Can mini PCNL achieve the same results as RIRS? The initial single center experience

Ghazala, Shawqi George; Ahmed, Sarbast Mohammed Saeed; Mohammed, Ayad Ahmad

doi:10.1016/j.amsu.2021.102632

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…In the presented study, the outcomes for SFR, I-III class complications development, and surgery duration (lithotripsy) were similar to the data of other authors and meta-analyses of these data. The problem of a longer hospitalization and general treatment period and a more pronounced pain syndrome also corresponds to what reported in previous papers (18)(19)(20)(21). A possible solution to align the results of the two procedures and improve compliance with the enhanced recovery program is the transition from mini-PCNL to micro-PCNL (22,23).…”

Section: Discussionsupporting

confidence: 70%

Enhanced recovery after retrograde intra-renal surgery (RIRS) in comparison with mini-percutaneous nephrolithotomy (Mini-PCNL) for renal stone treatment

Vorobev,

Beloborodov,

Hovalyg

et al. 2023

Arch Ital Urol Androl

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Objectives. The study presents a comparative analysis of the mini-percutaneous nephrolithotripsy (mini-PCNL) and retrograde nephrolithotripsy (RIRS) with a logistic analysis of outcomes and complications. Material and methods. The prospective study included 50 patients diagnosed with urolithiasis from 2018 to 2021 in the urological hospitals in Irkutsk. Patients were divided into two groups: RIRS (group I, n = 23) and Mini-PCNL (group II, n = 27). The comparison groups are statistically homogeneous. Results. Both procedures equally lead to high stone free rates (SFR > 1 mm, 91.3% vs 85.1%; p = 0.867; SFR > 2 mm, 95.6% vs 92.5%; p = 0.936). The intergroup analysis of the total operation time (and lithotripsy) demonstrated similar times (p > 0.05). Postoperative complications of classes II-III (Clavien-Dindo) in the early and late postoperative period developed rarely and were comparable (p > 0.05). Class I complications were predominant in the PCNL group (p = 0.007). Some parameters demonstrated the superiority of RIRS over PCNL: less pronounced pain syndrome (p = 0.002), less drainage time (p < 0.001), no postoperative hematuria (p = 0.002), shorter hospitalization and total treatment period (p < 0.001). Conclusions. The study highlighted the positive effect of the one-day surgery principle on the risk of developing postoperative hematuria, urinary infection, or severe postoperative pain. RIRS and mini-PCNL have similar effectiveness, but RIRS meets the criteria of the enhanced recovery program more than PCNL.

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Section: Discussionsupporting

confidence: 70%

Enhanced recovery after retrograde intra-renal surgery (RIRS) in comparison with mini-percutaneous nephrolithotomy (Mini-PCNL) for renal stone treatment

Vorobev,

Beloborodov,

Hovalyg

et al. 2023

Arch Ital Urol Androl

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The modern view on the surgical treatment of nephrolithiasis

2023

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The choice of surgical treatment for nephrolithiasis remains a matter of debate. The article is a literature review dedicated to a comparative analysis of the efficacy and safety of extracorporeal shock-wave lithotripsy (ESWL) and endoscopic methods for the treatment of nephrolithiasis. The literature review was based on the analysis of articles published in the PubMed / MEDLINE, and eLibrary databases. Sixty publications on the topic of the review were analysed. As a result of data analysis, endoscopic therapies have a significant advantage over ESWL with comparable safety. The development and dissemination of less invasive techniques such as mini-percutaneous nephrolithotripsy and ultra-mini-percutaneous nephrolithotripsy in the future may change the approach to the surgical treatment of any form of nephrolithiasis.

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Minimally Invasive Percutaneous Nephrolithotrypsy in the Treatment of Patients With Kidney Stones

2022

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The aim: To evaluate the outcomes and complications rate of minipercutaneous nephrolithotripsy (MPCNL) for renal stones treatment. Materials and methods: MPCNL was performed to 123 patients with kidney stones from January 2020 till November 2021. All operations were performed under endotracheal inhalation anesthesia. After the ureteral catheter was introduced ultrasound controlled punction of kidney collecting system and work channel dilation were performed. Stones were fragmented by holmium laser. The fragments extracted passively with fluid flow through the outer sheath. Operation ended by introduction of nephrostomy tube 14Ch. Results: In total 135 MPCNLs were performed in 123 patients. The average duration of operations was 55±5,4 minutes and stone size was 1,6±0,2 sm. 12 patients were per¬formed simultaneous MPCNL on both sides. The simultaneous MPCNL duration amounted 105±8,1 min. In 3 (2,2%) cases residual stones were observed. The average hospital stay was 1,31±0,2 days. The renal drainage was removed in 24 ± 3,2 hours after operation. Acute pyelonephritis was presented in 4 (3,3%) and postoperative bleeding in 2 (1,6%) patients, which were stopped by antibacterial and hemostatic drugs with drainage occlusion respectively. Conclusions: To advantages of MPCNL belong short hospital stay, high safety level, insignificant intraoperative and postoperative bleeding, good operation field visualization, opportunity of quick removal of renal drainage, ureteral and urethral catheters. Benefit in patients with severe comorbidities, opportunity of simultaneous bilateral MPCNL and almost complete postoperative pain absence allow to consider MPCNL the operation of choice in kidney stone management.

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Can mini PCNL achieve the same results as RIRS? The initial single center experience

Cited by 3 publications

References 22 publications

Enhanced recovery after retrograde intra-renal surgery (RIRS) in comparison with mini-percutaneous nephrolithotomy (Mini-PCNL) for renal stone treatment

Enhanced recovery after retrograde intra-renal surgery (RIRS) in comparison with mini-percutaneous nephrolithotomy (Mini-PCNL) for renal stone treatment

The modern view on the surgical treatment of nephrolithiasis

Minimally Invasive Percutaneous Nephrolithotrypsy in the Treatment of Patients With Kidney Stones

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