Effectiveness and safety of suction-assisted versus traditional access sheaths in minimally invasive percutaneous nephrolithotomy: a meta-analysis of 10 randomized trials

This meta-analysis suggests that the use of a suction-assisted sheath in MPCNL is associated with higher stone-free rates, shorter operative times, reduced intrarenal pressure, and a lower incidence of certain postoperative complications, including fever and transfusion requirements. The findings indicate a favorable safety and efficacy profile, suggesting that SAS is a valuable modification for optimizing procedural outcomes.