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01-04-2014 | Original Paper

Initial experience of micro-percutaneous nephrolithotomy in the treatment of renal calculi in 140 renal units

Authors: Namık Kemal Hatipoglu, Abdulkadir Tepeler, Ibrahim Buldu, Gokhan Atis, Mehmet Nuri Bodakci, Ahmet Ali Sancaktutar, Mesrur Selcuk Silay, Mansur Daggulli, Mustafa Okan Istanbulluoglu, Tuna Karatag, Cenk Gurbuz, Abdullah Armagan, Turhan Caskurlu

Published in: Urolithiasis | Issue 2/2014

Abstract

The aim of this study was to investigate the effectiveness and reliability of the micro-percutaneous nephrolithotomy (PNL) method for the management of kidney stones. We performed a retrospective analysis of 136 patients (140 renal units) who underwent micro-PNL for renal stones between September 2011 and February 2013 in four referral hospitals in Turkey. The selection of treatment modality was primarily based on factors such as stone size and location. In this study, we analyzed patient- and procedure-related factors. The mean age of patients in this study was 28.7 ± 20.6 (1–69) years, and the mean stone size was 15.1 ± 5.15 (6–32) mm. Conversion to mini-PNL was required in 12 patients. All interventions were performed with the patient in the prone position, except for the 3-year-old patient with the pelvic kidney who was placed in the supine position. The mean hospital stay was 1.76 ± 0.65 (1–4) days, and the mean drop in the hemoglobin level was 0.87 ± 0.84 (0–4.1) mg/dL. One of our patients required transfusion. Ureteral J stent was implanted in nine (6.43 %) patients because of residual stones. Seven (6.43 %) patients complained of postoperative renal colic which was managed conservatively. Abdominal distension related to extravasation of the irrigation fluid was observed in three patients (2.19 %). There were no other postoperative complications. An overall success rate of 82.14 % was achieved. Micro-PNL can be effectively and safely used for small and moderate kidney stones resistant to shock wave lithotripsy or as an alternative to other minimally invasive treatment methods.

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Title: Initial experience of micro-percutaneous nephrolithotomy in the treatment of renal calculi in 140 renal units
Authors: Namık Kemal Hatipoglu
Abdulkadir Tepeler
Ibrahim Buldu
Gokhan Atis
Mehmet Nuri Bodakci
Ahmet Ali Sancaktutar
Mesrur Selcuk Silay
Mansur Daggulli
Mustafa Okan Istanbulluoglu
Tuna Karatag
Cenk Gurbuz
Abdullah Armagan
Turhan Caskurlu
Publication date: 01-04-2014
Publisher: Springer Berlin Heidelberg
Published in: Urolithiasis / Issue 2/2014
Print ISSN: 2194-7228
Electronic ISSN: 2194-7236
DOI: https://doi.org/10.1007/s00240-013-0631-2

At a glance: The STEP trials

Springer Medicine

Initial experience of micro-percutaneous nephrolithotomy in the treatment of renal calculi in 140 renal units

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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