Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3 cm Kidney Stones: A Preliminary Report
Miniatured percutaneous nephrolithotomy (PCNL) techniques such as micro-PCNL (microperc) and ultramini-PCNL (UMP) are usually indicated for renal stones
Gespeichert in:
| Veröffentlicht in: | Journal of endourology 2015-11, Vol.29 (11), p.1231-1236 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1236 |
|---|---|
| container_issue | 11 |
| container_start_page | 1231 |
| container_title | Journal of endourology |
| container_volume | 29 |
| creator | Shah, Arvind K Xu, Kewei Liu, Hao Huang, Hai Lin, Tianxin Bi, Liangkuan Jinli, Han Fan, Xinxiang Shrestha, Rujan Huang, Jian |
| description | Miniatured percutaneous nephrolithotomy (PCNL) techniques such as micro-PCNL (microperc) and ultramini-PCNL (UMP) are usually indicated for renal stones |
| doi_str_mv | 10.1089/end.2015.0171 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1089_end_2015_0171</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>26122916</sourcerecordid><originalsourceid>FETCH-LOGICAL-c295t-f3bcce93baa16dfb2fc34f417f90b9f4c5d46224ac3b6d7b26883948bfa29a563</originalsourceid><addsrcrecordid>eNo9kL1OwzAUhS0EoqUwsiK_QIp_Eidmqyp-KiqooJXYItu5VoOSOHJcpG6svCZPQqIC0x3Od46uPoQuKZlSkslraIopIzSZEprSIzSmSZJGkpC3YzTucxalqSQjdNZ174RQLig_RSMmKGOSijH6WNRtBTU0QYXSNdhZvKmCV3XZlHgF3uyCasDtOvwE7da7qgxbF1y9x9Z5vPagwlAeeizi359fpsaPZdHAHr8G10B3g2d45aEq-0Xl9_gFWufDOTqxqurg4vdO0Obudj1_iJbP94v5bBkZJpMQWa6NAcm1UlQUVjNreGxjmlpJtLSxSYpYMBYrw7UoUs1ElnEZZ9oqJlUi-ARFh13jXdd5sHnry7r_I6ckH_zlvb988JcP_nr-6sC3O11D8U__CeM_uphvQg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3 cm Kidney Stones: A Preliminary Report</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Shah, Arvind K ; Xu, Kewei ; Liu, Hao ; Huang, Hai ; Lin, Tianxin ; Bi, Liangkuan ; Jinli, Han ; Fan, Xinxiang ; Shrestha, Rujan ; Huang, Jian</creator><creatorcontrib>Shah, Arvind K ; Xu, Kewei ; Liu, Hao ; Huang, Hai ; Lin, Tianxin ; Bi, Liangkuan ; Jinli, Han ; Fan, Xinxiang ; Shrestha, Rujan ; Huang, Jian</creatorcontrib><description>Miniatured percutaneous nephrolithotomy (PCNL) techniques such as micro-PCNL (microperc) and ultramini-PCNL (UMP) are usually indicated for renal stones <2 cm. We present our preliminary report of treating patients with 2 to 3 cm renal stones using UMP in a semisupine combined lithotomy position associated with a retrograde ureteral access sheath (UAS).
From April 2013 to January 2014, we implemented 13F UMP for 22 patients with renal stones that were 2 to 3 cm with the patient positioned in a 45-degree semisupine combined lithotomy position. A retrograde 9.5/11.5F UAS was placed for maintaining low intrarenal pressure and debris drainage. Flexible ureteroscopy was used for stones inaccessible through the primary percutaneous tract in two patients. A 200-μ holmium laser was used for stone disintegration. Intrapelvic pressure was measured using an open end 5F ureteral catheter inserted through the UAS.
