PMID- 35179618
OWN - NLM
STAT- MEDLINE
DCOM- 20220518
LR  - 20220518
IS  - 2194-7236 (Electronic)
IS  - 2194-7228 (Linking)
VI  - 50
IP  - 3
DP  - 2022 Jun
TI  - Needle-perc-assisted endoscopic surgery for patients with complex renal stones: 
      technique and outcomes.
PG  - 349-355
LID - 10.1007/s00240-021-01299-7 [doi]
AB  - Our aim was to investigate the safety and efficacy of needle-perc-assisted 
      percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS), 
      namely, needle-perc-assisted endoscopic surgery (NAES), in a series of patients 
      with large and/or complex renal stones. From May 2018 to August 2021, a total of 
      119 patients underwent NAES at our institute. Among them, 94 patients underwent 
      needle-perc-assisted standard PCNL in prone position and 25 underwent 
      needle-perc-assisted RIRS in the Galdakao-modified supine Valdivia position or 
      prone split-leg position. Clinical factors including age, sex, medical history, 
      and stone characteristics were collected. Intraoperative and postoperative 
      outcomes were retrospectively evaluated. The patients' mean age +/- standard 
      deviation was 50.3 +/- 14.3 years. The mean stone size was 7.6 +/- 3.7 and 
      1.7 +/- 0.8 cm for needle-perc-assisted PCNL and RIRS, respectively. Of the 119 
      patients, 51 had staghorn stones, 16 had solitary kidneys, 17 had a history of 
      ipsilateral renal surgery, and 6 had calyceal diverticular stones. The mean 
      operative time was 83.4 +/- 25.9 min for needle-perc-assisted PCNL and 
      66.3 +/- 21.8 min for needle-perc-assisted RIRS. The stone-free rate (SFR) for 
      needle-perc-assisted PCNL was 77.7% after the first treatment and 88.3% after 
      auxiliary treatments. The SFR for needle-perc-assisted RIRS was 88.0% and no 
      auxiliary treatments were carried out in this group. Eleven (11.7%) patients who 
      underwent needle-perc-assisted standard PCNL developed Clavien-Dindo grade I or 
      II complications. Three (12.0%) patients who underwent needle-perc-assisted RIRS 
      developed a fever (grade I). The overall complication rate for NAES was 11.8%, 
      with no urosepsis, angioembolization, or other grade III to V complications. In 
      conclusion, NAES is a safe and effective procedure for one-step complete 
      resolution of large and/or complex renal stones with no additional 
      procedure-related complications.
CI  - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Su, Boxing
AU  - Su B
AD  - Department of Urology, School of Clinical Medicine, Beijing Tsinghua Changgung 
      Hospital, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 
      102218, China.
FAU - Hu, Weiguo
AU  - Hu W
AD  - Department of Urology, School of Clinical Medicine, Beijing Tsinghua Changgung 
      Hospital, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 
      102218, China.
FAU - Xiao, Bo
AU  - Xiao B
AD  - Department of Urology, School of Clinical Medicine, Beijing Tsinghua Changgung 
      Hospital, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 
      102218, China.
FAU - Ding, Tianfu
AU  - Ding T
AD  - Department of Urology, School of Clinical Medicine, Beijing Tsinghua Changgung 
      Hospital, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 
      102218, China.
FAU - Liu, Yubao
AU  - Liu Y
AD  - Department of Urology, School of Clinical Medicine, Beijing Tsinghua Changgung 
      Hospital, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 
      102218, China.
FAU - Li, Jianxing
AU  - Li J
AD  - Department of Urology, School of Clinical Medicine, Beijing Tsinghua Changgung 
      Hospital, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 
      102218, China. ljx1@sina.com.
LA  - eng
PT  - Journal Article
DEP - 20220218
PL  - Germany
TA  - Urolithiasis
JT  - Urolithiasis
JID - 101602699
SB  - IM
MH  - Female
MH  - Humans
MH  - Kidney/surgery
MH  - *Kidney Calculi/etiology/surgery
MH  - Male
MH  - *Nephrolithotomy, Percutaneous/adverse effects/methods
MH  - *Nephrostomy, Percutaneous/adverse effects/methods
MH  - Retrospective Studies
MH  - *Solitary Kidney
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Needle-perc
OT  - PCNL
OT  - RIRS
OT  - Ultrasound guidance
EDAT- 2022/02/19 06:00
MHDA- 2022/05/19 06:00
CRDT- 2022/02/18 12:13
PHST- 2021/09/19 00:00 [received]
PHST- 2021/12/07 00:00 [accepted]
PHST- 2022/02/19 06:00 [pubmed]
PHST- 2022/05/19 06:00 [medline]
PHST- 2022/02/18 12:13 [entrez]
AID - 10.1007/s00240-021-01299-7 [pii]
AID - 10.1007/s00240-021-01299-7 [doi]
PST - ppublish
SO  - Urolithiasis. 2022 Jun;50(3):349-355. doi: 10.1007/s00240-021-01299-7. Epub 2022 
      Feb 18.