Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones
Introduction. There are conflicting data in the literature on the results of mini-percutaneous nephrolithotripsy (PCNL) in staghorn stones.Objective. To compare the results of standard and mini-PCNL.Materials and methods. The results of PCNL in 90 patients with staghorn stones were analyzed, which w...
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| Format: | Article |
| Language: | Russian |
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Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
2022-06-01
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| Series: | Вестник урологии |
| Subjects: | |
| Online Access: | https://www.urovest.ru/jour/article/view/544 |
| _version_ | 1826565452349833216 |
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| author | B. G. Guliev B. K. Komyakov A. E. Talyshinskiy E. O. Stetsik N. D. Verdiev |
| author_facet | B. G. Guliev B. K. Komyakov A. E. Talyshinskiy E. O. Stetsik N. D. Verdiev |
| author_sort | B. G. Guliev |
| collection | DOAJ |
| description | Introduction. There are conflicting data in the literature on the results of mini-percutaneous nephrolithotripsy (PCNL) in staghorn stones.Objective. To compare the results of standard and mini-PCNL.Materials and methods. The results of PCNL in 90 patients with staghorn stones were analyzed, which were divided into two groups. In the I group, 58 (64.4%) patients underwent standard PNL with a nephroscope 24 Fr, in the II group, 32 (35.6%) patients underwent mini-PCNL with an endoscope 15 Fr. The operative time and the number of postoperative complications were compared. To assess the effectiveness of PCNL, an overview radiography or native computed tomography was performed. The operation was considered successful with residual fragments less than 3 mm.Results. Operative time, number of complications and blood transfusions, the effectiveness of PCNL in groups I and II were 80.0 ± 20.6 and 96.5 ± 25.0 min, 24.1% and 15.6%, 10.3% and 3.1%, 86.2% and 84.4%. Additional interventions were resorted to in 7 (12.1%) patients in I group, and in 4 (12.5%) patients in II group. Complications in I and II groups were observed in 14 (24.1%) and 5 (15.6%) cases. The frequency of blood transfusions was significantly higher after standard PCNL (10.3% / 3.1%, p < 0.05). Complications of grade III with mini-PCNL, replacement of an incorrectly installed stent was included in 2 patients, and with standard PCNL, ureteral stenting with urine leakage through the nephrostomic tract in 2 patients, drainage of the pleural cavity in one case.Conclusion. Standard PCNL is an effective method in staghorn stones, but the number of complications after it remains higher. In selected patients with staghorn stones, the results of mini-PCNL are comparable to those of standard PCNL. |
| first_indexed | 2024-03-07T14:22:55Z |
| format | Article |
| id | doaj.art-07ac9f356ccc4196bf832e6c648bf7a0 |
| institution | Directory Open Access Journal |
| issn | 2308-6424 |
| language | Russian |
| last_indexed | 2025-03-14T10:35:59Z |
| publishDate | 2022-06-01 |
| publisher | Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education |
| record_format | Article |
| series | Вестник урологии |
| spelling | doaj.art-07ac9f356ccc4196bf832e6c648bf7a02025-03-02T10:59:29ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242022-06-01102324210.21886/2308-6424-2022-10-2-32-42370Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stonesB. G. Guliev0B. K. Komyakov1A. E. Talyshinskiy2E. O. Stetsik3N. D. Verdiev4Mechnikov North-Western State Medical University; St. Petersburg Mariinsky Hospital – Urology Centre with Robot-assisted SurgeryMechnikov North-Western State Medical UniversityMechnikov North-Western State Medical UniversityMechnikov North-Western State Medical UniversitySt. Petersburg Mariinsky Hospital – Urology Centre with Robot-assisted SurgeryIntroduction. There are conflicting data in the literature on the results of mini-percutaneous nephrolithotripsy (PCNL) in staghorn stones.Objective. To compare the results of standard and mini-PCNL.Materials and methods. The results of PCNL in 90 patients with staghorn stones were analyzed, which were divided into two groups. In the I group, 58 (64.4%) patients underwent standard PNL with a nephroscope 24 Fr, in the II group, 32 (35.6%) patients underwent mini-PCNL with an endoscope 15 Fr. The operative time and the number of postoperative complications were compared. To assess the effectiveness of PCNL, an overview radiography or native computed tomography was performed. The operation was considered successful with residual fragments less than 3 mm.Results. Operative time, number of complications and blood transfusions, the effectiveness of PCNL in groups I and II were 80.0 ± 20.6 and 96.5 ± 25.0 min, 24.1% and 15.6%, 10.3% and 3.1%, 86.2% and 84.4%. Additional interventions were resorted to in 7 (12.1%) patients in I group, and in 4 (12.5%) patients in II group. Complications in I and II groups were observed in 14 (24.1%) and 5 (15.6%) cases. The frequency of blood transfusions was significantly higher after standard PCNL (10.3% / 3.1%, p < 0.05). Complications of grade III with mini-PCNL, replacement of an incorrectly installed stent was included in 2 patients, and with standard PCNL, ureteral stenting with urine leakage through the nephrostomic tract in 2 patients, drainage of the pleural cavity in one case.Conclusion. Standard PCNL is an effective method in staghorn stones, but the number of complications after it remains higher. In selected patients with staghorn stones, the results of mini-PCNL are comparable to those of standard PCNL.https://www.urovest.ru/jour/article/view/544kidney stonesstaghorn stonespercutaneous nephrolithotripsyminipercutaneous nephrolithotripsy |
| spellingShingle | B. G. Guliev B. K. Komyakov A. E. Talyshinskiy E. O. Stetsik N. D. Verdiev Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones Вестник урологии kidney stones staghorn stones percutaneous nephrolithotripsy minipercutaneous nephrolithotripsy |
| title | Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones |
| title_full | Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones |
| title_fullStr | Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones |
| title_full_unstemmed | Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones |
| title_short | Comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones |
| title_sort | comparative analysis of the results of standard and minipercutaneous nephrolithotripsy for staghorn stones |
| topic | kidney stones staghorn stones percutaneous nephrolithotripsy minipercutaneous nephrolithotripsy |
| url | https://www.urovest.ru/jour/article/view/544 |
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