Comparison between standard, mini and ultra-mini percutaneous nephrolithotomy for single renal stones: a prospective study

Adamou, Constantinos; Goulimi, Evangelia; Pagonis, Konstantinos; Peteinaris, Angelis; Tsaturyan, Arman; Vagionis, Athanasios; Lattarulo, Marco; Giannitsas, Konstantinos; Liatsikos, Evangelos; Kallidonis, Panagiotis

doi:10.1007/s00345-022-04107-y

Cited by 4 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It distinguishes itself by comparing data from a highly homogeneous population, characterized by minimal age and ASA physical status variation. While our inclusion criteria limited to patients who underwent standard PCNL, it is unlikely that this in uenced the incidence of complications [21]. It would be reasonable to extrapolate these ndings to mini procedures.…”

Section: Discussionmentioning

confidence: 99%

Is it worth using the Comprehensive Complication Index over the Clavien-Dindo Classification in elderly patients who underwent percutaneous nephrolithotomy?

Danilovic,

Perrone,

Dias

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose To compare the Comprehensive Complication Index (CCI) to the Clavien-Dindo Classification (CDC) in an elderly population who underwent percutaneous nephrolithotomy (PCNL) and to identify predictors of postoperative complications in this population. Methods We conducted a retrospective study involving patients 60 years and older who underwent standard PCNL at our Institution between 2009 and 2020. Postoperative complications were considered up to 30 days after surgery. Both CDC and CCI were calculated to assess patient outcomes. Length of stay (LOS) and admission to the emergency room (ER) were used as surrogates of postoperative complications. Results We included 239 patients with a median age of 65 [63–70] years. 15.5% presented complications and multiple complications occurred in 2.9% of the patients. LOS had a correlation coefficient of 0.291 (p < 0.001) with both CDC and CCI. Admission to the ER had a coefficient of 0.284 (p < 0.001) with CDC and 0.286 (p < 0.001) with CCI. Higher American Anesthesiology Association (ASA) physical status (p = 0.04), higher Guy’s Hospital Kidney Stone Classification (p = 0.02) and lower post-surgery hematocrit level (p = 0.046) exhibited significant univariate correlations with complications. After multivariate analysis, only a higher ASA physical status (p = 0.01) showed independent correlation with complications. Conclusion A higher ASA physical status arose as an independent predictor of complications following PCNL in the elderly population. The use of the CCI following this procedure in this population did not yield benefits over the widely used CDC.

show abstract

Section: Discussionmentioning

confidence: 99%

Is it worth using the Comprehensive Complication Index over the Clavien-Dindo Classification in elderly patients who underwent percutaneous nephrolithotomy?

Danilovic,

Perrone,

Dias

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Renal stones have 10% of humans reporting complaints. Their recurrence rate is very high, exhibiting approximately 70 percent recurrence rate [2]. Renal colic makes an appearance as the stone moves.…”

Section: Introductionmentioning

confidence: 99%

Comparison between the Outcomes of Standard Percutaneous Nephrolithotomy (S-PCNL) and Mini-Percutaneous Nephrolithotomy (M-PCNL) while Treating Renal Calculi

Nasim,

Khan,

Ali

et al. 2023

PJMHS

View full text Add to dashboard Cite

Background: In urology, the most common disorder is represented as renal stones. Renal stones have 10% of humans reporting complaints. Their recurrence rate is very high, exhibiting approximately 70 percent recurrence rate. There have been significant advancements made in the treatment of renal stones. PCNL can be used in situations where renal stones are between 10-20 millimeters in the lower pole of a kidney and larger than 20 millimeters. Objective: This study was performed to compare the outcomes of S-PCNL and M-PCNL while treating renal calculi. Study design: A randomized control trial Place and Duration This study was conducted in Karachi Institute of Kidney Diseases Karachi from February 2022 to February 2023 Methodology: There were a total of 50 people included in this research who were equally divided into 2 groups. All of the participants were having a single unilateral renal stone which was <3cm in size. All of the included people were aged 18 years or older. Each patient underwent a physical examination as well as laboratory investigations which included urine culture, CBC, liver function, urinalysis, coagulation profile, and kidney function. There were certain imaging studies that included pelvic and abdominal ultrasonography, kidney–urinary bladder X-ray (KUB), and either intravenous pyelography (IVP) or computed tomography urinary tract (CTUT).

show abstract

Ultra Mini PCNL

Persaud,

Chalokia,

Desai

2023

Percutaneous Renal Surgery

View full text Add to dashboard Cite

Comparison between standard, mini and ultra-mini percutaneous nephrolithotomy for single renal stones: a prospective study

Cited by 4 publications

References 31 publications

Is it worth using the Comprehensive Complication Index over the Clavien-Dindo Classification in elderly patients who underwent percutaneous nephrolithotomy?

Is it worth using the Comprehensive Complication Index over the Clavien-Dindo Classification in elderly patients who underwent percutaneous nephrolithotomy?

Comparison between the Outcomes of Standard Percutaneous Nephrolithotomy (S-PCNL) and Mini-Percutaneous Nephrolithotomy (M-PCNL) while Treating Renal Calculi

Ultra Mini PCNL

Contact Info

Product

Resources

About