Preliminary experience in the treatment of renal stones less than 2 cm in diameter with the "All-seeing needle set" through a super minimal tract (F12)
10.3760/cma.j.issn.1000-6702.2018.03.015
- VernacularTitle:可视穿刺针肾镜系统经超微通道(F12)治疗＜2cm肾结石的初步经验
- Author:
Guohai XIE
1
;
Zejun YAN
;
Junhui JIANG
;
Guanlin LIU
;
Li FANG
;
Dongxu ZHANG
;
Jiasheng HU
;
Xiaolong JIA
;
Zhong ZHENG
;
Wanzhang LIU
;
Hesheng YUAN
;
Yue CHENG
Author Information
1. 315010,浙江省宁波市第一医院泌尿肾病中心
- Keywords:
Renal stone;
All-seeing needle;
Holmium laser;
Lithotripsy
- From:
Chinese Journal of Urology
2018;39(3):214-217
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss primary experience the clinical use of "All-seeing needle set" combined with Holmium laser to treat the single renal stone lesser than 2 cm in diameter through a super minimal tract (F12).Methods From January 2015 to December 2016,43 patients were enrolled into this retrospective study.There were 23 males and 20 females who were diagnosed as single renal stone less than 2 cm in diameter(age range from 23-65 years).There were 8 upper pole renal stones,13 lower pole renal stones and 22 renal pelvis stones.The mean stone size was (1.63 ± 0.32) cm in diameter (range from 1.2 cm to 2.0 cm)."All-seeing needle system" was applied during percutaneous puncture.After building a F12 minimal tract by fascia dilator,all patients received lithotripsy with Holmium laser.Indwelling catheters for 3 days and an F6 double-J tube was left for 2 weeks without a tube in the percutaneous tract after operation.Finally,KUB and/or urinary CT were used to check the results on day 1.Result All operations were completed successfully.The operation time was 23-65min [averaged (31.0 ±9.2) min].41 cases' renal stones were store free,and the 2 stone residues was clear with later extracorporeal shock wave lithotripsy.No severe complications occurred.Conclusion As an alternative to standard procedures for treatment of renal stones less than 2 cm in diameter,adopting "All-seeing needle set" with Holmium laser through a super minimal tract (F12) is safe,minimally invasive,fast and effective with a low complication rate.
