COMPLICATIONS OF MINIMALLY INVASIVE PERCUTANEOUS NEPHROLITHOTOMY IN THE TREATMENT OF KIDNEY STONES AT MILITARY HOSPITAL 103

Tạp chí Y - Dược học quân sự - Tập 48 Số 9 - Trang 176-185 - 2023
Le Huy Ngoc1, Tran Van Hinh2, Pham Quang Vinh2, Lanh My Duyen3

Tóm tắt

Objectives: To evaluate the complications of the minimally invasive percutaneous nephrolithotomy (mini-PCNL) in treating kidney stones at Military Hospital 103. Methods: A prospective, longitudinal study on 286 kidney stone patients operated using the mini-PCNL technique at Military Hospital 103 from July 2017 to July 2019. Results: After mini-PCNL, most patients had no complication (77.62%). Bleeding and fever after mini-PCNL were the two most common complications; there were 35 patients with intraoperative bleeding and no need for blood transfusion (12.24%) and 15 patients with fever after surgery and no chills (5.24%). The stone size affected its clearance rate but did not affect fever and bleeding after mini-PCNL. After mini-PCNL, the mean values of Red Blood Cell (RBC), Hemoglobin (HGB), and Hematocrit (HCT) decreased from 4.75 ± 0.53 T/L, 140.38 ± 15.38 g/L, and 0.42 ± 0.04 L/L to 4.25 ± 0.44 T/L, 125.05 ± 13.36 g/L, and 0.38 ± 0.04 L/L, respectively. Conclusion: After mini-PCNL, the complication rate was 22.38%. Bleeding and fever after mini-PCNL were the two most common complications, with 46 patients (16.08%) and 18 patients (6.29%), respectively. The residual stone fragments were 19.58%. The stone size affected its clearance rate but did not affect fever and bleeding after mini-PCNL

Từ khóa

#Mini-PCNL #Complications

Tài liệu tham khảo

Fernstrom I, Johansson B. Percutaneous pyelolithotomy: A new extraction technique. Scand J Urol Nephrol. 1976; 10(3):257-259.

Kallidonis P, Tsaturyan A, Lattarulo M, Liatsikos E. Minimally invasive percutaneous nephrolithotomy (PCNL): Techniques and outcomes. Turk J Urol. 2020 Nov; 46(1):S58-S63. DOI: 10.5152/tud.2020.20161. Epub 2020 Jun 5. PMID: 32525477; PMCID: PMC7731950.

Xiao B, Ji CY, Su BX, Hu WG, Fu M, Li JX. Needle-perc: A new instrument and its initial clinical application. Chin Med J (Engl). 2020 Mar 20; 133(6):732-734. DOI: 10.1097/CM9.0000000000000692. PMID: 32049746; PMCID: PMC7190226.

Tefekli A, Ali Karadag M, Tepeler K, et al. Classification of percutaneous nephrolithotomy complications using the modified clavien grading system: looking for a standard. Eur Urol, 2008; 53(1): 184-190.

Nguyen Thanh Tung. Evaluating the results of percutaneous kidney stone dissolution using the small tunnel method - Patient lying prone at Hanoi Medical University Hospital. Thesis of specialist level II, Hanoi Medical University. 2018.

Vu Ngoc Quyet. Evaluating the results of percutaneous kidney stone dissolution using the mini-PCNL technique at Ha Giang Provincial General Hospital. Thesis of specialist level II, Hanoi Medical University. 2021.

Bui Truong Giang. Evaluating the results of mini-PCNL technique for kidney stone treatment at Duc Giang General Hospital in the period 2017-2021. Thesis of Specialist level II, Hanoi Medical University. 2021.

Basiri A, Tabibi A, Nouralizadeh A, et al. Comparison of safety and efficacy of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy in patients with renal pelvic stones: A randomized clinical trial. Urol J. 2014; 11(6):1932-1937.

de la Rosette JJ, Opondo D, Daels FP, et al. Categorisation of complications and validation of the Clavien score for percutaneous

nephrolithotomy. Eur Urol. 2012; 62(2):246-255.

Kang DH, Cho KS, Chung DY, et al. Stone-free rates of mPCNL, PCNL, and RIRS: A systematic review and network meta-analysis. Urogenital Tract Infection. 2022; 17(1):14-25.

Mahmood SN, Ahmed CJ, Tawfeeq H, et al. Evaluation of mini-PCNL and RIRS for renal stones 1-2 cm in an economically challenged setting: A prospective cohort study. Ann Med Surg (Lond). 2022; 81:104235.

Khadgi S, El-Nahas AR, El-Shazly M, et al. Comparison of standard - and mini-percutaneous nephrolithotomy for staghorn stones. Arab J Urol. 2021; 19(2):147-151.

Thông tin
Thông tin xuất bản

Tạp chí Y - Dược học quân sự

Tập 48 Số 9

176-185

Thông tin tác giả