THE RESULTS OF PERCUTANEOUS NEPHROLITHOTRIPSY UNDER THE GUIDANCE OF THE C-ARM AND ULTRASOUND

Quang Trung Le1,, Huynh Tuan Tran1, Vu Dang Nguyen1, Trung Hieu Nguyen1, Vo Tan Phat Quach1, Thanh Binh Le1, Viet Thu Trang Nguyen1
1 Can Tho University of Medicine and Pharmacy

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Abstract

Background: Kidney stones are a common disease that can have a significant impact on one's health and society. It is also a disease with a recurrence risk of above 50%. Mini-percutaneous nephrolithotomy surgery is widely applied and gradually replacing classic open surgery in the treatment of kidney stones. Objective: To evaluate the results of the safety and effectiveness of kidney stone treatment using mini-percutaneous lithotripsy under the guidance of C-arm and ultrasound at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A cross- sectional description study on 48 patients with kidney stones ≥ 20mm in size at Can Tho University of Medicine and Pharmacy Hospital from November 2022 to September 2023. Results: There were 48 kidney stone cases treated with mini-percutaneous nephrolithotomy, with 28 males and 20 women with an average age of 52.8 (30– 80). The average stone size was 29.6 mm. The rate of puncture into the lower calyx was 54.2%, and the middle calyx was 45.8%. The average surgery time was 72.4 minutes. No complications were recorded during the surgery. 05 cases of postoperative complications (10.4%). The average hospital stay was 8.5 days. The rate of stone clearance early after surgery was 70.1%. Conclusion: Mini-percutaneous nephrolithotomy in the flank position under the guidance of the C-arm and ultrasound is a surgical method that ensures safety and effectiveness in treating kidney stones.

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References

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