Comparison of standard- and mini-percutaneous nephrolithotomy for staghorn stones.

Arab Journal of Urology
Sanjay KhadgiAbdullatif Al-Terki

Abstract

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 transfu...Continue Reading

References

Jan 22, 2005·Journal of Endourology·Rajesh KukrejaMahesh Desai
Aug 30, 2006·European Urology·Guido GiustiPierpaolo Graziotti
Jan 16, 2007·The Journal of Urology·Ahmed R El-NahasHamdy A El-Kappany
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Oct 16, 2014·World Journal of Urology·Arvind P GanpuleMahesh Desai
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Sep 1, 2012·Arab Journal of Urology·Ahmed R El-NahasMahmoud R El-Kenawy
Mar 20, 2018·Urolithiasis·Mohammed S ElSheemyAhmed M Al-Kandari
Dec 12, 2019·Urolithiasis·Sanjay KhadgiAbdullatif Al-Terki
Apr 8, 2020·Asian Journal of Urology·Arvind P GanpuleMahesh R Desai

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Citations

Feb 9, 2021·Journal of Endourology·Ahmed R El-NahasAbdullatif Al-Terki

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Software Mentioned

Statistical Package for the Social Sciences ( SPSS® )

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