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Experience of percutaneous nephrolithotomy with the creation of nephrostomy tract by plasma vaporization

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Abstract

Purpose

To share our 7-year experiences of a safe and effective method for tract creation in percutaneous nephrolithotomy (PCNL).

Methods

A total of 143 patients had received this kind of method for renal stone disease at our institute from May 2010 to December 2016. Finally, 130 patients with complete data were included. All patients underwent a bipolar resectoscope mounted with a plasma vaporization (PV) button electrode for tract creation. Data analysis included procedure time, length of hospital stays, blood transfusion rate, any early and late complications, renal function, and stone-free rate.

Results

The mean age of patients was 56.5 years (range 26–84 years). Noticeably, no blood transfusion was necessary in this series. Mean length of post-operative stay duration was 2.6 ± 1.1 days. The average operating time was 46 min. Stone-free rate was 93.3% in the non-staghorn calculi group. There was no significant difference in change in renal function after the operation (P = 0.884). All posto-perative complications were Clavien grade 1 including fever (16.9%) and urine leak (1.5%) etc. There was no major complication.

Conclusions

Based on zero blood transfusion rate, no major complication, and shorter post-operative stay duration (2.6 days), the PV technique is safe and effective for less blood loss in comparison with other techniques for creating the nephrostomy tract for PCNL.

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Acknowledgements

Partial presentation of the abstract as a poster presentation in Taiwan Urological Association (TUA) annually meeting [5]. We thank Chih-Yun Lin and the Biostatistics Center, Kaohsiung Chang Gung Memorial Hospital for statistics work.

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Authors and Affiliations

  1. Department of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City, 83301, Taiwan, ROC

    Yin-Lun Chang & Po-Hui Chiang

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  1. Yin-Lun Chang
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  2. Po-Hui Chiang
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Correspondence to Po-Hui Chiang.

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Conflict of interest

The authors declare that there is no conflict of interest regarding the publication of this paper.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.” “For this type of study formal consent is not required.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Chang, YL., Chiang, PH. Experience of percutaneous nephrolithotomy with the creation of nephrostomy tract by plasma vaporization. Int Urol Nephrol 50, 1591–1596 (2018). https://doi.org/10.1007/s11255-018-1949-z

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  • DOI: https://doi.org/10.1007/s11255-018-1949-z

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