1032 Minimal invasive PCNL (MPCNL) – proven efficiency and safety after more than 650 consecutive patients

Zimmermanns, V.; Kurzidim, S.; Liske, P.; Lahme, Sven

doi:10.1016/s1569-9056(12)61028-8

Cited by 3 publications

(3 citation statements)

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“…In our study, the mean age of patients was 47.3 ± 7.6 (21-91) ( Table 1). A couple of other studies have given the same results; for instance, Zimmermanns et al reported on 652 patients with the mean age of 54.1 ± 15.7, and Zare studied 250 patients with the mean age of 42.0 ± 13.4 [8], [9]. The mean size of stone in our study was 19.4 ± 1.2 (12-60) mm ( Table 1).…”

Section: Discussionsupporting

confidence: 85%

“…This result was partly due to the experiences of the surgeon and partly because of the lateral position and the ultrasound guidance, which helped to reduce the related complications. According to Zare, who studied 250 patients treated with the mini-PCNL, the rate of post-operative infection was 10%, of which 0.4% were pleural lesions that needed surgical interventions [8].…”

Section: Complicationsmentioning

confidence: 99%

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Experiences of Renal Stone Fragmentation with the Use of the Ultrasound-guided Mini-percutaneous Nephrolithotipsy in 650 Patients

duong¹,

Hoan²,

nguyen³

et al. 2021

Open Access Maced J Med Sci

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AIM: This study assesses the results of treatment using the mini-percutaneous nephrolithotipsy (PCNL) procedure on renal stone patients in a lateral position under ultrasound guidance, performed at the Ha Noi Hospital of Post and Telecommunications. METHODS: The study was conducted with 650 kidney stone patients who were treated using the ultrasound-guided mini-PCNL procedure in a lateral position, at the Ha Noi Hospital of Post and Telecommunications, over the period from June 2018 to June 2019. RESULTS: For the 650 patients, the mean age was 47.3 ± 7.6 (from 21 to 91 years old); the mean size of stones: 19.4 ± 1.2 mm (from 12 mm to 60 mm); the mean operative time: 49.3 minutes (from 37 to 90 min); the mean period of hospitalization: 3.9 days (from 3 to 12 days); the mean stone-free rate (SFR): 90.6%; the rate of second surgery: 1.07%; hemorrhage complication: 0.8%; urinary tract infections: 7.7%; septicemia: 0.6%; administered open surgery: 0.46%; and administered other methods: 0.76%. CONCLUSION: Renal stone fragmentation using the mini-PCNL procedure, performed on patients placed in lateral position under ultrasound guidance, is a method that is effective, beneficial, and safe for patients with renal stones and upper ureteral stones.

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Section: Discussionsupporting

confidence: 85%

Section: Complicationsmentioning

confidence: 99%

Experiences of Renal Stone Fragmentation with the Use of the Ultrasound-guided Mini-percutaneous Nephrolithotipsy in 650 Patients

duong¹,

Hoan²,

nguyen³

et al. 2021

Open Access Maced J Med Sci

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“…A series of 650 mini‐PCNL cases was reported in 2011 using a 12‐F sheath. The reported mean stone surface area was 4.1 cm 2 and a transfusion rate of 1.4% was noted with only two cases of embolisation described . Similarly a transfusion rate of 1.4% was reported in the first large series of 557 supine PCNLs.…”

Section: Discussionmentioning

confidence: 73%

Blood transfusion, embolisation and nephrectomy after percutaneous nephrolithotomy (PCNL)

et al. 2012

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What's known on the subject? and What does the study add?• Percutaneous treatment for renal stone disease is associated with a risk of significant morbidity.• Our large UK series provides contemporary data on the risk of vascular complications and admission to the Intensive Care Unit (ICU) after PCNL. When compared with recent international databases, these data support the current evidence that better outcomes can be achieved in centres performing large numbers of procedures. These data add to the debate for the centralisation of specialist stone surgery. Objective• To audit the outcome of percutaneous nephrolithotomy (PCNL) at a UK stone centre over a 10-year period, and provide patients with understandable contemporary data on blood loss and vascular risk. Patients and Methods• A single centre retrospective analysis of all PCNLs undertaken between April 2000 and December 2010.• The association between transfusion and patient age, operative duration and positive preoperative mid-stream urine (MSU) sample was subject to statistical analysis. Results• Data on 568 patients was analysed. 21 were paediatric cases with a mean (range) age of 8 (2-16) years; 547 were adult cases with a mean (range) age of 55 (17-84) years. • 3.8% of adult patients (21/547) received a blood transfusion; mean age 60 years (55 years in those not transfused) with a mean operative duration of 119 min (103 min in those not transfused).• 23.8% of patients transfused had a confirmed preoperative urinary tract infection compared with 16.1% of those not transfused.• Seven patients underwent angiography, with five having selective arterial embolisation (0.9%).• There were no deaths in this series although one patient (0.2%) required an urgent nephrectomy due to cardiovascular instability from bleeding. Conclusions• Large UK series that provides contemporary data for consent on vascular risk at PCNL. • The risk of transfusion is associated with increased patient age, operative duration and the presence of a positive preoperative MSU sample.• Data compares favourably with other large published series, and supports the argument for centralisation of percutaneous stone management.

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Tract Sizes in Miniaturized Percutaneous Nephrolithotomy: A Systematic Review from the European Association of Urology Urolithiasis Guidelines Panel

Tepeler²,

et al. 2017

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1032 Minimal invasive PCNL (MPCNL) – proven efficiency and safety after more than 650 consecutive patients

Cited by 3 publications

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Experiences of Renal Stone Fragmentation with the Use of the Ultrasound-guided Mini-percutaneous Nephrolithotipsy in 650 Patients

Experiences of Renal Stone Fragmentation with the Use of the Ultrasound-guided Mini-percutaneous Nephrolithotipsy in 650 Patients

Blood transfusion, embolisation and nephrectomy after percutaneous nephrolithotomy (PCNL)

Tract Sizes in Miniaturized Percutaneous Nephrolithotomy: A Systematic Review from the European Association of Urology Urolithiasis Guidelines Panel

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