caa a22 4500 606248471 CHVBK 20210128101350.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1043-4 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1043-4 Types of Renal Calculi and Management Regimen for Chinese Minimally Invasive Percutaneous Nephrolithotomy [Elektronische Daten] [Si-Ping Gu, Guo-Hua Zeng, Zhi-Yuan You, Yi-Jin Lu, Yun-Teng Huang, Qing-Mao Wang, Zhao-Hui He] Strict selection of patients for minimally invasive percutaneous nephrolithotomy could effectively improve the success rate of surgery. This study aimed to understand the required skills and the efficacy of mini-PCNL in the treatment of five types of upper ureteral calculi. Data collected after X-ray analysis and B mode ultrasound from 633 patients with upper ureteral and renal pelvis calculi who underwent B ultrasound-guided lithotomy was reviewed, including the following: type I, upper ureteral or renal pelvis calculi with moderate hydronephrosis (154 cases); type II, upper ureteral or renal pelvis calculi with severe hydronephrosis (157 cases); type III, upper ureteral or renal pelvis calculi without hydronephrosis (61 cases); type IV, renal pelvis calculi, one or two renal calyx calculi (206 cases); and type V, renal staghorn calculi (55 cases). Operations on 611 cases were successful. The treatment method for five patients was converted to open surgery. Twelve cases were treated by indwelling double-J tube retro-catheterization and extracorporeal shock wave lithotripsy. Five patients gave up the treatment. The rate of calculus clearance was 82.3%, and the rate of residual calculus was 17.6%. Selective renal artery embolization was performed in nine cases. Hydropneumothorax occurred in nine cases. No intestinal fistula occurred, and no patient had to undergo nephrectomy. The difficulty and the curative effect of the operation were different because the types of calculi varied. Selection of the procedure based on the different types of calculi could effectively improve the success rate of the procedure, reduce complications, and shorten the learning curve. Association of Surgeons of India, 2014 Minimally invasive nephrolithotomy nationallicence Types of calculus nationallicence Upper ureteral and renal calculi nationallicence Renal staghorn calculi nationallicence Hydronephrosis nationallicence Gu Si-Ping Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road Yangpu District, 200092, Shanghai, China aut Zeng Guo-Hua Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut You Zhi-Yuan Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road Yangpu District, 200092, Shanghai, China aut Lu Yi-Jin Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut Huang Yun-Teng Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut Wang Qing-Mao Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road Yangpu District, 200092, Shanghai, China aut He Zhao-Hui Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 872-876 0972-2068 77<872 2015 77 12262 https://doi.org/10.1007/s12262-014-1043-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1043-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gu Si-Ping Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road Yangpu District, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Zeng Guo-Hua Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut NATIONALLICENCE 700 1- You Zhi-Yuan Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road Yangpu District, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Lu Yi-Jin Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut NATIONALLICENCE 700 1- Huang Yun-Teng Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut NATIONALLICENCE 700 1- Wang Qing-Mao Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road Yangpu District, 200092, Shanghai, China aut NATIONALLICENCE 700 1- He Zhao-Hui Department of Minimally Invasive Surgery, Shishi Hospital, 362700, Shishi, Fujian Province, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 872-876 0972-2068 77<872 2015 77 12262