Yıl: 2016 Cilt: 42 Sayı: 4 Sayfa Aralığı: 261 - 266 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones

Öz:
Objective: In our study we aimed to evaluate outcomes of ultra-mini-percutaneous nephrolithotomy (UMP) performed for the treatment of kidney stones. Material and methods: Between October 2014 and September 2015, a single surgeon performed UMP on a total of 49 consecutive patients with symptomatic kidney stones at our center. Pregnants, anticogulant users, patients with bleeding diathesis pyonephrosis, and partial/complete staghorn stones were excluded from the study. Patient characteristics, operative data and postoperative outcomes were assessed in detail.Results: The UMP was performed on 50 (34 right/16 left) renal units of the 48 (28 male/20 female) patients included in this study. The mean age and body mass index was 36.5 years and 26.2 (17.6-32.8) kg/m2, respectively. Mean stone size was calculated as 22.2 mm. The mean durations of the operations and fluoroscopic examination were calculated as 65.4 minutes and 89.4 seconds, respectively. The mean duration of hospitalization was 1.4 days. In 52% of the patients the procedure was terminated tubeless. Mean hemoglobin drop was 0.6 g/dL. Our series experienced a 10% complication rate. The UMP procedure was successful in 96% of the renal units at the 1st month control visit assessment.Conclusion: The outcomes of our study have demonstrated that UMP is an effective and safe treatment modality, especially in the treatment of medium-sized renal calculi
Anahtar Kelime:

Konular: Üroloji ve Nefroloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS Jr. AUA Nephrolithiasis Guideline Panel. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol 2005;173:1991-2000. [CrossRef]
  • 2. Türk C, Knoll T, Petrik A, Sarica K, Skolarikos A, Straub M, et al. Guidelines on Urolithiasis. Amsterdam, Netherlands: European Association of Urology; 2015;1-71.
  • 3. Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. Eur Urol 2007;51:899-906. [CrossRef]
  • 4. Skolarikos A, de la Rosette J. Prevention and treatment of complications following percutaneous nephrolithotomy. Curr Opin Urol 2008;18:229-34. [CrossRef]
  • 5. Kukreja R, Desai M, Patel S, Bapat S, Desai M. Factors affecting blood loss during percutaneous nephrolithotomy: prospective study. J Endourol 2004;18:715-22. [CrossRef]
  • 6. De la Rosette JJ, Zuazu JR, Tsakiris P, Elsakka AM, Zudaire JJ, Laguna MP, et al. Prognostic factors and percutaneous nephrolithotomy morbidity: a multivariate analysis of a contemporary series using the Clavien classification. J Urol 2008;180:2489-93. [CrossRef]
  • 7. Helal M, Black T, Lockhart J, Figueroa TE. The Hickman peel away sheath: alternative for pediatric percutaneous nephrolithotomy. J Endourol 1997;11:171-2. [CrossRef]
  • 8. Jackman SV, Docimo SG, Cadeddu JA, Bishoff JT, Kavoussi LR, Jarrett TW. The “miniperc” technique: a less invasive alternative to percutaneous nephrolithotomy. World J Urol 1998;16:371-4. [CrossRef]
  • 9. Bader MJ, Gratzke C, Seitz M, Sharma R, Stief CG, Desai M. The “all-seeing needle”: initial results of an optical puncture system confirming access in percutaneous nephrolithotomy. Eur Urol 2011;59:1054-9. [CrossRef]
  • 10. Desai J, Zeng G, Zhao Z, Zhong W, Chen W, Wu W. A novel technique of ultra-mini-percutaneous nephrolithotomy: introduction and an initial experience for treatment of upper urinary calculi less than 2 cm. Biomed Res Int 2013;490793. [CrossRef]
  • 11. Desai J, Solanki R. Ultra-mini percutaneous nephrolithotomy (UMP): one more armamentarium. BJU Int 2013;112:1046-9. [CrossRef] 12. Shah AK, Xu K, Liu H, Huang H, Lin T, Bi L, et al. Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3cm Kidney Stones: A Preliminary Report. J Endourol 2015;29:1231-6. [CrossRef]
