Year : 2021 | Volume
: 37 | Issue : 1 | Page : 54--58
Tubeless mini-percutaneous nephrolithotomy for renal stones larger than 20 mm
Sanjay Khadgi1, Maitrey Darrad2, Ahmed R EL-Nahas3, Abdullatif AL-Terki5
1 Department of Urology, Vayodha Hospital, Kathmandu, Nepal
2 Department of Urology, University Hospital Birmingham NHS Foundation Trust, Birmingham, England, United Kingdom
3 Department of Surgery, Urology Unit, AL-Amiri Hospital, Kuwait City, Kuwait; Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
Introduction: The aim of this study is to evaluate the outcomes of tubeless mini- percutaneous nephrolithotomy (PCNL) for the treatment of large (>20 mm) renal stones.
Patients and Methods: This study included consecutive patients who underwent single-session tubeless mini-PCNL (tract size 16–20 F) for large (>20 mm) renal stones. Stone-free status meant complete clearance or residual fragments <4 mm. Complications were recorded and classified according to modified Clavien-Dindo classifications. Risk variables for significant residuals were determined with univariate (Chi-square and t-test) and multivariate logistic regression analyses.
Results: Between July 2015 and November 2018, 225 patients were included. The mean age was 42.9 years; the mean stone size was 30.2 ± 9.6 mm and 75% of patients were males. A single renal stone was present in 54 patients (24%), multiple stones in 108 (48%), and staghorn stones in 63 (28%). The stone-free rate was 87.6%. The complication rate was 8.4% (Grade I–II in 7.5%, III in 0.9%). Three patients (1.3%) required blood transfusion. Independent risk factor for significant residual fragments was the presence of stones in multiple sites inside the pelvicalyceal system (relative risk: 13.44, 95% confidence interval: 1.78–101.43, P = 0.012).
Conclusions: Mini-PCNL is an effective and safe treatment option for patients with large renal stones (>20 mm). Stones located in multiple sites is the only predictor of significant residual stones.
Ahmed R EL-Nahas
Department of Surgery, Urology Unit, AL-Amiri Hospital, Kuwait City; Urology and Nephrology Center, Mansoura University, Mansoura
|How to cite this article:|
Khadgi S, Darrad M, EL-Nahas AR, AL-Terki A. Tubeless mini-percutaneous nephrolithotomy for renal stones larger than 20 mm.Indian J Urol 2021;37:54-58
|How to cite this URL:|
Khadgi S, Darrad M, EL-Nahas AR, AL-Terki A. Tubeless mini-percutaneous nephrolithotomy for renal stones larger than 20 mm. Indian J Urol [serial online] 2021 [cited 2023 Jan 31 ];37:54-58
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2021;volume=37;issue=1;spage=54;epage=58;aulast=Khadgi;type=0