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Published: 2026-06-16
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DOI: https://doi.org/10.52163/yhc.v67iCD6.5305
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T67 Số CĐ6-NCKH
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Articles
How to Cite
Khiết, P. V., Thảo, B. H., Bình, L. D., Luật, N. N., & Lương, P. T. (2026). RESULTS OF PERCUTANEOUS NEPHROLITHOTOMY VIA MICRO-TUNNEL (14 Fr), WITHOUT URETERAL CATHETER PLACEMENT, ULTRASOUND GUIDED PANUCLEAR PATHOLOGY CONVENIENT USE of HOLMIUM LASER ADJUSTED SAINT PAUL GENERAL HOSPITAL FROM 2023-2025. Vietnam Journal of Community Medicine, 67(CD6). https://doi.org/10.52163/yhc.v67iCD6.5305

RESULTS OF PERCUTANEOUS NEPHROLITHOTOMY VIA MICRO-TUNNEL (14 Fr), WITHOUT URETERAL CATHETER PLACEMENT, ULTRASOUND GUIDED PANUCLEAR PATHOLOGY CONVENIENT USE of HOLMIUM LASER ADJUSTED SAINT PAUL GENERAL HOSPITAL FROM 2023-2025

Pham Van Khiet1, Bui Hoang Thao1, Le Duy Binh1, Nguyen Ngoc Luat1, Pham Trung Luong1
1 Saint Paul General Hospital

Main Article Content

Abstract

Objectives: To evaluate the outcomes and safety of 14 Fr super-mini percutaneous nephrolithotomy performed without ureteral catheter placement, using ultrasound-guided access and Holmium laser lithotripsy at Saint Paul General Hospital.


Subjects and methods: A retrospective descriptive study was conducted on 120 patients who underwent 14 Fr super-mini percutaneous nephrolithotomy in the prone position from December 2023 to December 2025. The technique included no ureteral catheter placement, ultrasound-guided renal puncture, 14 Fr tract dilation, Holmium laser lithotripsy, no nephrostomy tube placement, and JJ sonde placement in all patients.


Results: The mean age was 48.9 ± 21.8 years (11-79 years old), with males accounting for 65%. The mean stone size was 24.7 ± 8.3 mm; the most common stone locations were the lower calyx (39.2%) and renal pelvis (32.5%). Renal access was achieved through the middle calyx in 47.5%, the lower calyx in 44.2%, and the upper calyx in 8.3%. The mean lithotripsy and stone extraction time was 32.8 ± 23.2 minutes. Intraoperative bleeding occurred in 1.7% and postoperative bleeding in 0.8% of patients, with no cases requiring blood transfusion or angioembolization. Postoperative fever was observed in 6.7% of cases; no sepsis or organ injury was recorded. The mean VAS score was 2.5 ± 1.1. Hemoglobin levels decreased from 139.6 ± 31.8 to 128.9 ± 27.2, while creatinine levels were 80.3 ± 41.8 preoperatively and 85.1 ± 35.7 postoperatively. The early stone-free rate was 95.0%, increasing to 97.7% at one-month follow-up. No patient required additional intervention. The mean hospital stay was 2.9 ± 1.7 days.


Conclusion: Ultrasound-guided 14 Fr super-mini percutaneous nephrolithotomy using Holmium laser at Saint Paul General Hospital achieved high stone-free rates, low complication rates, and short hospital stay, representing an effective and safe option for the management of renal stones measuring approximately 2-3 cm in clinical practice.

Article Details

Keywords

Super mini-percutaneous nephrolithotomy, Holmium laser, renal stones.

References

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