Percutaneous laser mini nephrolithotomy in the treatment of renal lithiasis: Experience within the University Hospital of Fez (about 20 cases)

Othman Chama *, Musthapha Ahsaini, Soufiane Mellas, Jalal eddine El Ammari, Mohammed Fadl Tazi, Mohammed Jamal El Fassi and Moulay Hassan Farih

Department of urology, Hassan 2 University Hospital, University Sidi Moachammed Ben Abdellah, Morocco.
 
Research Article
World Journal of Advanced Research and Reviews, 2023, 18(01), 304–308
Article DOI: 10.30574/wjarr.2023.18.1.0604
 
Publication history: 
Received on 27 February 2023; revised on 07 April 2023; accepted on 10 April 2023
 
Abstract: 
Laser percutaneous mini-nephrolithotomy is a minimally invasive surgical technique, used mainly for the removal of upper renal and ureteral lithiasis
The objective of our work is to test the feasibility, efficacy and safety of this technique by comparing the results with those of standard NLPC, flexible uretero-nephroscopy and extracorporeal lithotripsy.
We report a retrospective study of 20 cases of laser mini-NLPC over a period from January 2022 to January 2023 in the urology department.
Mini-NLPC is as safe and effective as standard NLPC for the management of small and medium-sized (10-30 mm) kidney stones, including decreasing the rate of bleeding requiring transfusion and improving the rate of eradication of multiple stones... Although its use requires a longer operating time and has a slightly higher rate of postoperative fever, some of these features such as the length of hospital stay, the dose of postoperative analgesics make it a technique of choice.
 
Keywords: 
Urolithiasis; PCNL; Endoscopy; Valdivia modified
 
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