Mini vs standard percutaneous nephrolithotomy for renal stones: a comparative study
| Autor: | Akram A Elmarakbi, Mohammed S. ElSheemy, Hamdy Ibrahim, Ahmed M. Al-Kandari, Sanjay Khadgi, Mohammed Hytham |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Nephrology medicine.medical_specialty Urology Stone free medicine.medical_treatment Operative Time 030232 urology & nephrology Nephrolithotomy Percutaneous Kidney Logistic regression Kidney Calculi Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Recurrence Internal medicine medicine Chi-square test Humans Percutaneous nephrolithotomy Aged Retrospective Studies business.industry Significant difference Retrospective cohort study Length of Stay Middle Aged Treatment Outcome Ureteroscopes Female business Hospital stay Follow-Up Studies |
| Zdroj: | Urolithiasis. 47:207-214 |
| ISSN: | 2194-7236 2194-7228 |
| DOI: | 10.1007/s00240-018-1055-9 |
| Popis: | To compare the outcome of mini-percutaneous nephrolithotomy (Mini-PNL) versus standard-PNL for renal stones. Retrospective study was performed between March 2010 and May 2013 for patients treated by Mini-PNL or standard-PNL through 18 and 30 Fr tracts, respectively, using pneumatic lithotripsy. Semirigid ureteroscope (8.5/11.5 Fr) was used for Mini-PNL and 24 Fr nephroscope for standard-PNL. Both groups were compared in stone free rate(SFR), complications and operative time using Student-t, Mann–Whitney, Chi square or Fisher’s exact tests as appropriate in addition to logistic regression analysis. P 2 cm2), but the SFR was comparable between both groups with single stone or stone burden ≤ 2 cm. Logistic regression analysis confirmed significantly higher complications and SFR with standard-PNL but with significantly shorter operative time. Mini-PNL has significantly lower SFR when compared to standard-PNL (but clinically comparable) with markedly reduced complications and hospital stay. Most of cases can be performed tubeless. The significant difference in SFR was found with multiple stones or large stone burden (> 2 cm2), but not with single stones or stone burden ≤ 2 cm2. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink