Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (10): 46-50.doi: 10.6040/j.issn.1671-7554.0.2023.0827

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Efficacy of nonsynchronous CT-assisted localization combined with ultrasound localized minimally invasive percutaneous nephrolithotomy under local anesthesia for upper urinary calculi

ZHANG Yingchen1, ZHAO Shuai1, SUN Hao1, BI Wenhao1, WU Zhiqiang1, CHENG Xiaojian1, JIANG Licheng2   

  1. 1.Department of Urology, Zibo 148 th Hospital, Zibo 255300, Shandong, China;
    2. Department of Urology, The NO. 960 Hospital of PLA, Jinan 250031, Shandong, China
  • Published:2023-11-08

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Abstract: Objective To investigate the value of nonsynchronous CT-assisted localization combined with ultrasound localized minimally invasive percutaneous nephrolithotomy(MPCNL)under local anesthesia in the treatment of upper urinary calculi. Methods A total of 259 sides in 244 cases of upper urinary calculi underwent CT scan localization to simulate intraoperative posture before operation, and MPCNL was then successfully performed under local anesthesia. Visual analog scale(VAS), stone-free rate and complications were recorded. Results All cases were operated under satisfactory local anesthesia. The VAS was 1-3 in 112 cases(45.9%), 4-6 in 117 cases(48%), and 7-9 in 15 cases(6.1%). Percutaneous puncture channels were successfully established in all patients. The operation time was 40-160 min, with an average of 92 min. The stone-free rate reached 88.8%(230/259)in all cases, 98.1%(102/104)in the upper ureteral calculi group, 93.9%(62/66)in the single renal calculi group, and 74.2%(66/89)in the complex renal calculi group. After operation, active bleeding occurred in 2 cases. No severe complications such as injury of liver, spleen, thorax or intestines were observed. The length of hospital stay was 5-15 d, with an average of 8.6 d. Conclusion Nonsynchronous CT-assisted localization combined with ultrasound localized MPCNL under local anesthesia is simple, safe, economical and effective, which justifies promotion in clinical practice.

Key words: Local anesthesia, Minimally invasive percutaneous nephrolithotomy, CT scan, Ultrasound guiding, Upper urinary calculi

CLC Number: 

  • R692.4
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