The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm
Ngoc Hung Pham,1 Vuong Thang Hoang,1 Cong Le Kha Bui,1 Van Quoc Anh Nguyen,1 Van Can Truong,1 Lance J Hampton2 1Department of Urology, Hue Central Hospital, Hue, Vietnam; 2Division of Urology, Massey Cancer Center, VCU Health, Richmond, VA, USACorrespondence: Ngoc Hung Pham, Department of Urology, H...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2024-02-01
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| Series: | Research and Reports in Urology |
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| Online Access: | https://www.dovepress.com/the-outcome-of-the-miniaturized-percutaneous-nephrolithotomy-in-latera-peer-reviewed-fulltext-article-RRU |
| _version_ | 1797299880871329792 |
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| author | Pham NH Hoang VT Bui CLK Nguyen VQA Truong VC Hampton LJ |
| author_facet | Pham NH Hoang VT Bui CLK Nguyen VQA Truong VC Hampton LJ |
| author_sort | Pham NH |
| collection | DOAJ |
| description | Ngoc Hung Pham,1 Vuong Thang Hoang,1 Cong Le Kha Bui,1 Van Quoc Anh Nguyen,1 Van Can Truong,1 Lance J Hampton2 1Department of Urology, Hue Central Hospital, Hue, Vietnam; 2Division of Urology, Massey Cancer Center, VCU Health, Richmond, VA, USACorrespondence: Ngoc Hung Pham, Department of Urology, Hue Central Hospital, 16 Le Loi street, Vinh Ninh ward, Hue City, Thua Thien Hue Province, Vietnam, Email drhungg@gmail.comObjective: Evaluation of the outcome of the miniaturized percutaneous nephrolithotomy in the treatment of nephrolithiasis with a lateral position based on the principle of a right triangle under the guidance of a C-Arm without contrast fluid.Materials and Methods: Sixty-nine cases of Mini-PCNL with the assistance of a vacuum-assisted sheath in the lateral position were performed at Central Hospital from March 2021 to August 2022. Percutaneous renal access was under the guidance of a non-rotational C-arm without contrast medium, and we determined the puncture location and depth of the needle based on the principle of right triangles.Results: The median age was 51.6 ± 12.5 years, and males accounted for 68.1% of the cases. 60.9% of all patients had normal weight. The median stone surface area was 361.1mm2, and 59.4% of all cases were graded as 2 regarding Guy’s stone score. The successful renal access rate was 100%. The tunnel access from the middle and lower calyx accounted for 94.2%. The median access duration, fluoroscopy duration, and hospital length of stay were 271.7 seconds, 14.79 seconds, and 6.3 days, respectively. The complete stone clearance rate was 78.3%. Bleeding complications occurred in 2 patients without mortality. Three patients required an additional procedure.Conclusion: The puncture technique into the renal calyxes based on the principle of the right triangle under the guidance of a non-rotational C-Arm without contrast medium in PCNL is a fast, exact, and safe technique.Keywords: MiniPCNL, percutaneous renal access, non-rotational C-arm, flank position, vacuum-assisted sheath |
| first_indexed | 2024-03-07T22:58:05Z |
| format | Article |
| id | doaj.art-40fbbd39e25b47eb8a89f943db7088bd |
| institution | Directory Open Access Journal |
| issn | 2253-2447 |
| language | English |
| last_indexed | 2024-03-07T22:58:05Z |
| publishDate | 2024-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Urology |
| spelling | doaj.art-40fbbd39e25b47eb8a89f943db7088bd2024-02-22T18:28:24ZengDove Medical PressResearch and Reports in Urology2253-24472024-02-01Volume 16455690630The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-ArmPham NHHoang VTBui CLKNguyen VQATruong VCHampton LJNgoc Hung Pham,1 Vuong Thang Hoang,1 Cong Le Kha Bui,1 Van Quoc Anh Nguyen,1 Van Can Truong,1 Lance J Hampton2 1Department of Urology, Hue Central Hospital, Hue, Vietnam; 2Division of Urology, Massey Cancer Center, VCU Health, Richmond, VA, USACorrespondence: Ngoc Hung Pham, Department of Urology, Hue Central Hospital, 16 Le Loi street, Vinh Ninh ward, Hue City, Thua Thien Hue Province, Vietnam, Email drhungg@gmail.comObjective: Evaluation of the outcome of the miniaturized percutaneous nephrolithotomy in the treatment of nephrolithiasis with a lateral position based on the principle of a right triangle under the guidance of a C-Arm without contrast fluid.Materials and Methods: Sixty-nine cases of Mini-PCNL with the assistance of a vacuum-assisted sheath in the lateral position were performed at Central Hospital from March 2021 to August 2022. Percutaneous renal access was under the guidance of a non-rotational C-arm without contrast medium, and we determined the puncture location and depth of the needle based on the principle of right triangles.Results: The median age was 51.6 ± 12.5 years, and males accounted for 68.1% of the cases. 60.9% of all patients had normal weight. The median stone surface area was 361.1mm2, and 59.4% of all cases were graded as 2 regarding Guy’s stone score. The successful renal access rate was 100%. The tunnel access from the middle and lower calyx accounted for 94.2%. The median access duration, fluoroscopy duration, and hospital length of stay were 271.7 seconds, 14.79 seconds, and 6.3 days, respectively. The complete stone clearance rate was 78.3%. Bleeding complications occurred in 2 patients without mortality. Three patients required an additional procedure.Conclusion: The puncture technique into the renal calyxes based on the principle of the right triangle under the guidance of a non-rotational C-Arm without contrast medium in PCNL is a fast, exact, and safe technique.Keywords: MiniPCNL, percutaneous renal access, non-rotational C-arm, flank position, vacuum-assisted sheathhttps://www.dovepress.com/the-outcome-of-the-miniaturized-percutaneous-nephrolithotomy-in-latera-peer-reviewed-fulltext-article-RRUminipcnlpercutaneous renal accessnon-rotational c-armflank positionvacuum-assisted sheath |
| spellingShingle | Pham NH Hoang VT Bui CLK Nguyen VQA Truong VC Hampton LJ The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm Research and Reports in Urology minipcnl percutaneous renal access non-rotational c-arm flank position vacuum-assisted sheath |
| title | The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm |
| title_full | The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm |
| title_fullStr | The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm |
| title_full_unstemmed | The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm |
| title_short | The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm |
| title_sort | outcome of the miniaturized percutaneous nephrolithotomy in lateral position with guidance of non rotational c arm |
| topic | minipcnl percutaneous renal access non-rotational c-arm flank position vacuum-assisted sheath |
| url | https://www.dovepress.com/the-outcome-of-the-miniaturized-percutaneous-nephrolithotomy-in-latera-peer-reviewed-fulltext-article-RRU |
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