Predicting Outcomes after Minimally Percutaneous Nephrolithotomy with the Aid of a Patented System by Using the Guy's Stone Score
| Autor: | Zuofeng Peng, Xiaolin Wang, Xiaolin Deng, Lunfeng Zhu, Leming Song, Donghua Xie, Min Hu, Zhongsheng Yang, Zhangqun Ye, Jianrong Huang, Tairong Liu, Difu Fan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology MEDLINE Patents as Topic Kidney Calculi 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Minimally Invasive Surgical Procedures Prospective Studies Percutaneous nephrolithotomy Nephrostomy Percutaneous business.industry Equipment Design Middle Aged Prognosis Surgery 030220 oncology & carcinogenesis Nephrostomy Female business |
| Zdroj: | Urologia Internationalis. 97:67-71 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000443774 |
| Popis: | Objectives: At present, there is no report on the application of Guy's stone (GS) score in minimally invasive percutaneous nephrolithotomy (MPCNL). We therefore investigate the clinical effect of MPCNL by using a patented irrigation and clearance system according to the GS. Methods: A total of 222 consecutive patients were divided into 2 groups that were treated with MPCNL using the patented system or standard PCNL using Electro Medical System (EMS) ultrasound/ballistic trajectory lithotripsy and clearance system, respectively (124 patients in patented system group, 98 patients in EMS system group). The stone complexity and severity of complications were stratified by GS and Modified Clavien grading system in this study, respectively. The success and complication rates between MPCNL and PCNL were compared. Results: The patented system group had a significantly higher success rate (GS3: 95 vs. 43% and GS4: 67 vs. 31%) and a significantly less complications rate (GS3: 12 vs. 27% and GS4: 21 vs. 46%) in GS3 and GS4 compared with the EMS system group. Also, the patented system had significant lower complication rates in Clavien grades II-IV than that of the EMS system. Conclusion: The MPCNL using the patented irrigation and clearance system was more efficient in dealing with renal stones of high complexity (GS3-4). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|