PD41-05 INITIAL CLINICAL EXPERIENCE OF MINI-PERCUTANEOUS NEPHROLITHOTOMY (PCNL) WITH URETEROSCOPIC (URS) LITHOTRIPSY AND SYNCHRONOUS PERCUTANEOUS EVACUATION OF FRAGMENTS USING A STEERABLE SUCTION DEVICE

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation II (PD41)1 Sep 2021PD41-05 INITIAL CLINICAL EXPERIENCE OF MINI-PERCUTANEOUS NEPHROLITHOTOMY (PCNL) WITH URETEROSCOPIC (URS) LITHOTRIPSY AND SYNCHRONOUS PERCUTANEOUS EVACUATION FRAGMENTS USING A STEERABLE SUCTION DEVICE Mihir Desai, Abhishek Singh, Arvind Ganpule, Ravindra sabnis, Mahesh and Jaime Landman DesaiMihir Desai More articles by this author , SinghAbhishek Singh GanpuleArvind Ganpule sabnis DesaiMahesh LandmanJaime View All Author Informationhttps://doi.org/10.1097/JU.0000000000002051.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: Current retrograde ureteroscopic stone management strategies are counterintuitive as irrigation disperses fragments during lithotripsy extraction. Inability contain extract dust URS leads low stone-free rates. antegrade Percutaneous Nephrolithotomy procedures (up 30 Fr) require rigid instrumentation for fragmentation suction. We present an innovative procedural concept that combines a novel percutaneous, flexible, steerable suction catheter paired with lithotripsy, along integrated fluid both report first-in-man feasibility data using system (developed Auris Health, Redwood City, CA). METHODS: The mini-PCNL were performed in modified supine lithotomy position. Following percutaneous access, 18Fr sheath was placed into the calyx. system’s 15 Fr inserted through sheath, used tower coordinate second physician ureteral access sheath. Simultaneously, extracted while attracting stabilizing these prevent retropulsion. RESULTS: Ten patients underwent procedure. Mean age 42±15 years, BMI 22±5.9 kg/m2, burden 19.5±7.4 mm. procedure time 61±26 minutes. technically successful, without device-related complications. Nine tubeless, 1 patient required nephrostomy tube due oozing There 4 Clavien complications (3 mild post-procedure fevers, transient positional injury). Stone-free rate 70% at 48 hours, 90% month, assessed thin slice CT imaging. CONCLUSIONS: This study demonstrates combining achieve simultaneous debris lithotripsy. approach resulted high single tract. work is underway perform robotically. Source Funding: Surgical © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e682-e682 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand Loading ...