Minimally invasive surgery for kidney stones

Aug 29, 2022

1, mild trauma, less bleeding, low complications

Minimally invasive percutaneous nephrolithotomy is 12-20F less expansive than conventional percutaneous nephrolithotomy. Therefore, minimally invasive percutaneous nephrolithotomy can reduce the trauma to the minimum, with the shortest expansion channel from skin to renal parenchyma puncture and small expansion channel, so there is less bleeding during the operation and postoperative bleeding, and generally no blood transfusion is needed.

2. The operation has a wide range of indications

The use of minimally invasive nephroscope or ureteroscope can reach the renal pelvis, the upper part of the ureter and most of the calyces due to the fine scope, large range of swing and rotation after entering the scope, and even can enter the small calyces through the narrow calyceal neck, so the stone clearance rate is high. The surgical indications are broader than those of traditional percutaneous nephrolithotomy. However, kidney stones requiring open surgery are all indications. Even stones that are difficult to be treated by open surgery, such as recurrent stones, renal calyceal stones with calyceal and neck stenosis, diverticular stones, and severe stones after extracorporeal shock wave lithotripsy, can be treated by minimally invasive percutaneous nephrolithotomy.

3. Routine one-stage operation can shorten the hospital stay

Minimally invasive percutaneous nephrolithotomy is a one-stage lithotomy. It is easy to be accepted by patients because of small trauma, less bleeding, low complications, high stone clearance rate, simple operation, shortened operation time, quick postoperative recovery, short hospital stay.

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