Skip to main content
SpringerLink
Log in

Non papillary mini-percutaneous nephrolithotomy: early experience

  • Original Article
  • Published:
World Journal of Urology Aims and scope Submit manuscript

A Letter to the Editor to this article was published on 06 March 2022

Abstract

Purpose

This study aims to evaluate the non-papillary puncture for mini-PCNL in terms of safety and efficacy.

Methods

A total number of 32 patients were subjected to mini-PCNL by the performance of non-papillary punctures over 6 months. One-step track dilation to 22 Fr took place in all cases. An 18 Fr nephroscope (Slender, Karl Storz GmbH, Germany) and an ultrasound lithotripter (Lithoclast Master, EMS S.A, Switzerland) with 9.9 Fr probe was used. Demographics and perioperative data are prospectively collected from an institutional board-approved database and the presented data were retrospectively collected.

Results

The average cumulative stone size was 23.53 ± 6.6 mm. Mean operative time was 44.6 ± 13.44 min and primary stone-free rate after PCNL was 96% and 85.7% for single and multiple access, respectively. Second access was performed in seven cases, all of which had multiple stones. Mean hemoglobin drop was 1.23 ± 0.88 gr/dL. The patients stayed 2.56 ± 0.98 days in the hospital. Overall complication rate was 9.37%, without encountering any severe bleeding complication.

Conclusion

Using non-papillary access for mini-PCNL did not result in significant blood loss and need for transfusions. The respective data were directly comparable to contemporary literature and the safety of mini-PCNL by a non-papillary approach could be advocated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

PCNL:

Percutaneous nephrolithotomy

Mini-PCNL:

Miniaturized percutaneous nephrolithotomy

PCS:

Pelvicalyceal system

CROES:

Clinical Research Office of the Endourological Society

References

  1. Kamal W, Kallidonis P, Kyriazis I, Liatsikos E (2016) Miniaturiazed percutaneous nephrolithotomy: what does it mean? Urolithiasis 44(3):195–201. https://doi.org/10.1007/s00240-016-0881-x

    Article  CAS  PubMed  Google Scholar 

  2. Proietti S, Giusti G, Desai M, Ganpule AP (2017) A critical review of miniaturised percutaneous nephrolithotomy: is smaller better? Eur Urol Focus 3(1):56–61. https://doi.org/10.1016/j.euf.2017.05.001

    Article  PubMed  Google Scholar 

  3. Sampaio FJ (2000) Renal anatomy. Endourologic considerations. Urol Clin North Am 27(4):585–607. https://doi.org/10.1016/s0094-0143(05)70109-9

    Article  CAS  PubMed  Google Scholar 

  4. Sampaio FJ (2001) Renal collecting system anatomy: its possible role in the effectiveness of renal stone treatment. Curr Opin Urol 11(4):359–366. https://doi.org/10.1097/00042307-200107000-00004

    Article  CAS  PubMed  Google Scholar 

  5. Sampaio FJ, Aragao AH (1990) Anatomical relationship between the intrarenal arteries and the kidney collecting system. J Urol 143(4):679–681. https://doi.org/10.1016/s0022-5347(17)40056-5

    Article  CAS  PubMed  Google Scholar 

  6. Kyriazis I, Kallidonis P, Vasilas M, Panagopoulos V, Kamal W, Liatsikos E (2017) Challenging the wisdom of puncture at the calyceal fornix in percutaneous nephrolithotripsy: feasibility and safety study with 137 patients operated via a non-calyceal percutaneous track. World J Urol 35(5):795–801. https://doi.org/10.1007/s00345-016-1919-y

    Article  PubMed  Google Scholar 

  7. Kallidonis P, Kyriazis I, Kotsiris D, Koutava A, Kamal W, Liatsikos E (2017) Papillary vs nonpapillary puncture in percutaneous nephrolithotomy: a prospective randomized trial. J Endourol 31(S1):S4–s9. https://doi.org/10.1089/end.2016.0571

    Article  PubMed  Google Scholar 

  8. Kyriazis I, Liatsikos E, Sopilidis O, Kallidonis P, Skolarikos A (2017) European Section of Urotechnology educational video on fluoroscopic-guided puncture in percutaneous nephrolithotomy: all techniques step by step. BJU Int 120(5):739–741. https://doi.org/10.1111/bju.13894

