Downloads
Abstract
Percutaneous nephrolithotomy (PCNL) has become the standard treatment for large kidney stones and is gradually replacing open surgery, which is invasive and causes more damages to the renal parenchyma. On the other hand, open surgery for kidney stones still carries the risk of stone recurrence and incisional hernia, making it difficult for later interventions. We describe a case of recurrent large kidney stone in the calyces - pelvic position in a patient who had undergone open calculi a few years earlier and now had a severe flanlk incisional hernia. We used ultrasound combined with C-arm and performed dilation with the Mini PCNL sheath kit, thus minimizing the possibility of damage to nearby organs. Due to the long operative time, the patient required secondlook PCNL and achieve stone free without complications.
References
Türk C NA, Petrik A, et al. EAU Guidelines on Urolithiasis. European Association of Urology, 2021. Available online: https://uroweb.org/wp-content/uploads/EAU-Guidelineson-Urolithiasis.
Preminger GM, Assimos DG, Lingeman JE, Nakada SY, PearleMS,WolfJS.Chapter 1:AUAguideline onmanagement of staghorn calculi: diagnosis and treatment recommendations. The Journal of urology. 2005;173:1991-2000.
Dos Santos Abreu LdA, Camilo - Silva DG, Fiedler G, Corguinha GB, Paiva MM, Pereira - Correia JA, et al. Review on renal recovery after anatrophic nephrolithotomy: Are we really healing our patients? World Journal of Nephrology. 2015;4:105.
Ganpule AP, Bhattu AS, Desai M. PCNL in the twenty-first century: role of Microperc, Miniperc, and Ultraminiperc. World journal of urology. 2015;33:235-240.
Al - Otaibi KM. Retrograde Nephrostomy Access. Difficult Cases in Endourology. 2012:133.
Yuhico M, Ko R. The current status of percutaneous nephrolithotomy in the management of kidney stones. Minerva Urol Nefrol. 2008;60:159-175.
Ng FC, Yam WL, Lim TYB, Teo JK, Ng KK, Lim SK. Ultrasound - guided percutaneous nephrolithotomy: advantages and limitations. Investigative and clinical urology. 2017;58:346-352.
Chi T, Masic S, Li J, Usawachintachit M. Ultrasound guidance for renal tract access and dilation reduces radiation exposure during percutaneous nephrolithotomy. Advances in urology. 2016;2016.
Chu C, Masic S, Usawachintachit M, Hu W,YangW, Stoller M, et al. Ultrasound - guided renal access for percutaneous nephrolithotomy: a description of three novel ultrasoundguided needle techniques. Journal of endourology. 2016;30:153-158.
Akman T, Binbay M, Akcay M, Tekinarslan E, Kezer C, Ozgor F, et al. Variables that influence operative time during percutaneous nephrolithotomy: an analysis of 1897 cases. Journal of endourology. 2011;25:1269-1273.
Wang Y, Jiang F, Wang Y, Hou Y, Zhang H, Chen Q, et al. Post - percutaneous nephrolithotomy septic shock and severe hemorrhage: a study of risk factors. Urologia Internationalis. 2012;88:307-310.
| Published | 11-01-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 81 (2022) | |
| Section | Case report | |
| DOI | 10.38103/jcmhch.81-7 | |
| Keywords |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Journal of Clinical Medicine Hue Central Hospital