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Percutaneous lithotripsy.

J W Segura, D E Patterson, A J LeRoy

    The Journal of Urology
    |December 1, 1983
    PubMed
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    Percutaneous nephrolithotomy effectively removes kidney stones with minimal incisions and shorter hospital stays. This minimally invasive technique offers a significant advancement over traditional open surgeries for renal pelvic stones.

    Area of Science:

    • Urology
    • Minimally Invasive Surgery

    Background:

    • Renal pelvic stones pose a significant clinical challenge.
    • Traditional open surgical procedures for stone removal can involve substantial morbidity and prolonged recovery.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous extractions of renal pelvic stones using the Wolf percutaneous universal nephroscope.
    • To assess the outcomes of this minimally invasive approach compared to open surgical procedures.

    Main Methods:

    • 194 patients with renal pelvic stones underwent percutaneous extraction.
    • A single session under general anesthesia involved tract dilation to 24F for immediate stone removal.
    • Ultrasonic lithotripsy, basket retrieval, and/or forceps were employed for stone removal.

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    Main Results:

    • Successful removal of 185 stones was achieved.
    • Average operating time was 54 minutes.
    • Mean hospitalization duration was 5 days, with a minimal 1 cm skin incision and low postoperative morbidity.

    Conclusions:

    • Percutaneous extraction of renal pelvic stones is a highly successful minimally invasive procedure.
    • This technique offers advantages over open surgery, including reduced hospital stay and minimal morbidity.
    • The Wolf percutaneous universal nephroscope facilitates an effective approach for selected patients with renal pelvic stones.