All 22 cases were completed successfully. The mean preoperative stone size was 26.6 ± 4.7 mm (range 21-32 mm), mean operative time was 85.7 ± 18.0 minutes (range 47-112 min), and mean hemoglobin drop was 1.2 ± 0.3 g/dL (range 0.5-2.2 g/dL). Intrapelvic pressure during the surgical procedure ranged 5 to 10 cm H2O. The mean hospital stay was 3.1 ± 1.8 days (range 2-5 d). Complete stone clearance was 18/22 (81.8%) with solo UMP and 20/22 (90.9%) when associated with retrograde intrarenal surgery (RIRS). No major intra- or postoperative complications occurred.
Implementation of UMP for the treatment of patients with renal stones 2-3 cm is feasible and safe. The procedure is less invasive and has a faster recovery period. Intraoperative retrograde UAS decreases intrarenal pressure, facilitates removal of stone fragments, and also allows simultaneous RIRS for stones in an inaccessible calix.</description><identifier>ISSN: 0892-7790</identifier><identifier>EISSN: 1557-900X</identifier><identifier>DOI: 10.1089/end.2015.0171</identifier><identifier>PMID: 26122916</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Drainage ; Female ; Humans ; Kidney Calculi - surgery ; Kidney Calices - surgery ; Kidney Pelvis - surgery ; Lasers, Solid-State - therapeutic use ; Length of Stay ; Lithotripsy, Laser - methods ; Male ; Middle Aged ; Nephrostomy, Percutaneous - methods ; Operative Time ; Postoperative Complications ; Young Adult</subject><ispartof>Journal of endourology, 2015-11, Vol.29 (11), p.1231-1236</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c295t-f3bcce93baa16dfb2fc34f417f90b9f4c5d46224ac3b6d7b26883948bfa29a563</citedby><cites>FETCH-LOGICAL-c295t-f3bcce93baa16dfb2fc34f417f90b9f4c5d46224ac3b6d7b26883948bfa29a563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26122916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Arvind K</creatorcontrib><creatorcontrib>Xu, Kewei</creatorcontrib><creatorcontrib>Liu, Hao</creatorcontrib><creatorcontrib>Huang, Hai</creatorcontrib><creatorcontrib>Lin, Tianxin</creatorcontrib><creatorcontrib>Bi, Liangkuan</creatorcontrib><creatorcontrib>Jinli, Han</creatorcontrib><creatorcontrib>Fan, Xinxiang</creatorcontrib><creatorcontrib>Shrestha, Rujan</creatorcontrib><creatorcontrib>Huang, Jian</creatorcontrib><title>Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3 cm Kidney Stones: A Preliminary Report</title><title>Journal of endourology</title><addtitle>J Endourol</addtitle><description>Miniatured percutaneous nephrolithotomy (PCNL) techniques such as micro-PCNL (microperc) and ultramini-PCNL (UMP) are usually indicated for renal stones <2 cm. We present our preliminary report of treating patients with 2 to 3 cm renal stones using UMP in a semisupine combined lithotomy position associated with a retrograde ureteral access sheath (UAS).
From April 2013 to January 2014, we implemented 13F UMP for 22 patients with renal stones that were 2 to 3 cm with the patient positioned in a 45-degree semisupine combined lithotomy position. A retrograde 9.5/11.5F UAS was placed for maintaining low intrarenal pressure and debris drainage. Flexible ureteroscopy was used for stones inaccessible through the primary percutaneous tract in two patients. A 200-μ holmium laser was used for stone disintegration. Intrapelvic pressure was measured using an open end 5F ureteral catheter inserted through the UAS.
All 22 cases were completed successfully. The mean preoperative stone size was 26.6 ± 4.7 mm (range 21-32 mm), mean operative time was 85.7 ± 18.0 minutes (range 47-112 min), and mean hemoglobin drop was 1.2 ± 0.3 g/dL (range 0.5-2.2 g/dL). Intrapelvic pressure during the surgical procedure ranged 5 to 10 cm H2O. The mean hospital stay was 3.1 ± 1.8 days (range 2-5 d). Complete stone clearance was 18/22 (81.8%) with solo UMP and 20/22 (90.9%) when associated with retrograde intrarenal surgery (RIRS). No major intra- or postoperative complications occurred.