    Article  PubMed  Google Scholar 

  9. Deters LA, Jumper CM, Steinberg PL, Pais VM Jr (2011) Evaluating the definition of "stone free status" in contemporary urologic literature. Clin Nephrol 76(5):354–357. https://doi.org/10.5414/cn106787

    Article  CAS  PubMed  Google Scholar 

  10. Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213. https://doi.org/10.1097/01.sla.0000133083.54934.ae

    Article  PubMed  PubMed Central  Google Scholar 

  11. Sampaio FJ (1992) Review: anatomic background for intrarenal endourologic surgery. J Endourol. https://doi.org/10.1089/end.1992.6.301

    Article  Google Scholar 

  12. Campobasso D, Ferretti S, Frattini A (2019) Papillary puncture: still a good practice. World J Urol 37(3):573–574. https://doi.org/10.1007/s00345-018-2527-9

    Article  PubMed  Google Scholar 

  13. Kallidonis P, Kalogeropoulou C, Kyriazis I, Apostolopoulos D, Kitrou P, Kotsiris D, Ntasiotis P, Liatsikos E (2017) Percutaneous nephrolithotomy puncture and tract dilation: evidence on the safety of approaches to the infundibulum of the middle renal calyx. Urology 107:43–48. https://doi.org/10.1016/j.urology.2017.05.038

    Article  PubMed  Google Scholar 

  14. Zeng G, Zhao Z, Wan S, Mai Z, Wu W, Zhong W, Yuan J (2013) Minimally invasive percutaneous nephrolithotomy for simple and complex renal caliceal stones: a comparative analysis of more than 10,000 cases. J Endourol 27(10):1203–1208. https://doi.org/10.1089/end.2013.0061

    Article  PubMed  PubMed Central  Google Scholar 

  15. de la Rosette J, Assimos D, Desai M, Gutierrez J, Lingeman J, Scarpa R, Tefekli A (2011) The clinical research office of the endourological society percutaneous nephrolithotomy global study: indications, complications, and outcomes in 5803 patients. J Endourol 25(1):11–17. https://doi.org/10.1089/end.2010.0424

    Article  PubMed  Google Scholar 

  16. Davis NF, Quinlan MR, Poyet C, Lawrentschuk N, Bolton DM, Webb D, Jack GS (2018) Miniaturised percutaneous nephrolithotomy versus flexible ureteropyeloscopy: a systematic review and meta-analysis comparing clinical efficacy and safety profile. World J Urol 36(7):1127–1138. https://doi.org/10.1007/s00345-018-2230-x

    Article  CAS  PubMed  Google Scholar 

  17. Cindolo L, Castellan P, Scoffone CM, Cracco CM, Celia A, Paccaduscio A, Schips L, Proietti S, Breda A, Giusti G (2016) Mortality and flexible ureteroscopy: analysis of six cases. World J Urol 34(3):305–310. https://doi.org/10.1007/s00345-015-1642-0

    Article  PubMed  Google Scholar 

Download references

Funding

This research did not receive any specific grants from any funding agencies in the public, commercial or non-for-profit sectors.

Author information

Authors and Affiliations

  1. Department of Urology, University Hospital of Patras, Patras, Greece

    P. Kallidonis, A. Vagionis, K. Adamou, K. Pagonis, P. Ntasiotis, G. A. Callas & E. Liatsikos

  2. Department of Anesthesiology and ICU, University Hospital of Patras, Patras, Greece

    T. Vrettos & L. Tanaseskou

  3. Department of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Kingdom of Saudi Arabia

    A. M. Al Aown

Authors
  1. P. Kallidonis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Vagionis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Vrettos
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Adamou
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. K. Pagonis
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. P. Ntasiotis
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. G. A. Callas
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. L. Tanaseskou
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. A. M. Al Aown
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. E. Liatsikos
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

CA, AAA, GAC, PN, KP, LT, and TV: data collection; PK: project development, data collection, data analysis; EL: project development; AV: data collection, data analysis, manuscript writing.

Corresponding author

Correspondence to P. Kallidonis.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The data were retrospectively collected.

Research involving human participants and/or animals

This article does not contain any studies with animals performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kallidonis, P., Vagionis, A., Vrettos, T. et al. Non papillary mini-percutaneous nephrolithotomy: early experience. World J Urol 39, 1241–1246 (2021). https://doi.org/10.1007/s00345-020-03267-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00345-020-03267-z

Keywords

Search

Navigation