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- W2365439993 abstract "[Objective] To evaluate the clinical effects and advantages of minimally invasive percutaneous nephrolithotomy with vacuum aspiration(VMPCNL) in the treatment of cata-staghorn renal calculi.[Methods] The clinical data of 60 cases(43 males and 17 females) treated by VMPCNL were retrospectively analyzed.There were mono-renal calculi in 55 patients,while the other 5 combined opposite side renal calculi.The diameter of calculi ranged from 4.0 to 6.5(mean=5.0) cm.There were 6 patients with a history of renal surgery,23 patients with combined urinary tract infection,and 8 patients of renal inadequacy.Puncturation was guided by B-type ultrasound.Lithotripsy by air pressure path lithotripter or holmium laser was done with vacuum aspiration when the pervium was established.Clinical data including operation time,stone free rate and complications were analyzed.[Results] The pervium in the 60 patients was successfully established by one-session puncturation with B-type ultrasonography guidance.Two patients performed phase-II lithotripsy,because they bleed significantly during puncturation.The operative time ranged from 120 to 260(mean=180) min.The amount of blood ranged from 50 to 300(mean=100) mL and no one needed blood transfusion.After operation 3 cases of hemorrhage and blood transfusion 200~800 mL;one case needed the treatment of renal artery branch interventional embolization.Calculus was completely removed in 52 patients in first-look VMPCNL,Calculi in 4 patients were completely removed among the 5 patients who underwent second-look VMPCNL.Left over calculi in 3 patients,2 cases after the first operation and 1 case after the second operation,they were treated by extracorporeal shock-wave lithotripsy(ESWL) and 1 was removed completely at last.Three patients had residual calculi.Five patients got fever after operation.All patients did not appear abdominal organ injury,pneumothorax,shock etc severe complications during operations.[Conclusion] VMPCNL is effective and with benefits of less trauma,shorter operative time,stone clearance rate,fewer complications,etc.It is an important option for cata-staghorn renal calculi." @default.
- W2365439993 created "2016-06-24" @default.
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- W2365439993 date "2011-01-01" @default.
- W2365439993 modified "2023-09-23" @default.
- W2365439993 title "Minimally invasive percutaneous nephrolithotomy with vacuum aspiration in the treatment of catastaghorn renal calculi" @default.
- W2365439993 hasPublicationYear "2011" @default.
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