Complications in Mini PCNL

Singh, Harprit; Jha, Alok; Thummar, Haresh

doi:10.1007/978-981-16-6001-6_29

Cited by 1 publication

(3 citation statements)

References 127 publications

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“…In the literature review, Clavien-Dindo grade I to V complication rates of mini-PCNL were 2.7-20.8%, 1.4-17.3%, 0-10.3%, 0-0.05% and 0-0.02%, respectively [20]. The results of the current study were within the range and may prove the safety of our technique.…”

Section: Discussionsupporting

confidence: 72%

“…In the latest meta-analysis, the pooled incidence of fever after mini-PCNL is also about 10% [19]. Additionally, postoperative sepsis developed in 0.9-4.7% of patients after PCNL [20]. The results of current study were similar and acceptable.…”

Section: Discussionsupporting

confidence: 62%

“…No patient needed a blood transfusion or radiological intervention for hemorrhage. Contemporary reports of mini-PCNL also showed a very low incidence of blood transfusion (<2%) [20]. Moreover, only 20% of the patients needed postoperative intravenous analgesics.…”

Section: Discussionmentioning

confidence: 89%

See 2 more Smart Citations

Totally X-ray-Free Ultrasound-Guided Mini-Percutaneous Nephrolithotomy in Galdakao-Modified Supine Valdivia Position: A Novel Combined Surgery

Liu

Chen

Luo

et al. 2022

JCM

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We introduced a novel surgery that combines ultrasound guidance, miniaturization and Galdakao-modified supine Valdivia (GMSV) position in percutaneous nephrolithotomy (PCNL) and evaluated the safety and efficacy. This retrospective, single-center study retrospectively reviewed 150 patients who underwent ultrasound-guided mini-PCNL in the GMSV position from November 2019 to March 2022. All perioperative parameters were collected. Stone-free status was defined as no residual stones or clinically insignificant residual fragments (CIRF) < 0.4 cm on postoperative day one. Among the 150 patients, the mean age was 56.96 years. The mean stone size was 3.19 cm (427 mm2). The mean S.T.O.N.E. score was 7.61, including 36 patients (24%) with scores ≥9. The mean operative time was 66.22 min, and the success rate of renal access creation in the first attempt was 88.7%. One hundred and forty (93.3%) patients were stone free. The mean decrease in Hemoglobin was 1.04 g/dL, and no patient needed a blood transfusion. Complications included transient hematuria (n = 13, 8.7%), bladder blood clot retention (n = 2, 1.3%), fever (n = 15, 10%) and sepsis (n = 2, 1.3%). Totally X-ray-free ultrasound-guided mini-PCNL in the GMSV position is feasible, safe and effective for patients with upper urinary tract stones, indicating the synergistic and complementary effects of the three novel techniques.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 62%