A randomized study comparing conventional percutaneous nephrolithotomy versus check pyeloscopic percutaneous...

Area of Science:

• Urology
• Minimally Invasive Surgery
• Nephrolithiasis Management

Background:

• Percutaneous nephrolithotomy (PCNL) is a standard procedure for kidney stone removal.
• Conventional PCNL (C-PCNL) carries risks of complications like bleeding and urothelial injury.
• Enhancing PCNL safety and efficacy is crucial for patient care.

Purpose of the Study:

• To compare the advantages of check-pyeloscopic percutaneous nephrolithotomy (CP-PCNL) against conventional PCNL (C-PCNL).
• To evaluate the efficacy and safety of CP-PCNL in managing renal calculi.
• To determine if CP-PCNL leads to a reduction in procedural complications.

Main Methods:

• A randomized study involving 100 patients with renal calculi requiring PCNL.
• Patients were divided into two groups (50 each): C-PCNL and CP-PCNL.
• Data on complications and outcomes were collected and statistically analyzed.

Main Results:

• The CP-PCNL group experienced significantly fewer complications (1 minor urothelial injury, 1 infundibular tear) compared to the C-PCNL group (2 pelvic tears, 8 infundibular tears, 1 minor urothelial injury, 2 cases of prolonged bleeding).
• Statistical analysis revealed a significant difference between the groups (P = 0.027).
• CP-PCNL demonstrated a favorable safety profile with reduced blood loss and injury rates.

Conclusions:

• Check pyeloscopy during PCNL is a safe, effective, and economical technique.
• CP-PCNL is associated with lower rates of blood loss, urothelial injury, and postoperative pain.
• CP-PCNL represents an advantageous advancement in the management of renal calculi.