Abstract：Objective: To investigate the feasibility and safety of ultra-mini percutaneous nephrolithotomy (PCNL) in day surgery mode. Methods: The clinical data of patients with renal calculi or upper ureteral calculi treated by ultra-mini PCNL from June 2015 to March 2019 were retrospectively analyzed. There were 287 cases in day surgery group and 75 cases in inpatient group. There was no significant difference in sex, age, stone size and hydronephrosis between the two groups. The stone-free rate, operating time, hospital stay, medical cost, complications and re-admission rate were compared. Results: The mean hospital stay in day surgery group was significantly shorter than that in inpatient group [(1.2±0.8) vs. (2.6±0.9) d (P < 0.05)]. Similarly, the mean medical cost in day operation group was markedly lower than that in inpatient group [(12 623.8±3 141.4） vs. (13 725.7±1 690.4) yuan (P < 0.05)]. The stone-free rate was 85.4% in day surgery group and 93% in inpatient group. There was no significant difference between the two groups (P > 0.05). There was no significant difference between the two groups in the mean operating time, the hemoglobin drop, the percentage of tubelessness or total tubelessness, visual analog scale and incidence of complications (P > 0.05). The re-admission rate in day surgery group was comparable with that in inpatient group (2.1% vs. 2.7%, P > 0.05). Conclusions: Ultra-mini PCNL in day surgery mode is safe and feasible, which can effectively shorten hospital stay and reduce medical costs. Strict screening of suitable patients, effective implementation of enhanced recovery after surgery, operation by experienced doctors, fine perioperative management by anesthesia and nursing team are the strong guarantee for successful ultra-mini PCNL in day surgery mode.
宣寒青, 陈奇, 杜柘彬, 仲海, 曹炀, 夏磊, 薛蔚. 日间手术模式下开展超细经皮肾镜取石术的可行性及安全性分析[J]. 微创泌尿外科杂志, 2020, 9(4): 234-239.
XUAN Hanqing, CHEN Qi, DU Zhebin, ZHONG Hai, CAO Yang, XIA Lei, XUE Wei. Feasibility and safety of ultra-mini percutaneous nephrolithotomy in day surgery mode. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(4): 234-239.
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