Micropercutaneous Nephrolithotomy in the Treatment of Moderate-Size Renal Calculi

2013 ◽  
Vol 27 (2) ◽  
pp. 177-181 ◽  
Author(s):  
Abdullah Armagan ◽  
Abdulkadir Tepeler ◽  
Mesrur Selcuk Silay ◽  
Cevper Ersoz ◽  
Muzaffer Akcay ◽  
...  
Keyword(s):  
Renal Calculi ◽  
Moderate Size ◽  
Micropercutaneous Nephrolithotomy

Is Micropercutaneous Nephrolithotomy Technique Really Efficacicous for the Treatment of Moderate Size Renal Calculi? Yes

2015 ◽  
Vol 95 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Tuna Karatag ◽  
Ibrahim Buldu ◽  
Ramazan Inan ◽  
Mustafa Okan Istanbulluoglu
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
Renal Calculi ◽  
Stent Insertion ◽  
Clinical Experiences ◽  
Micropercutaneous Nephrolithotomy ◽  
Stone Free Rate ◽  
The Mean ◽  
Clinically Significant ◽  
Duration Of Operation

Objective: To present our clinical experiences with micropercutaneous nephrolithotomy in the treatment of moderate-sized renal calculi from a single center. Methods: We retrospectively evaluated the patients with moderate-sized renal calculi who underwent micro-percutaneous nephrolithotomy between December 2012 and Septermber 2013. Results: A total of 68 patients and 70 renal units underwent microperc procedure. Mean age of patients was 41.4 ± 18.8. The mean stone size was 122 ± 83 mm2. The operations were performed under spinal anesthesia in 89.7% of the patients. Stone-free rate was 95.7 % (67/70). Clinically significant residual fragments were observed in three patients. The average duration of operation and mean fluoroscopy time was 40 ± 23 min and 108 ± 72 s, respectively. The mean postoperative drop in hemoglobin was 0.95 ± 0.7 while no patient required blood transfusion. Patients were discharged after an average hospitalization time of 27.5 ± 12.4 h. A total of 4 complications (5.7%), including urinary tract infection (Clavien I) in one patient and renal colics requiring stent insertion (Clavien IIIa) in three patients, were observed postoperatively. Conclusion: Microperc technique is safe, feasible, and efficacious. We suggest that micro-percutaneous nephrolithotomy should be considered for the treatment of moderate-sized renal stones as an alternative to SWL and RIRS failures and also may be considered even primarily.

1709: Changing Practice Patterns for the Surgical Management of Renal Calculi

2006 ◽  
Vol 175 (4S) ◽  
pp. 549-549 ◽  
Author(s):  
Charles D. Scales ◽  
David Kang ◽  
Ravi Munver ◽  
Brian K. Auge ◽  
Wesley Ekeruo ◽  
...  
Keyword(s):  
Surgical Management ◽  
Practice Patterns ◽  
Renal Calculi ◽  
Changing Practice
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