Morozov A, Kalinin N, Androsov A, McFarland J, Scolarikos A, Saidian D, Gomez Rivas J, Somani B, Enikeev D, Glybochko P, Gazimiev M. A novel less-traumatic needle for kidney puncture: first clinical experience.
Int Urol Nephrol 2023:10.1007/s11255-023-03584-3. [PMID:
37204679 DOI:
10.1007/s11255-023-03584-3]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 03/30/2023] [Indexed: 05/20/2023]
Abstract
INTRODUCTION
To decrease complication rate, we developed a novel MG needle for kidney puncture consisting of a pointed cannula, an atraumatic mandrin-bulb and a spring mechanism pushing the mandrin-bulb forward.
AIM OF THE STUDY
To assess efficacy and safety of kidney puncture during percutaneous nephrolithotomy (PCNL) using a novel less-traumatic MG needle within a clinical trial.
MATERIALS AND METHODS
We conducted a prospective randomized single-center study. In the experimental group, kidney puncture was performed with a novel MG needle while in the control group, standard Trocar or Chiba puncture needles were used.
PRIMARY ENDPOINT
hemoglobin drop.
RESULTS
A total of 67 patients were enrolled. Patients who underwent standard puncture (n = 33) had higher hemoglobin drop in the early postoperative period (p = 0.024). Although there was no statistical difference in overall complication rate between the two groups (p = 0.351), two severe Clavien-Dindo IIIa complications with urinoma occurred in patients from the control group.
CONCLUSION
Less-traumatic needle for kidney puncture may reduce hemoglobin drop and prevent the development of severe complications. At the same time, in terms of stone-free rate (SFR), the efficacy of PCNL remains the same regardless of the needle used for renal access.
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