Skip to main content
SpringerLink
Log in

Assessment of the SonixGPS system for its application in real-time ultrasonography navigation-guided percutaneous nephrolithotomy for the treatment of complex kidney stones

  • Original Paper
  • Published:
Urolithiasis Aims and scope Submit manuscript

Abstract

SonixGPS is a novel real-time ultrasonography navigation technology, which has been demonstrated to promote accuracy of puncture in surgical operations. The aim of this study is to evaluate its application in guiding the puncture during percutaneous nephrolithotomy (PCNL). We retrospectively reviewed our experience in treating a total of 74 patients with complex kidney stones with PCNL, in which puncture in 37 cases were guided by SonixGPS system, while the other 37 by conventional ultrasound. The effectiveness of operation was evaluated in terms of stone clearance rate, operation time, time to successful puncture, number of attempts for successful puncture and hospital stay. The safety of operation was examined by evaluating postoperative complications. Our retrospective review showed that although there were no significant differences in stone clearance rates between the groups, SonixGPS guidance resulted in more puncture accuracy with shorter puncture time and higher successful puncture rate. Under the help of SonixGPS, most patients (92 %) had no or just mild complications, compared to that (73 %) in conventional ultrasound group. Post-operative decrease of hemoglobin in SonixGPS group was 13.79 (7–33) mg/dl, significantly lower than that 20.97 (8–41) mg/dl in conventional ultrasound group. Our experience demonstrates that SonixGPS is superior to conventional ultrasound in guiding the puncture in PCNL for the treatment of complex kidney stone.

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

SonixGPS:

A real-time ultrasound navigation guidance technology

SonixGPS-PCNL:

Real-time ultrasound navigation technology guided percutaneous nephrolithotomy

C-PCNL:

Conventional ultrasound-guided percutaneous nephrolithotomy

CT:

Computed tomography

BMI:

Body mass index

KUB:

Plain abdominal film (including the kidney, ureter and bladder)

References

  1. Abdelhafez MF, Bedke J, Amend B et al (2012) Minimally invasive percutaneous nephrolitholapaxy (PCNL) as an effective and safe procedure for large renal stones. BJU Int 110:1022–1026

    Article  Google Scholar 

  2. Akman T, Sari E, Binbay M et al (2010) Comparison of outcomes after percutaneous nephrolithotomy of staghorn calculi in those with single and multiple accesses. J Endourol 24:955–960

    Article  PubMed  Google Scholar 

  3. Ozturk U, Sener NC, Goktug HN, Nalbant I, Gucuk A, Imamoglu MA (2013) Comparison of percutaneous nephrolithotomy, shock wave lithotripsy, and retrograde intrarenal surgery for lower pole renal calculi 10–20 mm. Urol Int 91:345–349

    Article  PubMed  Google Scholar 

  4. Tyson MD, Humphreys MR (2014) Postoperative complications after percutaneous nephrolithotomy: a contemporary analysis by insurance status in the United States. J Endourol 28:291–297

    Article  PubMed  Google Scholar 

  5. Tzeng BC, Wang CJ, Huang SW, Chang CH (2011) Doppler ultrasound-guided percutaneous nephrolithotomy: a prospective randomized study. Urology 78:535–539

    Article  PubMed  Google Scholar 

  6. Xu Y, Wu Z, Yu J et al (2012) Doppler ultrasound guided percutaneous nephrolithotomy with two-step tract dilation for management of complex renal stones. Urology 79:1247–1251

    Article  PubMed  Google Scholar 

  7. Brinkmann S, Tang R, Sawka A, Vaghadia H (2013) Single-operator real-time ultrasound-guided spinal injection using SonixGPS: a case series. Can J Anaesth 60:896–901

    Article  PubMed  Google Scholar 

  8. Wong SW, Niazi AU, Chin KJ, Chan VW (2013) Real-time ultrasound guided spinal anesthesia using the SonixGPS needle tracking system: a case report. Can J Anaesth 60:50–53

    Article  PubMed  Google Scholar 

  9. Brinkmann S, Vaghadia H, Sawka A, Tang R (2013) Methodological considerations of ultrasound-guided spinal anesthesia using the Ultrasonix GPS needle tracking system. Can J Anaesth 60:407–408

