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The Clinical Application of Puncture Frame in Establishing The Percutaneous Nephroscope Channel Guided by Ultrasound

Xiang-biao He, Yang-yang Liu, Gui-min Huang, Dan Du



Purpose: To investigate the clinical efficacy and safety of ultrasound-guided percutaneous nephrolithotomy(PCNL) assisted by a puncture frame. 

Materials and Methods: Clinical data of 106 patients with kidney stones who underwent ultrasound-guided percutaneous nephrolithotomy from October 2016 to December 2017 in our hospital were analyzed retrospectively. The channels were established by the assistance of the puncture frame. 

Results: The average puncture time was (35±18)s, the puncture was performed for (1.3±0.9) times on average. The puncture was successfully performed at one time in 73 cases. The operation time was (67.3±39.2)min, and the intraoperative blood loss was (48±22) ml. The stones were located on the left in 50 cases, and on the right in 56 cases, The channels were established through the upper, middle and lower calyces of the kidney in 78, 20, and 8 cases, respectively. The puncture sites were located on the upper and lower 12th rib in 81 v.s 25 cases. Intraoperative and postoperative blood transfusion was given in 4 cases, pleural injuries occurred in 2 patients, and hydropneumothorax occurred in one case and closed thoracic drainage was performed. The stone free rate after a single surgery was 87.7% (93/106). 

Conclusion: Establishing a percutaneous nephroscope channel under ultrasound-guided assisted by the puncture frame is an efficacious and safe approach.


Puncture frame; Ultrasound; Percutaneous nephroscope; Precise puncture; Complications.


Karamcheti A, O'Donnell WF. Percutaneous nephrolithotomy: an innovative extraction technique[J]. J Urol, 1977 ; 118 : 671-2.

Thomas Chi, Selma Masic, Jianxing Li, et al. Ultrasound guidance for renal tract acccess and dilation reduces radiation exposure during percutaneous nephrolithotomy[J]. Advances in Urology, 2016;2016:1-8.

Fang YQ, Wu JY, Li TC,et al. Computer tomography urography assisted real-time ultrasound-guided percutaneous nephrolithotomy on renal calculus[J]. Medicine. 2017;96(24):1-7.

Na Yanqun, Ye Zhangqun, Sun Yinghao, et al. Guidelines for the diagnosis and treatment of urological diseases in China 2014 [M]. Beijing: People's Medical Publishing House, 2014: 169- 170.

Xiao Longming, Yang Qiaozhi, Chen Jianfa, et al. Comparison of standard channels for percutaneous nephrolithotomy with balloon and fascia dilatation [J/CD]. Chinese Journal of Endoscopy and Urology: Electronic Edition, 2016, 10(4): 255 -258.

Dong Chuanjiang, Xie Zonglan, Zhang Lusheng, et al. Comparison of the efficacy of soft ureteroscopy and percutaneous nephrolithotomy in the treatment of renal calculi with a diameter of ≥ 2 cm [J]. Journal of Minimally Invasive Urology, 2016, 5(4): 196-198.

Hongshi Xu, Anna L Zisman, Fredric L Coe, et al. Kidney stones: an update on current pharmacological management and future directions[J]. Expert Opin Pharmacother, 2013, 14 (4), 435-447.

Chau HL, Chan HC, Li TB, et al. An innovative free-hand puncture technique to reduce radiation in percutaneous nephrolithotomy using ultrasound with navigation system under magnetic field: a single-center experience in Hong Kong[J]. J Endourol. 2016, 30(2): 160-4.

Jian Li, JiSheng Lin, JunChuan Xu, et al. A novel approach for percutaneous vertebroplasty based on preoperative computed tomography-based three-dimensional model design[J]. World Neurosurg. 2017; 105: 20-26.

Zheng Jianzhong, Liang Fulu, Fan Xianming, et al. Comparison of multi-channel percutaneous nephrolithotomy and single-channel percutaneous nephrolithotomy combined with ureteroscopy for the treatment of complex renal calculi[J]. Journal of Modern Urology, 2016, 21(8): 593-596.

Foo Cheong Ng, Wai Loon Yam, Tze Ying Benjamin Lim, et al. Ultrasound-guided percutaneous nephrolithotomy: Advantages and limitations[J]. Investig Clin Urol , 2017; 58: 346-352.

10. Zhao Huacai, Jia Li, Chen Yuangang, et al. Application of ultrasound localization in percutaneous nephrolithotomy[J]. Hainan Medical Journal, 2016, 27(6): 987-990.

Long Qingzhi, Li Xiang, He Dalin, et al. Complications and management of 1584 patients with renal and ureteral calculi treated with percutaneous nephrolithotomy[J]. Journal of Modern Urology, 2016, 21(7): 516-519 .

Chan CJ, Srougi V, Tanno FY, et al. Percutaneous puncture of renal calyxes guided by a novel device coupled with ultrasound[J]. Int Braz J Urol. 2015, 41(5): 953-8.

Li J, Xiao B, Hu W, et al. Complication and safety of ultrasound guided percutaneous nephrolithotomy in 8,025 cases in China[J].Chin Med J (Engl). 2014;127(24):4184-9.

Patel SR, Nakada SY. The modern history and evolution of percutaneous nephrolithotomy[J]. J Endourol. 2015;29(2):153-7.

Liu QM, Zhan XS, Wang YL, et al. The application of two point positioning puncture technique in percutaneous nephrolithotomy. Chin J Min Inv Surg[J], 2013;13:470-1.

Yu Weimin, Cao Jun, Zhai Yuan, et al. Ultrasound-guided “percutaneous renal pelvic-neck-two-step puncture method” to establish percutaneous renal channels [J/CD]. Chinese Journal of Endoscopy and Urology: Electronic Edition, 2016 , 10(3): 148-152.

Amirhassani S, Mousavi-Bahar SH, Iloon Kashkouli A, et al. Comparison of the safety and efficacy of one-shot and telescopic metal dilatation in percutaneous nephrolithotomy: a randomized controlled trial[J]. Urolithiasis, 2014;42:269-73.

Liu QM, Zhan XS, Wang YL, et al. The application of two point positioning puncture technique in percutaneous nephrolithotomy[J]. Chin J Min Inv Surg, 2013;13:470-1.

DOI: http://dx.doi.org/10.22037/uj.v0i0.5587


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