Minimally Invasive Percutaneous Nephrolithotomy in Treatment of Proximal Ureteric Calculi by Non-Imaging in Localization:A Report of 52 Cases
- VernacularTitle:非影像学定位穿刺经皮肾镜取石术治疗上尿路结石52例
- Author:
Delin YANG
;
Changxing KE
;
Yigang ZUO
;
Jiansong WANG
;
Mingxia DING
;
Hongyi XU
- Publication Type:Journal Article
- Keywords:
Ureteric calculi;
Renal pelvic calculi;
PCNL;
Minimally invasive;
Imaging
- From:
Journal of Kunming Medical University
1986;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surgical method and curative effect of minimally invasive percutaneous nephrolithotomy(MPCNL) in treatment of impacted proximal ureteric calculi and giant renal pelvic calculi with moderate or severe hydronephrosis by non-imaging in localization.Methods 52 cases of calculi treated with MPCNL were studied retrospectively.Percutaneous nephrostomy was established by non-imaging in localization(naked eye) according location of kidneys,length of 12th ribs,degree of hydronephrosis and condition of calculi,and the nephropathy was extended to F16 through invasive percutaneous.Stones were taken out by ureteropyeloscopic pneumatic lithotripsy with the help of hydraulic perfusion pump.Results The operative time was 32~140min with the average of 112min.The average blood loss volume was 45mL.No severe complication occurred in the intra-or post-operative time.The rate of complete clearance of stones was 96 % in first attempt,and the residual stones passed out by themselves after the double "J" tube was pulled out in cases.The mean hospital stay was 9 days,and the mean postoperative hospital stay was 4.2 days.Conclusion To treat the impacted proximal ureteric calculi and giant renal pelvic calculi with moderate hydronephrosis or severe hydronephrosis,some skilled doctors can appropriately use the method of MPCNL by non-imaging in localization,since the method can reduce the harm by X-ray,and save medical expenses.
