Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2024; 12(7): 1243-1250
Published online Mar 6, 2024. doi: 10.12998/wjcc.v12.i7.1243
Perioperative and long-term results of ultrasonography-guided single- and multiple-tract percutaneous nephrolithotomy for staghorn calculi
Rui-Xiang Cheng, Ni Dai, Yan-Min Wang, Pei Qi, Fen Chen
Rui-Xiang Cheng, Department of Urology, Wuhan Ninth Hospital, Wuhan 430081, Hubei Province, China
Ni Dai, Department of Urinary Pain, Wuhan Hankou Hospital, Wuhan 430000, Hubei Province, China
Yan-Min Wang, Pre-hospital Emergency Department, Wuhan Puren Hospital, Wuhan 430081, Hubei Province, China
Pei Qi, Department of Orthopedic Trauma Surgery, Wuhan Hankou Hospital, Wuhan 430000, Hubei Province, China
Fen Chen, Department of Ultrasound, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Wuhan 430015, Hubei Province, China
Co-first authors: Rui-Xiang Cheng and Ni Dai.
Author contributions: Cheng RX and Dai N designed and performed the experiments, and writing the manuscript; Wang YM, Qi P provided support for data analysis, resource, and discussion; Chen F provided the supervision, design and peer review process; all the authors have seen and approved the manuscript.
Institutional review board statement: This study protocol was approved by Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, and all the families have voluntarily participated in the study and have signed informed consent forms.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Fen Chen, MM, Attending Doctor, Department of Ultrasound, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, No. 11 Lingjiaohu Road, Jianghan District, Wuhan 430015, Hubei Province, China.
Received: October 23, 2023
Peer-review started: October 23, 2023
First decision: November 8, 2023
Revised: November 29, 2023
Accepted: January 17, 2024
Article in press: January 17, 2024
Published online: March 6, 2024
Processing time: 129 Days and 23.6 Hours
Research methods

In order to investigate the perioperative and long-term implications of ultrasound-guided percutaneous nephrolithotomy (PCNL), this study will examine the outcomes associated with both single and multi-channel surgical techniques.

Research objectives

To compare the perioperative and long-term outcomes of ultrasonography-guided single- and multiple-tract PCNL (M-PCNL) for the treatment of staghorn calculi.

Research motivation

Based on our findings, we propose S-PCNL as a viable and efficacious therapeutic approach for individuals diagnosed with staghorn calculi.

Research background

Single-pass PCNL is a common surgical procedure and is mainly used for the treatment of kidney stones. The procedure involves a small incision in the skin of the kidney area and then inserting the renoscope into the inside of the kidney. Nephoscopy is localized and broken into small pieces, and finally excreted from the body through urine.

Research conclusions

Single-pass PCNL exhibits superior outcomes in terms of expedited recovery time and diminished pain compared to conventional surgical approaches.

Research results

Our study revealed that ultrasound-guided PCNL offers several notable benefits, including reduced trauma, expedited recovery, and a high rate of stone clearance. Additionally, this procedure effectively mitigates the occurrence of complications.

Research perspectives

M-PCNL is typically reserved for patients with complex kidney stones that cannot be removed through less invasive methods.