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M Granata1, V Costanzo, S Condorelli
1Sezione di Urologia, Fondazione G. B. Morgagni, Catania, Italy.
Summary
Percutaneous nephrolithotomy (PCN) using ultrasound guidance and balloon dilators significantly reduces complications and hospitalization. This combined approach enhances safety and efficiency in treating kidney stones.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Medical Imaging
Context:
- Percutaneous nephrolithotomy (PCN) is a standard procedure for kidney stone removal.
- Advancements in endourologic instruments and ultrasonography have improved PCN safety.
- Balloon catheters offer potential benefits in dilating the nephrostomic channel.
Purpose:
- To evaluate the efficacy and safety of PCN utilizing ultrasonography and balloon catheters for renal stone treatment.
- To assess the impact of this technique on operating time, complications, and patient recovery.
Summary:
- A study of 68 PCN procedures for renal lithiasis employed ultrasound and X-ray for renal puncture, with balloon catheters for channel dilation.
- Stones were fragmented using a ballistic lithotripter. Operating time, complications, and hospitalization were recorded.
- A low complication rate (4.4% hemorrhages) and short hospitalization (approx. 4 days) were observed.
Impact:
- The combination of ultrasonography and balloon-catheters enhances the safety and efficiency of PCN.
- Reduced X-ray exposure for both patients and operators is a significant benefit.
- Shorter operating times and reduced hospitalization days offer economic advantages, balancing the cost of balloon catheters.