Which way is best for stone fragments and dust extraction during percutaneous nephrolithotomy

Percutaneous nephrolithotomy (PCNL) is a commonly used type of minimally invasive treatment in kidney stone surgeries. Surgical success is assessed according to residual stone amount after surgery. The purpose of this study is to compare the two methods’ success and practicality that are applied aft...

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Bibliographic Details
Published in:Urolithiasis 2018-06, Vol.46 (3), p.297-302
Main Authors: Kati, Bulent, Pelit, Eyyup Sabri, Yagmur, Ismail, Akin, Yigit, Ciftci, Halil, Yeni, Ercan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Feasibility Studies
Female
Humans
Kidney Calculi - surgery
Male
Medical Biochemistry
Medicine
Medicine & Public Health
Middle Aged
Nephrolithotomy, Percutaneous - adverse effects
Nephrolithotomy, Percutaneous - instrumentation
Nephrolithotomy, Percutaneous - methods
Nephrology
Original Paper
Prospective Studies
Retrospective Studies
Suction - adverse effects
Suction - economics
Suction - methods
Therapeutic Irrigation - adverse effects
Therapeutic Irrigation - economics
Therapeutic Irrigation - methods
Treatment Outcome
Urology
Young Adult
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Summary:Percutaneous nephrolithotomy (PCNL) is a commonly used type of minimally invasive treatment in kidney stone surgeries. Surgical success is assessed according to residual stone amount after surgery. The purpose of this study is to compare the two methods’ success and practicality that are applied after the fracture of the stone in the patients who applied PCNL and which enable the removal of the residual stones. Among 102 patients who underwent a single-session of PCNL at our department between June 2015 and November 2016 were evaluated. Previously identified irrigation method and our aspiration method which described used in post-operative patients divided into two groups of residual fragments was assessed by computed tomography. The results were evaluated in statistical analyses. Significant p was accepted as p   0.05). In irrigation and aspiration groups, stone size did not differ significantly ( p  > 0.05). The amount of residue stones and dust remaining in the irrigation group was significantly higher ( p  
ISSN:2194-7228
2194-7236
DOI:10.1007/s00240-017-0987-9