A new alternative to percutaneous nephrolithotomy: A case report.

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Percutaneous nephrolithotomy (PCNL) is standard for kidney stones but may require tract dilation, risking complications.
• Super-mini PCNL utilizes smaller instruments for less invasive kidney access.
• Conventional PCNL tract dilation can lead to adverse events.

Observation:

• A case report details a new super-mini PCNL technique using pediatric trocar cystostomy and ultrasound guidance.
• The procedure was successfully performed on a 55-year-old female with bilateral kidney stones within 60 minutes.

Findings:

• The novel technique provided safer access, reduced bleeding risk, and shorter recovery compared to conventional PCNL.
• No significant postoperative complications were observed, with minimal hemoglobin level changes.

Implications:

• This alternative PCNL method offers reduced invasiveness and complications, with faster patient recovery.
• It is a viable, cost-effective option for hospitals in developing countries lacking advanced PCNL equipment.