Mini percutaneus nephrolithotomy:the contrubition of the new system to our practice

Year 2021, Volume: 13 Issue: 1, 17 - 22, 31.01.2021

Yusuf İlker Çömez , Doğukan Sökmen

Abstract

Objective: In this study, the evaluation of the patients who were operated with Minimal Invasive Percutaneus Nephrolithotomy (MIP) approach is aimed.

Material And Methods: The data of consecutive 50 mPNL patients between January 2016- January 2017 were obtained and retrospectively evaluated. All patients were evaluated in terms of anesthesiology risks, patient positions, access locations, stone sizes, stone clearence rates, postoperative drainage requirement and complications.

Results: All patients have undergone mPNL procedures. Mean stone size was 20 (12-33) mm and mean stone number was 1 (1-3). Mean stone clearence rate was 98% (97-100). Complication rate was 6% while transfusion necessity was 2%.

Conclusion: mPNL with MIP system, with its low complication rate, easy access to all calyceal systems and advantages of different patient posisitons, may be a good alternative to cPNL, even to ureterorenoscopy and ESWL. 

Keywords

Mini-PNL, PNL, Percutaneous nephrolithotomy, MIP, Minimally invasive

Mini perkütan nefrolitotomi:yeni sistemlerin pratiğimize katkıları

Abstract

Amaç: Bu çalışmada minimal invaziv perkütan nefrolitotomi (MIP) sistemi ile tedavi edilen böbrek taşı hastalarının değerlendirilmesi amaçlanmıştır.

Gereç ve Yönlemler:
Hastanemizde 2016-2017 yılları arasında MIP sistemi ile gerçekleştirilen ardışık 50 vakanın verileri retrospektif olarak değerlendirildi. Hastaların anestezi açısından risk değerlendirilmesi, hasta pozisyonu, giriş lokalizasyonu, taş boyutu, taşın temizlenme oranı, postoperatif drenaj ve komplikasyonlar değerlendirildi.

Bulgular:
Tüm hastalara mPNL prosedürü gerçekleştirildi. Ortalama taş boyutu 20 (12-33) mm ve ortalama taş sayısı 1 (1-3) idi. Ortalama taş temizlenme oranı %98 (97-100) idi. Komplikasyon oranı %6 ve transfüzyon ihtiyacı %2 idi.

Sonuç:
Komplikasyon oranının azlığı, tüm kalikslere daha rahat ulaşım ve farklı hasta pozisyon avantajları ile MİP sistemleri ile mini PNL, konvansiyonel PNL’nin yanısıra, üreterorenoskopi ve ESWL’ye iyi bir alternatif olabilir.

Keywords

miniPNL, PCNL, Perkütan Nefrolitotomi, MIS, Minimal İnvaziv

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