Implementation of UMP for the treatment of patients with renal stones 2-3 cm is feasible and safe. The procedure is less invasive and has a faster recovery period. Intraoperative retrograde UAS decreases intrarenal pressure, facilitates removal of stone fragments, and also allows simultaneous RIRS for stones in an inaccessible calix.</description><subject>Adult</subject><subject>Aged</subject><subject>Drainage</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney Calices - surgery</subject><subject>Kidney Pelvis - surgery</subject><subject>Lasers, Solid-State - therapeutic use</subject><subject>Length of Stay</subject><subject>Lithotripsy, Laser - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Operative Time</subject><subject>Postoperative Complications</subject><subject>Young Adult</subject><issn>0892-7790</issn><issn>1557-900X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kL1OwzAUhS0EoqUwsiK_QIp_Eidmqyp-KiqooJXYItu5VoOSOHJcpG6svCZPQqIC0x3Od46uPoQuKZlSkslraIopIzSZEprSIzSmSZJGkpC3YzTucxalqSQjdNZ174RQLig_RSMmKGOSijH6WNRtBTU0QYXSNdhZvKmCV3XZlHgF3uyCasDtOvwE7da7qgxbF1y9x9Z5vPagwlAeeizi359fpsaPZdHAHr8G10B3g2d45aEq-0Xl9_gFWufDOTqxqurg4vdO0Obudj1_iJbP94v5bBkZJpMQWa6NAcm1UlQUVjNreGxjmlpJtLSxSYpYMBYrw7UoUs1ElnEZZ9oqJlUi-ARFh13jXdd5sHnry7r_I6ckH_zlvb988JcP_nr-6sC3O11D8U__CeM_uphvQg</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Shah, Arvind K</creator><creator>Xu, Kewei</creator><creator>Liu, Hao</creator><creator>Huang, Hai</creator><creator>Lin, Tianxin</creator><creator>Bi, Liangkuan</creator><creator>Jinli, Han</creator><creator>Fan, Xinxiang</creator><creator>Shrestha, Rujan</creator><creator>Huang, Jian</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201511</creationdate><title>Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3 cm Kidney Stones: A Preliminary Report</title><author>Shah, Arvind K ; Xu, Kewei ; Liu, Hao ; Huang, Hai ; Lin, Tianxin ; Bi, Liangkuan ; Jinli, Han ; Fan, Xinxiang ; Shrestha, Rujan ; Huang, Jian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c295t-f3bcce93baa16dfb2fc34f417f90b9f4c5d46224ac3b6d7b26883948bfa29a563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Drainage</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Kidney Calices - surgery</topic><topic>Kidney Pelvis - surgery</topic><topic>Lasers, Solid-State - therapeutic use</topic><topic>Length of Stay</topic><topic>Lithotripsy, Laser - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nephrostomy, Percutaneous - methods</topic><topic>Operative Time</topic><topic>Postoperative Complications</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Arvind K</creatorcontrib><creatorcontrib>Xu, Kewei</creatorcontrib><creatorcontrib>Liu, Hao</creatorcontrib><creatorcontrib>Huang, Hai</creatorcontrib><creatorcontrib>Lin, Tianxin</creatorcontrib><creatorcontrib>Bi, Liangkuan</creatorcontrib><creatorcontrib>Jinli, Han</creatorcontrib><creatorcontrib>Fan, Xinxiang</creatorcontrib><creatorcontrib>Shrestha, Rujan</creatorcontrib><creatorcontrib>Huang, Jian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of endourology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Arvind K</au><au>Xu, Kewei</au><au>Liu, Hao</au><au>Huang, Hai</au><au>Lin, Tianxin</au><au>Bi, Liangkuan</au><au>Jinli, Han</au><au>Fan, Xinxiang</au><au>Shrestha, Rujan</au><au>Huang, Jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3 cm Kidney Stones: A Preliminary Report</atitle><jtitle>Journal of endourology</jtitle><addtitle>J Endourol</addtitle><date>2015-11</date><risdate>2015</risdate><volume>29</volume><issue>11</issue><spage>1231</spage><epage>1236</epage><pages>1231-1236</pages><issn>0892-7790</issn><eissn>1557-900X</eissn><abstract>Miniatured percutaneous nephrolithotomy (PCNL) techniques such as micro-PCNL (microperc) and ultramini-PCNL (UMP) are usually indicated for renal stones <2 cm. We present our preliminary report of treating patients with 2 to 3 cm renal stones using UMP in a semisupine combined lithotomy position associated with a retrograde ureteral access sheath (UAS).
