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144580

Outcomes and Indications of Mini Percutaneous Nephrolithotomy in Zagazig University Hospitals Patients

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Last updated: 03 Jan 2025

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Abstract

Background: PCNL is a well-established treatment option for patients with large and complex renal calculi. In order to decrease morbidity associated with larger instruments like blood loss, postoperative pain and potential renal damage. A modification of the technique of standard PCNL has been developed. This is performed with a miniature endoscope via a small percutaneous tract (11ā€“20 F) and was named as minimally invasive or mini- PCNL.
Objectives: To improve medical service for patients attending for Zagazig University Hospital by determining indications and outcomes of M-PCNL when used as treatment modality for patients with renal stones.
Methods: This prospective cohort study was conducted at Urology Department Zagazig University Hospitals during the period from March to November 2019. 48 patients from those attending to Urology Outpatient Clinic. Percentage of improvement of patients M-PCNL was 94%, so sample was calculated to be 32 patients using open EPI with CI 95%.
Results: 48 patients and percentage of improvement of patients M-PCNL was 94%. Male represented 53.8% of the studied patients. Mean age was 35.10 years, ranged from 18 to 60 years. Mean body mass index was 39.56 kg/m2, ranged from 18.60 to 63.20 kg/m2. Mean preoperative hemoglobin was 12.56 g/dl, ranged from 11 to 14 g/dl. The most common site of stone was renal pelvis in 44.6% of the studied patients. Mean stone density was 1024.76, ranged from 220 to 1500. Mean stone size was 1.86 mm, ranged from 1.20 to 3-mm. Mean tract diameter was 16.92 mm, ranged from 14 to 18 mm.
Conclusion: Mini-PCNL was safe and efficacious in treatment of patients with renal stone disease.

DOI

10.21608/ejhm.2021.144580

Keywords

miniPCNL, Renal stones, Nephrolithiasis, Nephrostomy, percutaneous

Authors

First Name

Safwat Elsayed

Last Name

Abou Hashem

MiddleName

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Affiliation

Department of Urology, Faculty of Medicine, Zagazig University.

Email

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City

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Orcid

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First Name

Hazim Mohammed

Last Name

El Galaly

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Zagazig University.

Email

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City

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Orcid

-

First Name

Ahmed Mohammed

Last Name

Eliwa

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Zagazig University.

Email

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City

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Orcid

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First Name

Ahmed Ismail Abdel Rahman

Last Name

Kotb

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Zagazig University.

Email

-

City

-

Orcid

-

Volume

82

Article Issue

2

Related Issue

20779

Issue Date

2021-01-01

Receive Date

2021-01-29

Publish Date

2021-01-01

Page Start

308

Page End

315

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 2_Pages 308-315.pdf

PDF . 512.8kB

Link

https://ejhm.journals.ekb.eg/article_144580.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=144580

Order

20

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Outcomes and Indications of Mini Percutaneous Nephrolithotomy in Zagazig University Hospitals Patients

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Article

Created At

22 Jan 2023