OUTCOMES OF RENAL STONES 3–5 CM IN SIZE TREATMENT USING MINI-PERCUTANEOUS NEPHROLITHOTRIPSY AT THE MILITARY HOSPITAL 103

Đức Phúc Lê, Phú Việt Nguyễn, Khánh Nguyễn, Hoàng Anh Trần

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Abstract

Objective: To evaluate the outcomes of mini-percutaneous nephrolithotripsy (mini-PCNL) for the treatment of large renal stones (3–5 cm) at Military Hospital 103. Study Design: A prospective descriptive study was conducted on 57 patients with renal stones from July 2024 to May 2025 at Military Hospital 103. Results: The mean patient age was 58.3 ± 10.8 years, with a male-to-female ratio of approximately 2.2:1. Postoperative residual stone rate was 7.0%, and 19.3% of patients experienced Grade I complications according to the Clavien classification, primarily fever and postoperative infection (17.5%). The average postoperative blood loss follow Hemoglobin was 11.1 ± 1.4 g/L, with a statistically significant result (p < 0.05). Serum creatinine and urea levels decreased significantly after surgery compared to preoperative values. Conclusion: Mini-PCNL is efficacy and safety procedure for treatment of large renal stones (3-5cm), demonstrating reduced residual stone rates and fewer complications.

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References

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