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Micro Percutaneous Nephrolithotomy in the Treatment of Moderate Size Renal Calculi.
MedLine Citation:
PMID:  22973897     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose: We present our initial experience with microperc in patients with moderate size renal calculi. Methods: A retrospective analysis of 30 patients (male: 14, female: 16) with moderate-sized (1-3 cm) kidney stones who underwent microperc between August 2011 and July 2012 was performed. The demographic values, peri-operative and postoperative measures including age, stone size and location, body-mass index (BMI), operation and fluoroscopy time, hemoglobin decrease, success and complication rates were prospectively recorded into a patient entry system. Results: The average stone size was 17.9 ± 5.0 mm (10-30). The mean age of the patients was 41.5 ± 18.2 years (range: 3-69). The duration of the operation was calculated as 63.5 ± 36.8 (range: 20-200) minutes. Mean fluoroscopic screening time was 150.5 ± 90.4 seconds (range: 45-360). The patients were discharged after a mean hospitalization period of 35.5 ± 18.6 (range: 14-96) hours. An overall success rate of 93% (including 10% of insignificant residual fragment rate) was achieved. In the follow-up, residual stone fragments were detected in 2 patients (7%). Conversion to miniperc was necessitated in 3 patients (10%). The mean hemoglobin drop was found to be 1.1 ± 0.8 (range: 0-2.8) mg/dL. Complications were observed in 5 patients (13.3%). Conclusions: Our initial results provide that microperc is a feasible, safe and efficacious treatment modality for moderate sized kidney stones as well as small ones with its minimal invasive nature. Technical refinements are required to achieve better results and overcome the limitations of technique.
Authors:
Abdullah Armağan; Abdulkadir Tepeler; Mesrur Selcuk Silay; Cevper Ersoz; Muzaffer Akcay; Tolga Akman; Mehmet Remzi Erdem; Sinasi Yavuz Onol
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-13
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Bezmialem Vakif University, Faculty of Medicine, Urology, Adnan Menderes Bulvari, Fatih, Istanbul, Turkey, 34093; aarmagantr@gmail.com.
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