8% and 0-12.5%, respectively, compared with conventional mini-PCNL. Furthermore, a higher SFR of 85.7-100% was observed with RIRS using FANS-UAS compared with an SFR of 60-88% in children who underwent conventional RIRS. The former group also had a lower reintervention rate (0-9.5% vs. 0-40%) and fewer grade III-IV complications (0% vs. 8.7%). Current evidence, although limited and mainly based on observational studies, suggests that suction-assisted technologies may improve stone clearance and maintain acceptable safety profiles in selected pediatric endourological stone interventions. However, the absence of randomized trials, heterogeneous outcome definitions, and limited long-term follow-up prevent definitive conclusions.
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BibTeX
@article{selvi2026effectiveness,
title = {{Effectiveness and Safety of Suction-Assisted Technologies in Pediatric Endourological Stone Surgery: A Systematic Review by the EAU-YAU Pediatric Urology Working Group.}},
author = {Ismail Selvi and Numan Baydilli and Muhammet İrfan Dönmez and Adree Khondker and Yesica Quiroz Madarriaga and Christa Gernhold and Ugo Maria Pierucci and Rianne Janna Marie Lammers and Vasileios Tatanis and Beatriz Banuelos Marco and Lisette Aimee t'Hoen},
journal = {Journal of clinical practice and research},
year = {2026},
month = oct,
doi = {10.14744/cpr.2026.89214},
url = {https://europepmc.org/article/MED/42953423},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Effectiveness and Safety of Suction-Assisted Technologies in Pediatric Endourological Stone Surgery: A Systematic Review by the EAU-YAU Pediatric Urology Working Group.
AU - Ismail Selvi
AU - Numan Baydilli
AU - Muhammet İrfan Dönmez
AU - Adree Khondker
AU - Yesica Quiroz Madarriaga
AU - Christa Gernhold
AU - Ugo Maria Pierucci
AU - Rianne Janna Marie Lammers
AU - Vasileios Tatanis
AU - Beatriz Banuelos Marco
AU - Lisette Aimee t'Hoen
PY - 2026
DA - 2026/10/08
JO - Journal of clinical practice and research
DO - 10.14744/cpr.2026.89214
UR - https://europepmc.org/article/MED/42953423
AB - Although new suction/vacuum technologies have been tested in adults in recent years, they remain uncommon in pediatric practice. This systematic review aimed to analyze the existing literature on the effectiveness and safety of new suction technologies for pediatric endourological stone interventions. We conducted a systematic review (PROSPERO CRD420261335417) following the PRISMA 2020 and Cochrane guidelines, searching PubMed, Embase, MEDLINE, Web of Science, and Scopus to identify all published reports on new suction/vacuum technologies for pediatric endourological stone interventions through February 2026. The primary outcomes were intraoperative and postoperative complications and stone-free rates (SFRs). Secondary outcomes included operative time, hospital stay, and the need for ancillary procedures. We used the MINORS tool to assess the risk of bias in nonrandomized cohort studies. The review included a total of 367 patients (370 renal units) aged 1-17 years who underwent endourological stone surgery. The vacuum-assisted mini-PCNL group had a higher SFR of 81.3-100% and lower complication and reintervention rates of 0-27.8% and 0-12.5%, respectively, compared with conventional mini-PCNL. Furthermore, a higher SFR of 85.7-100% was observed with RIRS using FANS-UAS compared with an SFR of 60-88% in children who underwent conventional RIRS. The former group also had a lower reintervention rate (0-9.5% vs. 0-40%) and fewer grade III-IV complications (0% vs. 8.7%). Current evidence, although limited and mainly based on observational studies, suggests that suction-assisted technologies may improve stone clearance and maintain acceptable safety profiles in selected pediatric endourological stone interventions. However, the absence of randomized trials, heterogeneous outcome definitions, and limited long-term follow-up prevent definitive conclusions.
SN - 2980-2156
ER -