Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangdong Key Laboratory of Urology, Guangzhou, China.
Curr Opin Urol. 2021 Mar 1;31(2):95-101. doi: 10.1097/MOU.0000000000000854.
The armamentarium of percutaneous nephrolithotomy (PCNL) and the strategy to perform the procedure is constantly evolving. The innovation and development in techniques lead to further miniaturization in PCNL devices and change the lithotripsy and stone removal strategy. Suctioning in PCNL offers urologist a new conception in renal stone management. The present review evaluates the latest results on efficacy, safety and feasibility of suctioning PCNL techniques.
Recent literature reported the outcomes of different suctioning PCNL techniques. Most of these studies demonstrated good efficacy when comparing conventional PCNL. Suctioning PCNL improving the lithotripsy efficiency to enhance the stone-free rate (SFR) and reducing renal pelvic pressure to attenuate postoperative infectious complications. The advantage of suction also helps overcome the limitation of potentially higher intrarenal pressure and prolonged operative time in Mini-PCNL.
PCNL with suctioning represents a valuable new tool in the armamentarium of modern endourologists. This innovative approach can offer improved safety and efficacy with lower complications rates and higher cost effectiveness than the traditional PCNL technique.
经皮肾镜碎石术（PCNL）的设备不断发展，手术策略也在不断演变。技术的创新和发展导致 PCNL 设备进一步小型化，并改变了碎石和取石策略。PCNL 中的抽吸为泌尿科医生提供了一种新的肾结石处理概念。本综述评估了抽吸式 PCNL 技术在疗效、安全性和可行性方面的最新结果。
最近的文献报道了不同抽吸式 PCNL 技术的结果。这些研究大多数都表明，与传统 PCNL 相比，抽吸式 PCNL 具有较好的疗效。抽吸式 PCNL 提高了碎石效率，提高了无石率（SFR），降低了肾盂压力，从而减轻了术后感染并发症。抽吸的优势还有助于克服 Mini-PCNL 中潜在更高的肾内压力和手术时间延长的限制。
抽吸式 PCNL 是现代腔内泌尿外科医生的一种有价值的新工具。与传统的 PCNL 技术相比，这种创新方法具有更高的安全性和疗效，并发症发生率更低，成本效益更高。