  • 13. Wilhelm K, Hein S, Adams F, Schlager D, Miernik A, Schoenthaler M. Ultra-mini PCNL versus flexible ureteroscopy: a matched analysis of analgesic consumption and treatment-related patient satisfaction in patients with renal stones 10-35 mm. World J Urol 2015;33:2131-6. [CrossRef]
  • 14. Schoenthaler M, Wilhelm K, Hein S, Adams F, Schlager D, Wetterauer U, et al. “Ultra-mini PCNL versus flexible ureteroscopy: a matched analysis of treatment costs (endoscopes and disposables) in patients with renal stones 10-20 mm”. World J Urol 2015;33:1601-5. [CrossRef]
  • 15. Dede O, Sancaktutar AA, Dagguli M, Utangac M, Bas O, Penbegul N. Ultra-mini-percutaneous nephrolithotomy in pediatric nephrolithiasis: Both low pressure and high efficiency. J Pediatr Urol 2015;11:253.e1-6. [CrossRef]
  • 16. Datta SN, Solanki R, Desai J. Prospective outcomes of 13F ultramini percutaneous nephrolithotomy (UMP): a consecutive cohort study. J Urol 2016;195:741-6. [CrossRef]
  • 17. Tefekli A, Ali Karadag M, Tepeler K, Sari E, Berberoglu Y, Baykal M, et al. Classification of percutaneous nephrolithotomy complications using the modified Clavien grading system: looking for a standard. Eur Urol 2008;53:184-90. [CrossRef]
  • 18. Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol 1976;10:257-9. 19. Bellman GC, Davidoff R, Candela J, Gerspach J, Kurtz S, Stout L. Tubeless percutaneous renal surgery. J Urol 1997;157:1578-82. [CrossRef]
  • 20. Goh M, Wolf JS Jr. Almost totally tubeless percutaneous nephrolithotomy: Further evaluation of the technique. J Endourol 1999;13:177-80. [CrossRef]
  • 21. Brusky JP, Parekh A, Kaptein J, Bellman GC. Need for ancillary procedures among patients undergoing tubeless percutaneous renal surgery for nephrolithiasis. J Endourol 2007;21:692-4. [CrossRef]
  • 22. Giusti G, Picinelli A, Taverna G, Benetti A, Pasini L, Corinti M at all. Miniperc? No, Thank you!. Eur Urol 2007;51:810-4. [CrossRef]
APA TEPELER A, BAŞIBÜYÜK İ, TOSUN M, ARMAĞAN a (2016). The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. , 261 - 266.
Chicago TEPELER Abdülkadir,BAŞIBÜYÜK İsmail,TOSUN Muhammed,ARMAĞAN abdullah The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. (2016): 261 - 266.
MLA TEPELER Abdülkadir,BAŞIBÜYÜK İsmail,TOSUN Muhammed,ARMAĞAN abdullah The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. , 2016, ss.261 - 266.
AMA TEPELER A,BAŞIBÜYÜK İ,TOSUN M,ARMAĞAN a The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. . 2016; 261 - 266.
Vancouver TEPELER A,BAŞIBÜYÜK İ,TOSUN M,ARMAĞAN a The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. . 2016; 261 - 266.
IEEE TEPELER A,BAŞIBÜYÜK İ,TOSUN M,ARMAĞAN a "The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones." , ss.261 - 266, 2016.
ISNAD TEPELER, Abdülkadir vd. "The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones". (2016), 261-266.
APA TEPELER A, BAŞIBÜYÜK İ, TOSUN M, ARMAĞAN a (2016). The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. Turkish Journal of Urology, 42(4), 261 - 266.
Chicago TEPELER Abdülkadir,BAŞIBÜYÜK İsmail,TOSUN Muhammed,ARMAĞAN abdullah The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. Turkish Journal of Urology 42, no.4 (2016): 261 - 266.
MLA TEPELER Abdülkadir,BAŞIBÜYÜK İsmail,TOSUN Muhammed,ARMAĞAN abdullah The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. Turkish Journal of Urology, vol.42, no.4, 2016, ss.261 - 266.
AMA TEPELER A,BAŞIBÜYÜK İ,TOSUN M,ARMAĞAN a The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. Turkish Journal of Urology. 2016; 42(4): 261 - 266.
Vancouver TEPELER A,BAŞIBÜYÜK İ,TOSUN M,ARMAĞAN a The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones. Turkish Journal of Urology. 2016; 42(4): 261 - 266.
IEEE TEPELER A,BAŞIBÜYÜK İ,TOSUN M,ARMAĞAN a "The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones." Turkish Journal of Urology, 42, ss.261 - 266, 2016.
ISNAD TEPELER, Abdülkadir vd. "The role of ultra-mini percutaneous nephrolithotomy in the treatment of kidney stones". Turkish Journal of Urology 42/4 (2016), 261-266.