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A robust localization approach for Percutaneous Nephrolithotomy (PCNL): A single-center retrospective study
Bai-Sheng Xu1, Fen-Gui Leng1, Yan-Ying Jiang1
1The First People's Hospital of Xiushui County, Jiujiang, Jiangxi, China.
Urologia
|January 12, 2023
Summary
This study introduces an improved method for creating accurate nephrostomy tracts during percutaneous nephrolithotomy (PCNL) for large kidney stones. The new technique enhances safety, reduces complications, and offers a learnable approach for PCNL procedures.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Percutaneous Nephrolithotomy (PCNL) is the standard treatment for large kidney stones.
- Accurate nephrostomy tract creation is crucial for successful PCNL outcomes.
Purpose of the Study:
- To describe and evaluate a novel method for establishing an accurate nephrostomy tract during PCNL.
- To assess the safety and effectiveness of this improved PCNL procedure.
Main Methods:
- Retrospective single-center study of 937 patients undergoing PCNL with the new technique.
- Preoperative B-ultrasonography and CT scan for precise puncture point determination.
- Real-time intraoperative B-ultrasound guidance for tract creation.
Main Results:
- The study included 937 patients, with 851 having renal stones and 86 ureteropelvic junction stones.
- Patient distribution across Guy's grading system: Grade I (0%), II (42.69%), III (51.01%), IV (6.30%).
- Average patient age was 48.49 ± 10.80 years; male to female ratio was 1.73:1.
Conclusions:
- The developed method ensures accurate and safe PCNL by optimizing nephrostomy tract establishment.
- Advantages include minimal radiation, fewer complications, and low failure rates.
- This approach is highly suitable for institutions new to PCNL due to its safety, efficacy, and learnability.
