10. The results of mini-percutaneous nephrolithotipsy to treat lower pole renal stones at the Hospital of Post and Telecommunications
Main Article Content
Abstract
This study reported our experience of treating renal lower calyx stones patients with mini-percutaneous nephrolithotipsy. The study cohort consisted of 75 patients (49 males and 26 females) at the Hospital of Post and Telecommunications between September 2021 and September 2022. The average age was 53.7 ± 11.5 years and the average size of stone was 22.5 ± 5.0mm. The majority of the patients (70.7%) had pain in the lumbar region. The average operative time was 46.6 ± 9.1 minutes. The average length of hospital stay was 5.2 ± 1.4 days. Most (97.3%) reported excellent free-stone rate after operation. The complication rate was 10.7%, primarily was light fever caused by post-surgery infections. In conclusion, the mini-percutaneous nephrolithotipsy (PCNL) is a effective approach for managing lower pole renal stones with high free-stone rates and less complications rate.
Keywords: Mini-PCNL, Renal lower calyx stones
Article Details
Keywords
Mini-PCNL, Renal lower calyx stones
References
2. Turk, C., A. Petrik; K. Sarica; et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016; 69(3): 475 - 82. [Pubmed]
3. Cheng F, W Yu, X Zhang, et al. Minimally Invasive Tract in Percutaneous Nephrolithotomy for Renal Stones. Journal of Endourology. 2010; 24(10):1579 - 1582. [DOI]
4. Zeng, G., Z. Zhao, S. Wan, et al. Minimally invasive percutaneous nephrolithotomy for simple and complex renal caliceal stones: a comparative analysis of more than 10,000 cases. J Endourol. 2013; 27(10): 1203 - 8. [Pubmed]
5. Li MM, Yang HM, Liu XM. Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5 - 2.5 cm in diameter. World J Clin Cases. 2018; 6: 931 - 5. [Pubmed]
6. Guler Y (2020). Comparison of RIRS and Mini-PCNL for 2-3 cm Renal Lower Calyx Stones. Arch Urol. 2020; 3: 007. [DOI]
7. Phan Trường Bảo, Nguyễn Phúc Cẩm Hoàng. Nội soi lấy sỏi qua da đường hầm nhỏ với sỏi đài thận dưới. Y học Thành Phố Hồ Chí Minh. 2020; Tập 22, Phụ Bản Số 2, 279 - 283.
8. Nguyễn Đức Linh. Kết quả phẫu thuật tán sỏi qua da điều trị sỏi đài thận tại Bệnh Viện Hữu Nghị Việt Đức, Luận văn Thạc sỹ Y học, Trường Đại học Y Hà Nội. 2019
9. Chen T.-F., Chen C.-H., Lee Y.-J. The role of body mass index predicting outcome of percutaneous nephrolithotomy. Urol Sci. 2018; 29(5), 252 - 256.[DOI]
10. Ziaee SAM; Abdollah Nasehi, A Basiri et al . PCNL in the management of lower pole caliceal calculi. Urol J., 2004; Summer; 1(3):174 - 6. [Pubmed]
11. Abdelhafez, M.F., B. Amend, J. Bedke, et al. Minimally invasive percutaneous nephrolithotomy: a comparative study of the management of small and large renal stones. Urology. 2013; 81(2): 241 - 5. [Pubmed]
12. Zhu, W., J. Li, J. Yuan, et al . A prospective and randomised trial comparing fluoroscopic, total ultrasonographic, and combined guidance for renal access in mini-percutaneous nephrolithotomy. BJU Int. 2017; 119(4): 612 - 618. [DOI]
13. Abdelhafez, M.F., J. Bedke, B. Amend, et al. Minimally invasive percutaneous nephrolitholapaxy (PCNL) as an effective and safe procedure for large renal stones. BJU Int. 2012; 110(11 Pt C): E1022 - 6. [DOI]
14. Phạm Ngọc Hùng, Phan Hữu Việt, Trương Văn Cẩn. Đánh giá kết quả điều trị sỏi đài thận dưới đơn thuần ≤ 2 cm bằng nội soi niệu quản ngược dòng ống mềm tán sỏi thận tại Bệnh Viện Trung Ương Huế. Y học lâm sàng Bệnh Viện Trung Ương Huế, 2023, số 88, trang 12 - 17.