Safety and efficacy of percutaneous nephrolithotomy in elderly patients: a systematic review and meta-analysis by the EAU-YAU urolithiasis and EAU endourology sections

Łukasz Nowak, Begoña Ballesta Martinez, Wojciech Krajewski, Bhaskar Somani, Amelia Pietropaolo, Wojciech Tomczak, Jan Łaszkiewicz, Matthias Boeykens, Thomas Tailly, Theodoros Spinos, Alberto Olivero, Arman Tsaturyan, Patrick JuliebØ-Jones, Senol Tonyali, Agata Góral, Paulina Biesiadecka, Adam Chełmo · 2026

Read Safety and efficacy of percutaneous nephrolithotomy in elderly patients: a systematic review and meta-analysis by the EAU-YAU urolithiasis and EAU endourology sections by Łukasz Nowak, Begoña Ballesta Martinez, Wojciech Krajewski, Bhaskar Somani, Amelia Pietropaolo, Wojciech Tomczak, Jan Łaszkiewicz, Matthias Boeykens, Thomas Tailly, Theodoros Spinos, Alberto Olivero, Arman Tsaturyan, Patrick JuliebØ-Jones, Senol Tonyali, Agata Góral, Paulina Biesiadecka, Adam Chełmo (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13149612.txt.

Description

Łukasz Nowak and co-authors review whether a kidney stone surgery is safe and effective in older patients, in this 2026 meta-analysis. The surgery, called PCNL, removes stones through a small channel into the kidney. The team pooled comparative studies from four databases, following standard review rules. They also split results by the age used to define elderly: sixty, sixty-five, or seventy.

Seventeen studies with 45,603 patients qualified. Across all age definitions, overall and major complication rates matched those of younger patients, and stone-free rates were alike. Older patients did face a much higher risk of sepsis after surgery. At the seventy-year cutoff, complication risks rose clearly. The authors conclude the surgery is broadly safe in older adults, with extra caution past seventy.

Catalog record

CREATORŁukasz Nowak, Begoña Ballesta Martinez, Wojciech Krajewski, Bhaskar Somani, Amelia Pietropaolo, Wojciech Tomczak, Jan Łaszkiewicz, Matthias Boeykens, Thomas Tailly, Theodoros Spinos, Alberto Olivero, Arman Tsaturyan, Patrick JuliebØ-Jones, Senol Tonyali, Agata Góral, Paulina Biesiadecka, Adam Chełmo
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE45 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13149612

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