The feasibility of multiple-tract mini-percutaneous nephrolithotomy as an overnight surgery for the treatment of complex kidney stones

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

“…This therapy may be removed successfully, which leads to an improvement in clinical symptoms, a quick postoperative recovery, and little stress and blood loss. Less, etc., results in greater therapeutic efficacy and safety and is the initial treatment approach [ 2 , 3 ]. Nonetheless, intraoperative disinfection, infusion temperature, anaesthesia method, skin exposure, and other factors can influence the treatment process, resulting in lower body temperatures in patients, which increases the risk of surgery, and postoperative patients will experience varying degrees of pain and complications, as well as depression and anxiety [ 4 ].…”

Effect of Percutaneous Nephrolithotomy Combined with Needle Nephrolithotomy on Renal Function and Complication Rate in Patients with Complex Renal Calculi

“…Percutaneous nephrolithotomy (PCNL) is also an important treatment for complex kidney stones. Compared with laparotomy, PCNL has less trauma and faster recovery of physical function after surgery, but there may still be related complications such as organ damage, infection, and bleeding after surgery [ 6 – 8 ]. Needle nephroscope is a new type of PCNL device, which mainly includes a needle handle and a puncture outer sheath.…”

Comparative assessment of multiple‐tract vs single‐tract percutaneous nephrolithotomy

“…Cho et al, by reporting no difference in LOS in a multi-tract cohort of 30 patients, and two current feasibility studies investigating multiple-tract as a day surgery and an overnight surgery, point to the possibility that there is not necessarily the need for a longer LOS for patients with multiple-tract PNL. 8,13,18 However, in view of the critical characteristics of our multiple-tract patients with 54% CCI ≥3 and 59% features of high-risk stone formers, typical PNL-associated hemoglobin drop ≥1 mg/dL and median OR time of nearly 3 hours in general anesthesia, our SOC remains inpatient postoperative care for 2 days.…”

“…Due to technical progress of PNL instruments and an increasing surgical experience over the last decades, multiple‐tract PNL came into broader use 6–9 . In view of the limited multiple tract literature published so far originating from few high‐volume stone centers with highly experienced endourological surgeons, multiple‐tract PNL appears to be both well established with proven advantages over single‐tract PNL and at the same time under‐utilized for the fear of complications associated with multiple punctures at one stage 3,5,7,10–13 . Retrospective case series have represented the majority of data on multiple‐tract PNL for the last decade 14–19 .…”

“…[6][7][8][9] In view of the limited multiple tract literature published so far originating from few high-volume stone centers with highly experienced endourological surgeons, multiple-tract PNL appears to be both well established with proven advantages over single-tract PNL and at the same time underutilized for the fear of complications associated with multiple punctures at one stage. 3,5,7,[10][11][12][13] Retrospective case series have represented the majority of data on multiple-tract PNL for the last decade. [14][15][16][17][18][19] Currently an increasing number of retrospective analyses have tried to compare multiple-with single-tract PNL.…”