MP68-14 SUPINE MINI PCNL – ARE WE LOOKING AT A RECOURSE TO STANDARD PCNL? - A SINGLE CENTER EXPERIENCE

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy VI1 Apr 2017MP68-14 SUPINE MINI PCNL – ARE WE LOOKING AT A RECOURSE TO STANDARD PCNL? - A SINGLE CENTER EXPERIENCE Arunkumar Balakrishnan, Kulthe Ramesh Seetharam Bhat, Priyank Shah R, and Gaurav Gyvi Arunkumar BalakrishnanArunkumar Balakrishnan More articles by this author , Kulthe Ramesh Seetharam BhatKulthe Ramesh Seetharam Bhat More articles by this author , Priyank Shah RPriyank Shah R More articles by this author , and Gaurav GyviGaurav Gyvi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2330AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES A standard Percutaneous Nephrolithotomy is the standard of care for renal calculus especially those more than 2 cm, which involves the patient in prone position with percutaneous access. In addition to this technique various techniques of using miniaturised scopes and instruments have been described in both prone and supine position. We present our series of mini PCNL in supine postion. A observational study was done to evaluate the efficacy, safety and outcomes of supine mini PCNL(smPCNL) in our patients METHODS 200 patients underwent smPCNL over a period of 3 years including both retrsospective and prospective cohorts were analysed. Data collection included stone size & location, anaesthesia & operative time, use of stent/ureteric catheter, length of hospital stay, stone clearance & complications. Cases were performed using mini PCNL set, in Galdakao-modified Supine Valdivia / modified supine position using fluoroscopy. Success was defined as patients free of stones or with residual stone fragments <5mm. RESULTS The mean stone size was 2.7 cm. There were 36 cases with stone located in a single calyx, while 4 case with stones in multiple calyces . Pelvic stones were 50 in number, while pelvi-calyceal/pelvi-uretric stones were 61 in number. 28 upper uretric stones with 17 bilateral renal unit stones were present; while there were 4 each of upper calyceal diverticulum stone and upper ureter plus calyceal stone. 93% of the cases required a single puncture while frequency of lower calyceal and middle calyceal puncture was 53% and 42 % respectively. Complete stone clearance was achieved in 190 cases (95%) with 10 cases having residual fragments which were treated with ESWL. 30 cases had simultaneous PCNL & URS for stone clearance. 75% cases were totally tubeless. Mean hospital stay was 2.15 days & overall complication rate was 9% which included bleeding, sepsis etc.5% of patients were discharged from the day care room. CONCLUSIONS smPCNL is safe and effective in suitable patients and offers good stone clearance with minimal morbidity. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e923-e924 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Arunkumar Balakrishnan More articles by this author Kulthe Ramesh Seetharam Bhat More articles by this author Priyank Shah R More articles by this author Gaurav Gyvi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...