Safety and Efficacy of Bilateral Simultaneous Percutaneous Nephrolithotomy

Adhikari, Mahesh Bahadur; Karna, Sumeet; Kasaju, Atul

doi:10.33314/jnhrc.v17i01.1357

Cited by 5 publications

(3 citation statements)

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“…The study results show that the impact of cluster analysis study of patient care VAS score after PCNL, study results showed that after treatment, the two groups BI scores were significantly increased, SAS and pain were significantly reduced, but the changes are more obvious in research group ( P < 0.05), and the result of research and clinical findings of other scholars has higher consistency [ 20 ], and thus show that the cluster of nursing intervention should be widely applied. In the study, knowledge awareness and satisfaction change were investigated after patients were bundled nursing intervention, patients received health education, prevention, and intervention through reasonable measures, and it can improve the degree of cognitive disorders in patients [ 21 – 23 ]. The results showed that the study group's knowledge rate was 86.3 percent, and the control group was 96.6 percent, respectively, and that the study group's awareness of knowledge was higher ( P 0.05) than the control group.…”

Section: Discussionmentioning

confidence: 99%

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Chen

Zhao

et al. 2022

Applied Bionics and Biomechanics

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Objective. To explore the effects of cluster nursing on VAS score and urinary system function of patients after percutaneous nephrolithotomy with pneumatic lithotripsy (PCNL). Methods. November 2019-January 2019, 114 patients with PCNL who received treatment in our hospital were selected and randomly divided into two groups: the control group and the study group. The study group received cluster nursing, and the control group received routine nursing. Compare the Barthel index (BI), between two groups, SAS score, complications rate, surgical outcomes, pain scores, quality of life scores, knowledge awareness rate, and satisfaction rate were compared. Results. There were no significant variations in Bi and SAS scores before the nursing ( P > 0.05 ). The BI ratings were clearly higher after nursing, whereas the SAS and pain levels were considerably lower, however, the research group altered more dramatically ( P 0.05 ). The study group’s incidence of complications was lower ( P 0.05 ) than the control group’s; the study group’s hospitalization cost was lower, and the hospitalization and lower bed activity were shorter ( P 0.05 ); after the nursing, the organised quality score was significantly higher in both groups, but the research group changed more dramatically ( P 0.05 ). Compared with the control group, the knowledge of the research team was higher ( P < 0.05 ); after the nursing, both group satisfaction scores were obviously high, but the study group changes more significantly ( P < 0.05 ). Conclusion. After PCNL treatment, the patient receives cluster therapy, improving the patient’s anxiety, reducing the degree of pain, and improving the quality of life in patients, and the patient satisfaction is high. Therefore, cluster nursing is worthy of extensive application in the postoperative care of patients with PCNL.

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Section: Discussionmentioning

confidence: 99%

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Chen

Zhao

et al. 2022

Applied Bionics and Biomechanics

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“…The causes of persistent bleeding after operation may be the tearing of renal pelvis or calyces, perforation of mucous membranes, rupture of small renal vessels, among many others. However, the intermittent bleeding after operation may be complicated with renal arteriovenous fistula or pseudoaneurysm (14). However, none of the patients in the laser surgery group had massive postoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

The clinical research of 1,470 nm laser in percutaneous nephrolithotomy

Wang

Xiaolei

2020

Transl Androl Urol

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Background: Percutaneous nephrolithotomy (PCNL) is the primary method for the treatment of renal calculi. The preservation of the nephrostomy tube after operation brings severe pain to the patients. We use a 1,470 nm semiconductor laser to stop bleeding after the operation, which cannot reserve the nephrostomy tube, fully reflect its safety and effectiveness, and provide a new method for clinical practice.Methods: Forty-two patients with renal stones who came to our hospital from March 2016 to September 2019 were randomly divided into two groups: laser operation group (20 patients) and traditional operation group (22 patients). The stone removal rate, surgical effect, and postoperative complications were compared between the two groups.Results: There was no significant difference in the stone clearance rate between the two groups at the 4th week after operation (P>0.05). However, the incidence of postoperative infection, incision pain, and massive bleeding in the laser surgery group were lower than those in the traditional surgery group (P<0.05).However, there was no significant difference in urine extravasation and postoperative hematuria between the two groups (P>0.05). The average postoperative hospital stay in the laser surgery group was shorter than that in the traditional surgery group, and the difference was statistically significant (P<0.05). Simultaneously, there was no significant difference in operation time, intraoperative blood loss, and medical expenses between the two groups (P>0.05). Conclusions:The 1,470 nm laser is safe, effective, and feasible in PCNL operation, especially in hemostasis of the renal puncture channel, and it is worth popularizing.

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“…Differently of our findings, those authors had two major complications; one patient had hydrothorax that required thoracic drainage and another required surgical evacuation of clots from the bladder. 12 Sofer et al, in a comparative study of bilateral versus unilateral PCNL, showed that sbPCNL is associated with a significantly increased postoperative creatinine level, a decreased postoperative hemoglobin level, a higher blood transfusion rate (9% versus 2%), and a longer hospital stay. 15 In our study, there was no significant difference in postoperative serum creatinine between simultaneous and staged procedures; however, we also found a higher transfusion rate and a tendency for longer hospital stays in sbPCNL.…”

Section: Discussionmentioning

confidence: 99%

Bilateral simultaneous percutaneous nephrolithotomy versus staged approach: a critical analysis of complications and renal function

Torricelli

Carvalho²,

Marchini

et al. 2020

Rev. Assoc. Med. Bras.

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SUMMARY INTRODUCTION: Patients with bilateral kidney stones and burdened by large stones are challenging cases for endourologists. Simultaneous bilateral percutaneous nephrolithotomy (sbPCNL) is an option; however, it may be accompanied by important morbidity. An alternative is a staged PCNL, operating one side each time. Herein, we compare the impact of sbPCNL and staged PCNL on complication rates and renal function. METHODS: Patients who underwent sbPCNL or staged bilateral PCNL with a frame time of 6 months were searched in our prospectively collected kidney stone database. Groups were compared for age, gender, body mass index (BMI), comorbidities (classification by the American Society of Anesthesiology - ASA), stone size, Guy's score, stone-free status, renal function, blood loss, blood transfusion rate, complication rate, and length of hospital stay. RESULTS: Twenty-six patients and 52 kidney units were enrolled. The mean operative time was 134.7 min. Only 11.3% of cases had complications, all of them minor (Clavien ≤ 2). Overall, the stone-free rate was 61.50%. Comparing the groups, there was a significantly longer operative time in the sbPCNL group (172.5 vs. 126.3 min; p=0.016), as well as a higher transfusion rate (12.5% vs. 5.6%; p=0.036). There was no statistically significant difference in creatinine levels between the groups. Regarding the stone-free rate, there was a significantly higher proportion of patients in the staged PCNL group (64.9% vs. 43.8%; p=0.012). CONCLUSION: sbPCNL is a safe procedure; however, when compared to staged procedures it has a higher transfusion and lower stone-free rate.

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Safety and Efficacy of Bilateral Simultaneous Percutaneous Nephrolithotomy

Cited by 5 publications

References 0 publications

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

The clinical research of 1,470 nm laser in percutaneous nephrolithotomy

Bilateral simultaneous percutaneous nephrolithotomy versus staged approach: a critical analysis of complications and renal function

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