Minimally Invasive Surgical Treatment for Kidney Stone Disease

Rodríguez, Dayron; Sacco, Dianne

doi:10.1053/j.ackd.2015.03.005

Cited by 36 publications

(27 citation statements)

References 53 publications

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“…Percutaneous nephrolithotomy (PCNL) has become one of the first-line treatments of renal staghorn calculi [1, 2]. In China, the most common 2 types of PCNL are minimally invasive PCNL (MPCNL) using a peel-away sheath and ultrasonic pneumatic lithotripsy through a standard-sized percutaneous tract (standard PCNL).…”

Section: Introductionmentioning

confidence: 99%

Suctioning Minimally Invasive Percutaneous Nephrolithotomy with a Patented System Is Effective to Treat Renal Staghorn Calculi: A Prospective Multicenter Study

Song

et al. 2018

Urol Int

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Objectives: To investigate the safety, efficacy, and practicability of minimally invasive percutaneous nephrolithotomy (MPCNL) with the aid of a patented irrigation clearance system in treating renal staghorn calculi. Methods: From August 2009 to July 2014, 4 hospitals had executed a prospective multicenter study with a total of 912 cases. The patients were randomly divided into 3 groups: suctioning MPCNL, standard percutaneous nephrolithotomy (PCNL), and traditional MPCNL groups. Multiple operative and perioperative parameters were compared. Results: Blood loss and intrapelvic pressure in the suctioning MPCNL group were significantly less than those in the standard PCNL group. The average operation time, intrapelvic pressure, and amount of bleeding in the suctioning MPCNL group were better than those in the traditional MPCNL group. The suctioning MPCNL used one tract more frequently and 2 or 3 tracts less frequently than the standard MPCNL and traditional MPCNL groups. The stone-free rate by one surgery in the suctioning MPCNL group was significantly higher than that in standard PCNL and traditional MPNCL groups. Conclusions: Suctioning MPCNL using our patented system shows several advantages in treating renal staghorn calculi, including minimal invasion, shorter operation time, lower intrapelvic pressure, less bleeding and the need for a smaller number of percutaneous tracts, and higher stone clearance rate by one surgery.

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Section: Introductionmentioning

confidence: 99%

Suctioning Minimally Invasive Percutaneous Nephrolithotomy with a Patented System Is Effective to Treat Renal Staghorn Calculi: A Prospective Multicenter Study

Song

et al. 2018

Urol Int

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“…The management includes medical expulsion therapy, Extra shock wave lithotripsy, ureterorenoscopy (URS)/ lithoclast, percutaneous nephrolithotomy (PCNL). 6 Most of urology centres in Pakistan, even at district level are at least equipped with facilities of X-rays & ultrasounds to diagnose urinary stone disease, and equipped with instruments at the minimum for open stone surgery.…”

Section: Introductionmentioning

confidence: 99%

“…7 The presentation ranges from simply asymptomatic or symptoms of chronic kidney disease to life threating metabolic abnormalities. 6 Obstructing stones leads to pre renal acute kidney disease by obstructing urinary flow, often associated with rapid deterioration in renal function. If urinary obstruction not corrected timely, it may lead to irreversible renal damage.…”

Section: Introductionmentioning

confidence: 99%

Calculus Renal Failure

Ali

Ghous

Rashid

et al. 2018

TPMJ

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Background: Urolithiasis is a common urological disease in Pakistan. Calculusrenal failure is a urological emergency that required immediate intervention to prevent furtherdeterioration of renal function. Objectives: The purpose of this study is to present clinical profileof calculus renal failure patient and to report our experience of management of such patients.Study Design: Descriptive Cross sectional study. Setting and Period: Department of urologyServices Hospital from July 2015 to December 2016 were included. Materials and Methods:Patients of all ages of either sex who presented with calculus renal failure. The patients withobstructive uropathy due to causes other than stone disease were excluded. Demographicinformation along with detailed history recorded. Baseline investigations included Completeblood counts, serum creatinine, serum electrolytes and ultrasound for KUB. For stone positionXray KUB in every case & CT in selected cases performed. Functional status of individual kidneywas assessed by renal scan with differential GFR. After initial emergency treatment, all patientswere subjected to definite treatment depending upon stone location and functional status ofkidney. Results: A total of 68 patients were recruited for this study. The mean age of the patientswas 48.8 + 14.13 with range 23-90. 52(76.5%) of the patients were male and 16(23.5%)were females. Most common presentation was lumber pain 46 (67.6%) followed by anorexia 42(61.8%). The average presence of the symptoms was 17.70 days. At initial management of thecondition contained, 16(23.5%) of the patients managed by peritoneal dialysis /Hemodialysis,10(14.7%) by unilateral PCN, 16(23.5%) by Bilateral PCN, unilateral JJ stenting done in 8(11.8%)while bilateral JJ stenting in 07 (10.9%), 6(8.8%). 10(14.7%) patient were managed with URS/Lithoclast therapy without any prior diversion. Renal function in 08 patients (11.8%) did notimproved after initial management and they remained on maintenance dialysis. Conclusion: Intime diagnosis and early proper treatment improves the outcome.

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“…[1][2][3] A national cross-sectional survey demonstrated 1.3 million annual emergency department (ED) visits for renal colic in 2009, and kidney stone prevalence in women may be rising. 4,5 Computed tomography (CT) utilization has increased 10-fold in the past 20 years, 4,6-8 stone intervention rates have risen, and ureteroscopic stone removal is now considered an option for all ureteric stones, 9,10 suggesting that renal colic is a dynamic area of care.…”

mentioning

confidence: 99%