Vacuum-assisted mini-percutaneous nephrolithotomy: a new perspective in fragments clearance and intrarenal pressure control.
Endourology
Intrarenal pressure
Percutaneous nephrolithotomy
Urolithiasis
Vacuum-assisted mini-PCNL
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
31
01
2020
accepted:
16
06
2020
pubmed:
28
6
2020
medline:
18
9
2021
entrez:
28
6
2020
Statut:
ppublish
Résumé
To describe the vacuum-assisted mini-percutaneous nephrolithotomy (vmPCNL) technique performed via the 16Ch ClearPetra sheath, to evaluate its outcomes and to analyze intrarenal pressure (IRP) fluctuations during surgery. Data from all consecutive vmPCNL procedures from September 2017 to October 2019 were prospectively collected. Data included patients' and stones characteristics, intra and peri-operative items, post-operative complications and stone clearance. Patients undergoing vmPCNL from March to October 2019 were submitted to IRP measurement during surgery. A total of 122 vmPCNL procedures were performed. Median stone volume was 1.92 cm vmPCNL is a safe procedure with satisfactory stone clearance rates. Mean IRP was always lower than the threshold of pyelo-venous backflow and the accumulative time with IRP over this limit was short in most of the procedures. During lithotripsy and vacuum-mediated lapaxy, IRP rarely raised over the threshold.
Identifiants
pubmed: 32591902
doi: 10.1007/s00345-020-03318-5
pii: 10.1007/s00345-020-03318-5
pmc: PMC8217021
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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