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30.08.2018 | Original Article

Clinical application of super-mini PCNL (SMP) in the treatment of upper urinary tract stones under ultrasound guidance

verfasst von: Abulizi Simayi, Yang Liu, Muyesaier Yiming, Jad AlSmadi, Ainiwaer Yusufu, Yalikun Alimu, Peng Lei, Xiaoan Zhang, Bin Wen, Guohua Zeng, Wenqi Wu

Erschienen in: World Journal of Urology | Ausgabe 5/2019

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Abstract

Purpose

To present the safety and efficacy of totally ultrasonography-guided Super-mini percutaneous nephrolithotomy (SMP) in the treatment of upper urinary tract stones both in children and adults.

Patients and methods

We carried out SMP in 104 patients (including 48 children and 56 adults) with upper urinary tract stones between June 2015 and February 2017. All steps of renal access were performed by ultrasonography. The lithotripsy was performed using either Holmium laser or pneumatic lithotripter. Perioperative and postoperative parameters along with operative data were recorded in detail.

Results

The mean age of children and adult patients were 4.4 ± 3.6 and 44.3 ± 15.7 years old, respectively. The stone burden was comparable for both groups (1.72 ± 0.66 vs 1.74 ± 0.56 cm, p = 0.852). Mean operation time was not significant different between two groups (p = 0.052), while the mean haemoglobin drop in children was much lower in adult patients (6.3 ± 6.9 vs 10.9 ± 8.69, p = 0.004). Both groups had similar SFRs in postoperative 1 day and at 1-month follow-up (p = 1.000, p = 0.912). Mean hospital stay of children and adult patients was 2.3 ± 0.8 and 2.2 ± 0.76 days (p = 0.484). The total complication rate was significantly lower in two groups (p = 1.000); none of the patients required blood transfusion.

Conclusions

Ultrasonography-guided SMP was a safe and effective treatment option for moderate-sized upper urinary tract stones, and has the advantage of preventing radiation hazard, especially for pediatric stone patients.

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Titel: Clinical application of super-mini PCNL (SMP) in the treatment of upper urinary tract stones under ultrasound guidance
verfasst von: Abulizi Simayi
Yang Liu
Muyesaier Yiming
Jad AlSmadi
Ainiwaer Yusufu
Yalikun Alimu
Peng Lei
Xiaoan Zhang
Bin Wen
Guohua Zeng
Wenqi Wu
Publikationsdatum: 30.08.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 5/2019
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-018-2465-6

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Purpose

Patients and methods

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