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Related Experiment Videos

[Percutaneous nephrolithotomy].

P Alken

    Der Urologe. Ausg. A
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Percutaneous removal of kidney and ureteral stones using ultrasound disintegration is effective. While some cases required repeat procedures, most complications were managed conservatively, showing promise for minimally invasive stone treatment.

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    Area of Science:

    • Urology
    • Nephrology
    • Minimally Invasive Surgery

    Background:

    • Kidney and ureteral stones pose a significant clinical challenge.
    • Percutaneous stone removal offers a minimally invasive treatment option.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of percutaneous removal of renal and ureteral stones.
    • To assess complication rates and the impact of procedural approach on treatment success.

    Main Methods:

    • Percutaneous nephrolithotomy (PCNL) was performed in 200 patients (19 via established nephrostomy, 181 via primary puncture).
    • Ultrasound disintegration was the primary method for stone fragmentation and removal.
    • A "one-step" procedure was analyzed in the latter 105 patients.

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    Main Results:

    • The overall residual stone rate was 9/19 (47.4%) for the nephrostomy tract group and 13/168 (7.7%) for the primary puncture group.
    • Ultrasound disintegration was the most common technique used.
    • 11 out of 12 complications were managed conservatively.
    • The "one-step" procedure achieved immediate success in 76/105 patients, with 29 requiring secondary sessions.
    • Hospitalization averaged 7 to 12 days, varying with the number of sessions.

    Conclusions:

    • Percutaneous removal, particularly via primary puncture with ultrasound disintegration, is an effective treatment for renal and ureteral stones.
    • The "one-step" approach shows potential for improved efficiency, though secondary sessions may be needed.
    • Minimally invasive techniques offer a favorable safety profile with manageable complications.