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1. Clinical comparison of lateral supine position mini-percutaneous nephrolithotomy and anatrophic nephrolithotomy in the treatment of complete staghorn renal calculi

Author

Bo Chen, Min Wang, Zongping Chen, Ningrui Pan, Xu He, Bengen Li, Congcong Chen, Zidong Zhou, Wei Cui, Peng Zhang, Qixu Ren, and Youzhuang Zhong

Subjects
Staghorn renal calculi, Percutaneous nephrolithotomy, Anatrophic nephrolithotomy, Curative effect evaluation, Diseases of the genitourinary system. Urology, RC870-923
Abstract

Abstract Background At present, the guidelines for urology recommend percutaneous nephrolithotomy (PCNL) as the preferred treatment for staghorn renal calculi (SRC). However, for complete SRC, it has been questioned by clinicians and patients due to high residual stone rate, complications, repeated hospitalizations and high treatment cost. Anatrophic nephrolithotomy (ANL) is a traditional and classic method for the treatment of SRC. Due to its high trauma and high technical requirements, it is difficult to carry out in primary hospitals, and gradually replaced by PCNL. The purpose of this study is to compare the efficacy of PCNL and ANL in the treatment of complete SRC. Methods Overall, 238 patients with complete SRC were divided into mini-PCNL in lateral supine position group, (n = 190) and ANL group (n = 94) according to treatment for a retrospective cohort study. The calculi parameters, renal function index, comorbidities of calculi, surgical complications, length and frequency of hospitalization, treatment costs, results of postoperative satisfaction survey were compared between the two groups. Results The risk of the residual stone rate after mini-PCNL in lateral supine position was 239 times (OR = 238.667, P

Published
2024
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2. The effect of perirenal puncture and drainage with urokinase treatment of perirenal hematoma complicated by infection: Two cases’ report

Author

Tiancai Liang, Bengen Li, Xiaoguang Li, and Daobing Li

Subjects
medicine.medical_specialty, Immunology, urokinase, case description, Kidney, Sepsis, Kidney Calculi, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Paracentesis, Immunology and Allergy, Clinical significance, cardiovascular diseases, perirenal hematoma puncture drainage, Drainage, Letter to the Editor, urinary tract calculi, Upper urinary tract, Pharmacology, Urokinase, Hematoma, Septic shock, business.industry, Renal morphology, medicine.disease, Shock, Septic, Urokinase-Type Plasminogen Activator, infection, Anti-Bacterial Agents, Surgery, body regions, perirenal hematoma, surgical procedures, operative, 030220 oncology & carcinogenesis, Urinary Tract Infections, cardiovascular system, Perirenal hematoma, Gentamicins, business, 030215 immunology, medicine.drug
Abstract

The aim of this study was to discuss the clinical significance of perirenal puncture and drainage with urokinase treatment of perirenal hematoma complicated by infection following surgery for upper urinary tract calculi. Two cases of perirenal hematoma complicated by infection following surgery for upper urinary tract calculi in 2017, and later received perirenal puncture and drainage of perirenal hematoma with urokinase treatment were selected. Puncture and drainage of perirenal hematoma with urokinase treatment were performed without the occurrence of severe complications such as sepsis, septic shock, or secondary bleeding. Both the renal morphology and functions were well restored. Puncture and drainage with urokinase treatment had definite efficacy in the treatment of perirenal hematoma complicated by infection.

Published
2019

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