A novel less-traumatic needle for kidney puncture: first clinical experience.
Kidney (renal) puncture
Kidney calculi
Less-traumatic puncture needle
MG needle
Percutaneous nephrolithotomy (PCNL)
Journal
International urology and nephrology
ISSN: 1573-2584
Titre abrégé: Int Urol Nephrol
Pays: Netherlands
ID NLM: 0262521
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
02
02
2023
accepted:
30
03
2023
medline:
10
7
2023
pubmed:
19
5
2023
entrez:
19
5
2023
Statut:
ppublish
Résumé
To decrease complication rate, we developed a novel MG needle for kidney puncture consisting of a pointed cannula, an atraumatic mandrin-bulb and a spring mechanism pushing the mandrin-bulb forward. To assess efficacy and safety of kidney puncture during percutaneous nephrolithotomy (PCNL) using a novel less-traumatic MG needle within a clinical trial. We conducted a prospective randomized single-center study. In the experimental group, kidney puncture was performed with a novel MG needle while in the control group, standard Trocar or Chiba puncture needles were used. hemoglobin drop. A total of 67 patients were enrolled. Patients who underwent standard puncture (n = 33) had higher hemoglobin drop in the early postoperative period (p = 0.024). Although there was no statistical difference in overall complication rate between the two groups (p = 0.351), two severe Clavien-Dindo IIIa complications with urinoma occurred in patients from the control group. Less-traumatic needle for kidney puncture may reduce hemoglobin drop and prevent the development of severe complications. At the same time, in terms of stone-free rate (SFR), the efficacy of PCNL remains the same regardless of the needle used for renal access.
Identifiants
pubmed: 37204679
doi: 10.1007/s11255-023-03584-3
pii: 10.1007/s11255-023-03584-3
doi:
Substances chimiques
Hemoglobins
0
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1931-1936Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Nature B.V.
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