From April 2013 to January 2014, we implemented 13F UMP for 22 patients with renal stones that were 2 to 3 cm with the patient positioned in a 45-degree semisupine combined lithotomy position. A retrograde 9.5/11.5F UAS was placed for maintaining low intrarenal pressure and debris drainage. Flexible ureteroscopy was used for stones inaccessible through the primary percutaneous tract in two patients. A 200-μ holmium laser was used for stone disintegration. Intrapelvic pressure was measured using an open end 5F ureteral catheter inserted through the UAS.
All 22 cases were completed successfully. The mean preoperative stone size was 26.6 ± 4.7 mm (range 21-32 mm), mean operative time was 85.7 ± 18.0 minutes (range 47-112 min), and mean hemoglobin drop was 1.2 ± 0.3 g/dL (range 0.5-2.2 g/dL). Intrapelvic pressure during the surgical procedure ranged 5 to 10 cm H2O. The mean hospital stay was 3.1 ± 1.8 days (range 2-5 d). Complete stone clearance was 18/22 (81.8%) with solo UMP and 20/22 (90.9%) when associated with retrograde intrarenal surgery (RIRS). No major intra- or postoperative complications occurred.
Implementation of UMP for the treatment of patients with renal stones 2-3 cm is feasible and safe. The procedure is less invasive and has a faster recovery period. Intraoperative retrograde UAS decreases intrarenal pressure, facilitates removal of stone fragments, and also allows simultaneous RIRS for stones in an inaccessible calix.</abstract><cop>United States</cop><pmid>26122916</pmid><doi>10.1089/end.2015.0171</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0892-7790 |
| ispartof | Journal of endourology, 2015-11, Vol.29 (11), p.1231-1236 |
| issn | 0892-7790 1557-900X |
| language | eng |
| recordid | cdi_crossref_primary_10_1089_end_2015_0171 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Drainage Female Humans Kidney Calculi - surgery Kidney Calices - surgery Kidney Pelvis - surgery Lasers, Solid-State - therapeutic use Length of Stay Lithotripsy, Laser - methods Male Middle Aged Nephrostomy, Percutaneous - methods Operative Time Postoperative Complications Young Adult |
| title | Implementation of Ultramini Percutaneous Nephrolithotomy for Treatment of 2-3 cm Kidney Stones: A Preliminary Report |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T19%3A59%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Implementation%20of%20Ultramini%20Percutaneous%20Nephrolithotomy%20for%20Treatment%20of%202-3%E2%80%89cm%20Kidney%20Stones:%20A%20Preliminary%20Report&rft.jtitle=Journal%20of%20endourology&rft.au=Shah,%20Arvind%20K&rft.date=2015-11&rft.volume=29&rft.issue=11&rft.spage=1231&rft.epage=1236&rft.pages=1231-1236&rft.issn=0892-7790&rft.eissn=1557-900X&rft_id=info:doi/10.1089/end.2015.0171&rft_dat=%3Cpubmed_cross%3E26122916%3C/pubmed_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/26122916&rfr_iscdi=true |