Puncture access with a new atraumatic needle MG for mini-percutaneous nephrolithotomy
- Authors: Kalinin N.E.1, Ali S.K.1, Dymov A.M.1, Chichenov D.V.1, Akopyan G.N.1, Gazimiev M.A.1,2
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Affiliations:
- Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University
- National Medical Research Center of Urology on Urology
- Issue: No 1 (2023)
- Pages: 71-75
- Section: Endourology
- URL: https://journals.eco-vector.com/1728-2985/article/view/325745
- DOI: https://doi.org/10.18565/urology.2023.1.71-75
- ID: 325745
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Abstract
Introduction. An important aspect of the prevention of complications in percutaneous nephrolithotomy (PCNL) is to reduce the likelihood of injury to the adjacent structures and perirenal tissues.
Aim. To determine the efficiency and safety of renal puncture during mini-PCNL with a new atraumatic needle MG.
Materials and methods. A total of 67 patients who underwent mini-percutaneous nephrolithotomy at the Institute of Urology and Human Reproductive Health of Sechenov University were included in the prospective study. For the purpose of homogeneity of the groups, those with staghorn nephrolithiasis, nephrostomy, a history of prior kidney surgery (including PCNL), renal and collecting system anomalies, acute pyelonephritis, and blood clotting disorders were not included. The main group consisted of 34 (50.7%) patients who underwent atraumatic kidney puncture with a new needle MG (MIT, Russia), while in the control group there were 33 (49.3%) patients, who underwent standard puncture with Chiba or Troakar needles (Coloplast A/S, Denmark). The outer diameter of all needles was 18 G.
Results. In patients with a standard access, a hemoglobin decrease in the early postoperative period was more pronounced (p=0.024). The incidence of complications according to the Clavien-Dindo classification did not differ significantly (p=0.351), however, a JJ stent was placed in two patients from the control group due to impaired urine flow and the development of urinoma.
Conclusion. Together with a similar stone-free rate, atraumatic needle allows to reduce a hemoglobin drop, as well as less development of severe complications.
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About the authors
N. E. Kalinin
Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University
Author for correspondence.
Email: gazimiev@yandex.ru
Ph.D. student
Russian Federation, MoscowS. Kh. Ali
Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University
Email: gazimiev@yandex.ru
Ph.D., urologist
Russian Federation, MoscowA. M. Dymov
Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University
Email: gazimiev@yandex.ru
Ph.D., urologist
Russian Federation, MoscowD. V. Chichenov
Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University
Email: gazimiev@yandex.ru
Ph.D., urologist
Russian Federation, MoscowG. N. Akopyan
Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University
Email: gazimiev@yandex.ru
MD, Ph.D., professor
Russian Federation, MoscowM. A. Gazimiev
Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University; National Medical Research Center of Urology on Urology
Email: gazimiev@yandex.ru
Ph.D., MD, Professor, Deputy Director on Science of the Institute for Urology and Human Reproductive Health
Russian Federation, Moscow; MoscowReferences
- Fisang C., Anding R., Müller S.C., Latz S., Laube N. Urolithiasis-an interdisciplinary diagnostic, therapeutic and secondary preventive challenge. Dtsch Arztebl Int. 20156;112(6):83–91.
- Apolihin O.I., Sivkov A.V., Komarova V.A., Prosyannikov M.Yu., Golovanov S.A., Kazachenko A.V., Nikushina A.A., Shaderkina V.A. Urolithiasis in the Russian Federation (2005-2016). Experimental and clinical urology. 2018;(4):4–14. Russan (Аполихин О.И., Сивков А.В., Комарова В.А., Просянников М.Ю., Голованов С.А., Казаченко А.В., Никушина А.А., Шадеркина В.А. Заболеваемость мочекаменной болезнью в Российской Федерации (2005–2016). Экспериментальная и клиническая урология. 2018;(4):4–14).
- Gadzhiev N., Prosyannikov M., Malkhasyan V., Akopyan G., Somani B., Sivkov A., Apolikhin O., Kaprin A. Urolithiasis prevalence in the Russian Federation: analysis of trends over a 15-year period. World J Urol. 2021;39(10):3939–3944.
