PMID- 34515252
OWN - NLM
STAT- MEDLINE
DCOM- 20221215
LR  - 20221215
IS  - 1423-0399 (Electronic)
IS  - 0042-1138 (Linking)
VI  - 106
IP  - 12
DP  - 2022
TI  - Double-Sheath Vacuum Suction Minimally Invasive Percutaneous Nephrolithotomy for 
      Management of Large Renal Stones.
PG  - 1241-1245
LID - 10.1159/000518259 [doi]
AB  - OBJECTIVES: This study aimed to describe a novel double-sheath vacuum suction 
      minimally invasive percutaneous nephrolithotomy (mini-PCNL) to overcome the 
      deficiencies of the conventional procedure. PATIENTS AND METHODS: Between March 
      2019 and December 2019, 65 patients (37 males and 28 females) with a mean age of 
      41 years (range 23-69) underwent mini-PCNL with double-sheath vacuum suction. It 
      consisted of an F20 Y-shaped sheath as an outer sheath and an F16 Y-shaped sheath 
      as an inner sheath, in which the inner sheath was longer than the outer sheath. 
      The oblique arm of the outer sheath and the inner sheath was connected to the 
      perfusion inflow and the vacuum suction, respectively. A 550-mum holmium-YAG laser 
      was introduced for stone fragmentation through the working channel of the 
      mini-nephroscope, which was no longer connected to the perfusion fluid. RESULTS: 
      All procedures were successful. Mean operation time was 50.2 min (range 39-83). 
      Mean hemoglobin decrease was 5.2 g/L (range 1.0-15.5), and no patient needed a 
      blood transfusion. One patient (1.5%) with low fever (<38 degrees C) at day 1 had 
      returned to normal at day 2 without administration of antibiotics. There were no 
      Clavien grade 2-4 complications. Mean postoperative hospital stay was 2.4 days 
      (range 2-6). The initial stone-free rate of PCNL was 81.53% (53 of 65 patients). 
      One month after surgery, the final stone-free rate increased to 90.77% (59/65 
      patients). CONCLUSIONS: The double-sheath vacuum suction mini-PCNL is a safe and 
      effective modality for large renal stones, which might increase the efficiency of 
      stone extraction with low intrapelvic pressure.
CI  - (c) 2021 S. Karger AG, Basel.
FAU - Wu, Zhong-Hua
AU  - Wu ZH
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China, 
      daydreamwu@sina.com.
FAU - Wang, Yong-Zhi
AU  - Wang YZ
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
FAU - Liu, Tong-Zu
AU  - Liu TZ
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
FAU - Wang, Xing-Huan
AU  - Wang XH
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
FAU - Zheng, Hang
AU  - Zheng H
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
FAU - Zhang, Yin-Gao
AU  - Zhang YG
AD  - Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
LA  - eng
PT  - Journal Article
DEP - 20210824
PL  - Switzerland
TA  - Urol Int
JT  - Urologia internationalis
JID - 0417373
SB  - IM
MH  - Humans
MH  - Young Adult
MH  - Adult
MH  - Middle Aged
MH  - Aged
MH  - *Nephrolithotomy, Percutaneous
OTO - NOTNLM
OT  - Double-sheath vacuum suction
OT  - Percutaneous nephrolithotomy
OT  - Renal stone
OT  - Vacuum suction
EDAT- 2021/09/14 06:00
MHDA- 2022/12/16 06:00
CRDT- 2021/09/13 09:27
PHST- 2020/12/15 00:00 [received]
PHST- 2021/06/22 00:00 [accepted]
PHST- 2021/09/14 06:00 [pubmed]
PHST- 2022/12/16 06:00 [medline]
PHST- 2021/09/13 09:27 [entrez]
AID - 000518259 [pii]
AID - 10.1159/000518259 [doi]
PST - ppublish
SO  - Urol Int. 2022;106(12):1241-1245. doi: 10.1159/000518259. Epub 2021 Aug 24.