PROFILE OF NEPHROLITHIASIS PATIENTS TREATED WITH MINI-PERCUTANEOUS NEPHROLITHOTOMY (MINI-PCNL): A SINGLE CENTER EXPERIENCE IN JAMBI, INDONESIA
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Abstract
Objective: This study aims to describe the characteristics of patients undergoing mini-PCNL at our center in Jambi, Indonesia. Material & Methods: This is a descriptive study involving patients with kidney stones treated with mini-PCNL during 2017 – 2021 in Jambi. The selection of the study subjects was using total sampling method. All patients had a medical history taken and a physical examination performed prior to surgery. The procedure was performed by three operators in one referral district hospital. Results: From 2017 to 2021, a total of 188 mini-PCNL procedures were performed at our center for the removal of kidney stones. However, only 186 cases were included in this study after excluding 2 due to incomplete data. The mean age of patients in this study was 49.3 years old (ranging from 12–87 years old) with the majority being male (101/165 [61.21%]). Of 186 cases, a total of 175 cases had no residual stone and only 11 had residual stone (stone-free rate [SFR] 94.08%). Most patients presented with hydronephrosis, and DJ stent placement was performed in 44 out of 186 cases. The SFR decreased as the stone size increased. Conclusion: Mini-PCNL proves to be a valuable choice for managing kidney stones, especially for medium-sized and hard stones, leading to enhanced patient results and reduced post-operative complications. Keywords: Kidney stone, mini-PCNL, stone free rate.
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Kidney stone, mini-PCNL, stone free rate
Arslan B, Akbulut MF, Onuk O, et al. A comparison of Amplatz dilators and metal dilators for tract dilatation in mini-percutaneous nephrolithotomy. Int Urol Nephrol. 2017; 49(4): 581–5.
Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol. 2010; 12(2–3): e86-96.
Türk C, Neisius A, Petrik A, et al. EAU Guidelines on Urolithiasis. Eur Assoc Urol 2021. 2021; 1–87.
Assimos D, Krambeck A, Miller NL, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol. 2016; 196(4): 1153–60.
Wright A, Rukin N, Smith D, et. al. “Mini, ultra, micro” - Nomenclature and cost of these new minimally invasive percutaneous nephrolithotomy (PCNL) techniques. Ther Adv Urol. 2016; 8(2): 142–6.
Zhu W, Liu Y, Liu L, et al. Minimally invasive versus standard percutaneous nephrolithotomy: a meta-analysis. Urolithiasis. 2015; 43(6): 563–70.
Thapa BB, Niranjan V. Mini PCNL Over Standard PCNL: What Makes it Better? Surg J. 2020; 06(01): e19–23.
Jackman S V., Docimo SG, Cadeddu JA, et. al. The “mini-perc” technique: A less invasive alternative to percutaneous nephrolithotomy. World J Urol. 1998; 16(6): 371–4.
Lahme S. Miniaturisation of PCNL. Urolithiasis. 2018; 46(1): 99–106.
Proietti S, Giusti G, Desai M, et. al. A Critical Review of Miniaturised Percutaneous Nephrolithotomy: Is Smaller Better? Eur Urol Focus. 2017; 3(1): 56–61.
Ghazala SG, Saeed Ahmed SM, Mohammed AA. Can mini PCNL achieve the same results as RIRS? The initial single center experience. Ann Med Surg. 2021; 68(June): 102632.
Akbulut F, Kucuktopcu O, Kandemir E, et al. Comparison of efficacy of laser lithotripter with ultrasonic lithotripter in mini percutaneous nephrolithotomy. Arch Ital Urol Androl. 2015; 87(4): 276–9.
Ganesamoni R, Sabnis RB, Mishra S, et al. Prospective randomized controlled trial comparing laser lithotripsy with pneumatic lithotripsy in miniperc for renal calculi. J Endourol. 2013; 27(12): 1444–9.
Sebaey A, Khalil MM, Soliman T, et al. Standard versus tubeless mini-percutaneous nephrolithotomy: A randomised controlled trial. Arab J Urol. 2016; 14(1): 18–23.
Atmoko W, Birowo P, Rasyid N. Factors affecting stone free rate of primary percutaneous nephrolithotomy on staghorn calculi: A single center experience of 15 years [version 1; referees: 2 approved]. F1000Research. 2016; 5.
Chen K, Xu K, Li B, Wang S, et. al. Predictive factors of stone-free rate and complications in patients undergoing minimally invasive percutaneous nephrolithotomy under local infiltration anesthesia. World J Urol. 2020; 38(10): 2637–43.
Kokov D, Manka L, Beck A , et al. Only size matters in stone patients: Computed tomography controlled stone-free rates after mini-percutaneous nephrolithotomy. Urol Int. 2019; 103(2): 166–71.
Ergani B, Ozbilen MH, Yalcın MY, et. al. The effect of hydronephrosis grade on stone-free rate in retrograde intrarenal stone surgery with flexible ureterorenoscopy. Am J Clin Exp Urol. 2021; 9(2): 194–201.