Prospective randomized study of various techniques of percutaneous nephrolithotomy

Feng, Mark; Tamaddon, Kirk; Mikhail, Albert A.; Kaptein, John S.; Bellman, Gary C.

doi:10.1016/s0090-4295(01)01225-0

Cited by 188 publications

(111 citation statements)

References 12 publications

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“…14,15 Tubeless PCNL has been reported to be associated with lower analgesic requirements and greater cost-efficiency. 16 The average stay of these patients was 3.33 days (unlikely to reach statistical significance as only 3 recorded stays), and may merely reflect the fact they were smaller stones with presumably shorter operating times.…”

Section: Complicationsmentioning

confidence: 89%

Contemporary Practice of Percutaneous Nephrolithotomy: Review of Practice in a Single Region of the UK

Srirangam

Darling

Stopford

et al. 2008

annals

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Ann R Coll Surg Engl 2008; 90: 40-44 40Percutaneous nephrolithotomy (PCNL) has become the mainstay of treatment for large renal calculi over the past 30 years since Fernstrom and Johansson first removed a renal calculus through a nephrostomy tract in 1976. 1 The practice of PCNL, having been refined over time, continues to evolve and has largely replaced open stone surgery for the treatment of complex upper tract stones unsuitable for extracorporeal shockwave lithotripsy (ESWL) or ureteroscopy. This has been aided by advances in technology and equipment resulting in stone removal with less morbidity, shorter convalescence, and reduced cost compared with open surgery. 2,3 Excellent outcomes have been reported following PCNL with stone-free rates approaching 95%. Nevertheless, most published series of PCNL are from single centres with a dedicated sub-specialist interest in stone management.These represent optimum results achievable and may not reflect outcomes of everyday practice in non-specialised units. The aim of the study was to analyse the current practice of PCNL in our region. Patients and MethodsThe region comprises 12 participating hospital trusts. Of these, two were tertiary referral centres with a recognised expertise in stone management, while the rest (10) comprised district general hospitals (secondary centres) providing a range of urological interventions. All patients undergoing a PCNL procedure in 2002 were identified using theatre records and medical records scrutinised retrospectively. In trusts performing more than 20 procedures

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Section: Complicationsmentioning

confidence: 89%

Contemporary Practice of Percutaneous Nephrolithotomy: Review of Practice in a Single Region of the UK

Srirangam

Darling

Stopford

et al. 2008

annals

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“…Two or more channels in this type should be established conventionally to complete the operation, thereby resulting in the highest residual rate. The use of an ultrasonic lithotripter (EMS) can significantly improve the efficiency of stone extraction and reduce the residual stones as well as the number of the established channels [10,12,13]. (3) Perfusion pressure should be maintained at the lowest possible rate during operation, and the operation time should be strictly controlled.…”

Section: Discussionmentioning

confidence: 99%

“…Plain abdominal radiograph or CT was repeated after the operation. For cases with more residual calculi, the second or third mini-PCNL was performed 5 to 7 days after the previous operation [10][11][12][13].…”

Section: Operation Proceduresmentioning

confidence: 99%

Types of Renal Calculi and Management Regimen for Chinese Minimally Invasive Percutaneous Nephrolithotomy

Zeng²,

You

et al. 2014

Indian J Surg

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Strict selection of patients for minimally invasive percutaneous nephrolithotomy could effectively improve the success rate of surgery. This study aimed to understand the required skills and the efficacy of mini-PCNL in the treatment of five types of upper ureteral calculi. Data collected after X-ray analysis and B mode ultrasound from 633 patients with upper ureteral and renal pelvis calculi who underwent B ultrasound-guided lithotomy was reviewed, including the following: type I, upper ureteral or renal pelvis calculi with moderate hydronephrosis (154 cases); type II, upper ureteral or renal pelvis calculi with severe hydronephrosis (157 cases); type III, upper ureteral or renal pelvis calculi without hydronephrosis (61 cases); type IV, renal pelvis calculi, one or two renal calyx calculi (206 cases); and type V, renal staghorn calculi (55 cases). Operations on 611 cases were successful. The treatment method for five patients was converted to open surgery. Twelve cases were treated by indwelling double-J tube retrocatheterization and extracorporeal shock wave lithotripsy. Five patients gave up the treatment. The rate of calculus clearance was 82.3 %, and the rate of residual calculus was 17.6 %. Selective renal artery embolization was performed in nine cases. Hydropneumothorax occurred in nine cases. No intestinal fistula occurred, and no patient had to undergo nephrectomy. The difficulty and the curative effect of the operation were different because the types of calculi varied. Selection of the procedure based on the different types of calculi could effectively improve the success rate of the procedure, reduce complications, and shorten the learning curve.

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“…Other published reports also recommend tubeless PCNL in selected uncomplicated case. [22][23][24] The main complications of PCNL are residual calculi, bleeding, and renal perforation. Infectious complications related to PCNL are reported in up to 32.7%.…”

Section: Discussionmentioning

confidence: 99%

Prospective Study of Percutaneous Nephrolithotomy in the Management of Renal Calculi

Raut¹,

Tiwari²,

Singhania³

et al. 2017

MGM Journal of Medical Sciences

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Prospective randomized study of various techniques of percutaneous nephrolithotomy

Cited by 188 publications

References 12 publications

Contemporary Practice of Percutaneous Nephrolithotomy: Review of Practice in a Single Region of the UK

Contemporary Practice of Percutaneous Nephrolithotomy: Review of Practice in a Single Region of the UK

Types of Renal Calculi and Management Regimen for Chinese Minimally Invasive Percutaneous Nephrolithotomy

Prospective Study of Percutaneous Nephrolithotomy in the Management of Renal Calculi

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