Minimally invasive percutaneous nephrolithotomy for renal calculi in solitary kidneys

VernacularTitle:微创经皮肾镜取石术治疗孤立肾结石的疗效分析
Author: Guohua ZENG ; Wen ZHONG ; Wenzhong CHEN ; Wenqi WU ; Jian YUAN ; Xun LI ; Kaijun WU
Publication Type:Journal Article
Keywords: Nephrostomy,percutaneous; Solitary kidney; Kidney calculi; Complications
From: Chinese Journal of Urology 2011;32(1):14-16
CountryChina
Language:Chinese
Abstract: Objective To report our experience with minimally invasive percutaneous nephrolithotomy (MPCNL) in treatment of renal calculi in solitary kidneys. Methods From August 2000 to August 2010, 242 patients with renal calculi in solitary kidneys were treated by MPCNL, the data were reviewed retrospectively. Results The mean operative time was 68 min, the clearance rates were 79.3% (192/242) after first session and 88. 0% (213/242) after second-look MPCNL and ESWL, respectively. Postoperative fever happened in 18 cases. Twenty-one cases required transfusion, 10 cases received angiography and embolization. One case experienced perirenal hematoma and 1 case had pneumatothorax. Conclusions MPCNL has the advantages of less bleeding, high clearance rate and short hospital stay. MPCNL is an effective and feasible treatment option for renal calculi in solitary kidneys and should be the first line choice.