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http://dx.doi.org/10.1308/003588410x12664192075530DOI Listing

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Background: Lower calyceal anatomy makes the stone clearance a difficult task across all treatment formats. Improvement in optics and miniaturization of instruments have offered an effective and safer alternative to percutaneous nephrolithotomy (PCNL). The study was conducted to compare the efficacy and complications associated with mini-PCNL vs standard-PCNL.

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Tubeless percutaneous nephrolithotomy without retrograde ureteral catheterization for the treatment of pediatric upper ureteral stones: One case report.

Int J Surg Case Rep

November 2024

Urology Department, The First Affiliated Hospital, Hengyang Medical School, University of South China, China. Electronic address:

Introduction: Traditional Percutaneous Nephrolithotomy (PCNL) typically involves the retrograde placement of a ureteral catheter. However, this procedure can present additional risks in pediatric patients.

Case Presentation: We report a case of a 10-year-old boy, weighing 33 kg, diagnosed with a right upper ureteral stone complicated by hydronephrosis and urosepsis.

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Purpose: The external ureteral catheter (EUC) and double-J stent (DJ-stent) are frequently used for drainage in tubeless percutaneous nephrolithotomy (PCNL). This study aims to compare the outcomes and effectiveness of these two methods.

Materials And Methods: We conducted a detailed literature search using relevant key words on Google Scholar, Europe PMC, Medline, and Scopus databases.

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Total tubeless percutaneous nephrolithotomy without retrograde insertion of a ureteral catheter for the treatment of kidney stone patients without hydronephrosis: a randomized controlled trial.

Int Urol Nephrol

October 2024

Urology Department, The First Affiliated Hospital, Hengyang Medical School, University of South China, No. 69, Chuanshan Road, Shigu District, Hengyang, 421001, Hunan, China.

Objectives: To evaluate the safety and efficacy of total tubeless percutaneous nephrolithotomy (PCNL) without retrograde insertion of a ureteral catheter for the treatment of kidney stone patients without hydronephrosis.

Methods: This prospective randomized controlled study at a tertiary care medical center was conducted from August 2019 to April 2023. Kidney stone patients diagnosed by computed tomography (CT) without significant hydronephrosis were randomly assigned to two groups: total tubeless PCNL without retrograde insertion of a ureteral catheter (group 1) and traditional PCNL (group 2).

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Article Synopsis
  • This study compares the safety and effectiveness of flexible ureteroscopy (f-URS) and ambulatory tubeless mini-percutaneous nephrolithotomy (mini-PCNL) for treating 1-2 cm lower calyceal renal stones in a randomized controlled trial involving 72 patients.
  • Results show that mini-PCNL had a longer operative time but significantly higher stone-free rates (SFR) at both postoperative Day 1 and three months later compared to f-URS.
  • Both procedures had similar postoperative complications, but two patients in the f-URS group required re-treatment, highlighting the need to assess the best surgical approach for specific cases.
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