    Article  PubMed  Google Scholar 

  10. Rodrigues PL, Vilaca JL, Oliveira C et al (2013) Collecting system percutaneous access using real-time tracking sensors: first pig model in vivo experience. J Urol 190:1932–1937

    Article  PubMed  Google Scholar 

  11. Li X, Long Q, Chen X, Dalin H, He H (2014) Real-time ultrasound guided PCNL using a novel SonixGPS needle tracking system. Urolithiasis 42:341–346

    Article  CAS  PubMed  Google Scholar 

  12. Li R, Li T, Qian X, Qi J, Wu D, Liu J (2015) Real-time ultrasonography-guided percutaneous nephrolithotomy using SonixGPS navigation: clinical experience and practice in a single center in China. J Endourol 29:158–161

    Article  PubMed  Google Scholar 

  13. Rssweiler JJ, Renner C, Eisenberger F (2000) The management of complex renal stone. BJU Int 86:919–928

    Article  Google Scholar 

  14. Kadlec AO, Creco KA, Fridirici ZC, Hart ST, Vellos TG, Tur TM (2013) Comparison of complication rates for unilateral and bilateral percutaneous nephrolithotomy (PCNL) using modified Clavien grading system. BJU Int 111:243–248

    Article  Google Scholar 

  15. Lu MH, Pu XY, Gao X, Zhou XF, Qiu JG, Si-Tu J (2010) A comparative study of clinical value of single B-mode ultrasound guidance and B-mode combined with color Doppler ultrasound guidance in mini-invasive percutaneous nephrolithotomy to decrease hemorrhagic complications. Urology 76:815–820

    Article  PubMed  Google Scholar 

  16. Yan S, Xiang F, Yongsheng S (2013) Percutaneous nephrolithotomy guided solely by ultrasonography: a 5-year study of > 700 cases. BJU Int 112:965–971

    PubMed  Google Scholar 

  17. Wang Y, Jiang F, Wang Y et al (2012) Post percutaneous nephrolithotomy septic shock and severe hemorrhage: a study of risk factors. Urol Int 88:307–310

    Article  CAS  PubMed  Google Scholar 

  18. Agarwal M, Agrawal MS, Jaiswal A, Kumar D, Yadav H, Lavania P (2011) Safety and efficacy of ultrasonography as an adjunct to fluoroscopy for renal access in percutaneous nephrolithotomy (PCNL). BJU Int 108:1346–1349

    Article  PubMed  Google Scholar 

Download references

Author information

Author notes

    Authors and Affiliations

    1. Department of Urology, First Affiliated Hospital, Medical School of Xi’an Jiaotong University, No. 277 Yanta West Road, Xi’an, 710061, Shaanxi, China

      Xiang Li, Qingzhi Long, Xingfa Chen, Dalin He & Hui He

    Authors
    1. Xiang Li
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. Qingzhi Long
      View author publications

      You can also search for this author in PubMed Google Scholar

    3. Xingfa Chen
      View author publications

      You can also search for this author in PubMed Google Scholar

    4. Dalin He
      View author publications

      You can also search for this author in PubMed Google Scholar

    5. Hui He
      View author publications

      You can also search for this author in PubMed Google Scholar

    Corresponding author

    Correspondence to Hui He.

    Ethics declarations

    Ethical statement

    This study has been approved by our institutional review board (IRB) and has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

    Conflict of interest

    There are no commercial relationships and interests in this manuscript. There is no conflict of interest in this manuscript.

    Additional information

    X. Li and Q. Long contributed equally to the work.

    Rights and permissions

    Reprints and permissions

    About this article

    Check for updates. Verify currency and authenticity via CrossMark

    Cite this article

    Li, X., Long, Q., Chen, X. et al. Assessment of the SonixGPS system for its application in real-time ultrasonography navigation-guided percutaneous nephrolithotomy for the treatment of complex kidney stones. Urolithiasis 45, 221–227 (2017). https://doi.org/10.1007/s00240-016-0897-2

    Download citation

    • Received:

    • Accepted:

    • Published:

    • Issue Date:

    • DOI: https://doi.org/10.1007/s00240-016-0897-2

    Keywords

    Search

    Navigation