Ultrasound-guided mini-invasive percutaneous nephrolithotomy in treatment of severe spinal deformity with upper urinary tract calculi

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Author:
HE Zhao-hui(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
ZENG Guo-hua(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
CHEN Wen-zhong(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
WU Wen-qi(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
ZHONG Wen(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
YUAN Jian(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
SHAN Zhi-chang(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
LI Xun(Guangdong Key Laboratory of Urology, Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital, Guangzhou Medical College, Guangzhou 510230, China)
Journal Title:
Chinese Journal of Biomedical Engineering
Issue:
Volume 18, Issue 03, 2012
DOI:
10.3760/cma.j.issn.1674-1927.2012.03.013
Key Word:
Percutaneous nephrolithotomy;Surgical procedures,minimally invasive;Spinal

Abstract: Objective To evaluate the efficacy of mini- invasive percutaneous nephrolithotomy (MPCNL) in treatment of severe spinal deformity with upper urinary tract calculi.Methods Between August 2001 and February 2010,10 patients with severe spinal deformity(Cobb>90°) combined and upper urinary tract calculi (a total of 11 side kidneys) underwent ultrasound-guided MPCNL in our hospital.The postoperation hemorrhage and the injury of neighboring organs were observed before and after operation.Furthermore,the mean operation time and the decrease level of hemoglobin at 48 h after operation were recorded.The abdomen film and ultrasound were used to reexamine the removal of upper urinary tract calculi after operation.Follow-up was carried out in thcse patients,the time and recurrence of calculi were recorded.Results A total of 14 MPCNLs were performed in 11 side kidneys,including 10 times of single channel MPCNL and 4 times of double channel MPCNL.All the operations were successful with no complications such as hemorrhage or neighboring organ injury during and after operations.The mean operation time was (96±38) min,and the decrease of hemoglobin was (16±7) g/L at 48 h after operations.In postoperative reexamination,the abdomcn film and ultrasound showed that 1 l side upper urinary tract calculus were totally removed.In the iollow-up of (36±28) months,tthe recurreuce of lower caliceal stone was found in 1 case and no recurrence in the remaining 9 cases.Conclusion Ultrasound-guided MPCNL is safe and effective in treatment of severe spinal deformity with upper urinary tract calculi.

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