- Fernström I., Johansson B. Percutaneous Pyelolithotomy. Scandinavian Journal of Urology and Nephrology. 1976;10(3):257–279.
- Türk C., Petřík A., Sarica K., Seitz C., Skolarikos A., Straub M., Knoll T. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016 Mar;69(3):475–482.
- Seitz C., Desai M., Häcker A., Hakenberg O.W., Liatsikos E., Nagele U., Tolley D. Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol. 2012;61(1):146–158.
- Helal M., Black T., Lockhart J., Figueroa T.E. The Hickman peel-away sheath: alternative for pediatric percutaneous nephrolithotomy. J Endourol. 1997;11(3):171–172.
- Zeng G., Cai C., Duan X., Xu X., Mao H., Li X., Nie Y., Xie J., Li J., Lu J., Zou X., Mo J., Li C., Li J., Wang W., Yu Y., Fei X., Gu X., Chen J., Kong X., Pang J., Zhu W., Zhao Z., Wu W., Sun H., Liu Y., la Rosette J. de. Mini Percutaneous Nephrolithotomy Is a Noninferior Modality to Standard Percutaneous Nephrolithotomy for the Management of 20-40mm Renal Calculi: A Multicenter Randomized Controlled Trial. Eur Urol. 2021;79(1):114–121.
- Ruhayel Y., Tepeler A., Dabestani S., MacLennan S., Petřík A., Sarica K., Seitz C., Skolarikos A., Straub M., Türk C., Yuan .Y, Knoll T. Tract Sizes in Miniaturized Percutaneous Nephrolithotomy: A Systematic Review from the European Association of Urology Urolithiasis Guidelines Panel. Eur Urol. 2017;72(2):220–235.
- Sharma G., Sharma A., Devana S.K., Singh S.K. Mini Versus Standard Percutaneous Nephrolithotomy for the Management of Renal Stone Disease: Systematic Review and Meta-analysis of Randomized Controlled Trials. Eur Urol Focus. 2021;S2405–4569(21)00194-2.
- Ovalle W.K., Nahirney P.C. Netter’s Essential Histology. 2nd ed. Canada: Saunders; 2013. 357–380, 536 p. (Netter Basic Science).
- Mahaffey K.G., Bolton D.M., Stoller M.L. Urologist directed percutaneous nephrostomy tube placement. J Urol. 1994;52(6 Pt 1):1973–1976.
- Glybochko P.V., Alyaev Y.G., Bezrukov E.A,. Sirota E.S., Pesegov S.V., Proskura A.V. 3D-technology as an element of planning, effective implementation and surgical simulation training in staghorn nephrolithiasis management. Urologiia. 2015;(3):105–108. Russian (Глыбочко П.В., Аляев Ю.Г., Безруков Е.А., Сирота Е.С., Песегов С.В., Проскура А.В. 3D-технологии как элемент планирования, реального осуществления, а также симуляции оперативного пособия при коралловидном нефролитиазе. Урология. 2015;(3):105–108).
- Louie M.K., McDougall E.M. Endoscopic Guidance for Percutaneous Renal Access. Smith’s Textbook of Endourology. 2012;200–205.
- Nguyen D.-D., Luo J.W., Tailly T., Bhojani N. Percutaneous Nephrolithotomy Access: A Systematic Review of Intraoperative Assistive Technologies. J Endourol. 2019;33(5):358–368.
- Redeker A.G., Karvountzis G.G., Richman R.H., Horisawa M. Percutaneous transhepatic cholangiography. An improved technique. JAMA. 1975;231(4):386–387.
- Kalinin N.E., Lerner J.V., Mikhailov V.Y., Gazimiev M.A. A novel atraumatic puncture needle MG. Results of a comparative morphological study. Urologiia. 2021;(6):40–46. Russian (Калинин Н.Е., Лернер Ю.В., Михайлов В.Ю., Газимиев М.А. Новая малотравматичная пункционная игла MG. Результаты сравнительного морфологического исследования. Урология. 2021;(6):40–46).
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