In situ Management of Large Upper Ureteric Calculus by Mini-Percutaneous Nephrolithotomy in the Era of Retrograde Intrarenal Surgery

Figures & data

Table 1 Results

Total no. of patients	77
Total no. of renal units	92
Laterality
Unilateral	62 (R: L – 34:28)
Bilateral	15
Mean Age	45.4±13.7 years
Male to Female ratio	61:16
Mean stone size	17.6±1.4 mm
Mean procedure time
Unilateral	52.9±5 minutes
Bilateral	71±4.6 minutes
Mean operative time
Unilateral	22.4±1.5 minutes
Bilateral	43.2±2.4
No of Punctures
Single
Calyx – Upper	11
Middle	52
Lower	27
Multiple	2
Discharge
Day care	88%
24 hours	12%
Stone clearance	98%
Complication rate	6.5%

Table 2 Comparison of Mini PCNL Studies

Variables	Present Study	Long et al^Citation7	Najar et al^Citation4	Murthy et al^Citation5
Stone Clearance Rate at discharge	98%	95.7%	86.7%	100%
Mean Operative Time (unilateral)	22 min	37 min	62 min	36 min
Hospital Stay	88% - Day care 12% - 24hrs	86 hours	67 hours	54 hours
Complications	6.5%	23.1%	25%	0

Long Q, Guo J, Xu Z, et al. Experience of mini-percutaneous nephrolithotomy in the treatment of large impacted proximal ureteral stones. Urol Int. 2013;90(4):384–388. doi:10.1159/00034366823635397

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Najar FA, Mir BY, Mir MA. Safety and efficacy of mini-percutaneous nephrolithotomy in the treatment of large impacted proximal ureteral stones. Int Surg J. 2019;6(2):518. doi:10.18203/2349-2902.isj20190395

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Murthy NR, Kumar JS, Tej PR, Srinivas B, Swapnil B, Reddy YA. Role of mini PCNL in the treatment of renal and upper ureteric calculus. J Evol Med Dent Sci. 2019;8(3):170–173. doi:10.14260/jemds/2019/37

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