Comparison of standard- and mini-percutaneous nephrolithotomy for staghorn stones
Autor: | Mohamed El-Shazly, Sanjay Khadgi, Abdullatif Al-Terki, Ahmed R. El-Nahas |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Mini-PCNL
renal calculi medicine.medical_specialty 030219 obstetrics & reproductive medicine Adult patients business.industry Urology medicine.medical_treatment 030232 urology & nephrology Surgery 03 medical and health sciences 0302 clinical medicine Medicine percutaneous nephrolithotomy Stones/Endourology Mini percutaneous nephrolithotomy business Percutaneous nephrolithotomy staghorn Research Article standard-PCNL |
Zdroj: | Arab Journal of Urology article-version (VoR) Version of Record |
ISSN: | 2090-5998 2090-598X |
Popis: | Objectives: To compare the outcomes of standard- and mini-percutaneous nephrolithotomy (PCNL) for the treatment of staghorn stones. Patients and Methods: The data of consecutive adult patients who underwent PCNL for the treatment of staghorn stones, between July 2015 and December 2019 from three hospitals, were retrospectively reviewed. All cases were performed in a prone position under fluoroscopic guidance. The nephrostomy tracts were dilatated to 30 F in standard-PCNL and to 18–20 F in mini-PCNL. Stones were fragmented with pneumatic lithotripsy in both groups. Fragments were removed with forceps in the standard-PCNL, while they were evacuated through the sheath using the vacuum clearance effect in mini-PCNL. A ureteric stent was inserted after mini-PCNL, while a nephrostomy tube was inserted after standard-PCNL. Results: The study included 153 patients; 70 underwent standard-PCNL and 83 underwent mini-PCNL. The stone-free rates of PCNL monotherapy were comparable for both groups (83% for mini-PCNL and 88.6% for standard-PCNL, P = 0.339). The incidence (12% vs 24.3%, P = 0.048) and severity of complications were significantly lesser with mini-PCNL (P = 0.031). Standard-PCNL was associated with increased rate of blood transfusion (12.9% vs 2.4%, P = 0.013) and a significant decrease in haemoglobin (P = 0.018). Hospital stay was significantly longer for standard-PCNL than mini-PCNL (median stay of 6 vs 3 days, P |
Databáze: | OpenAIRE |
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