[Treatment of upper urinary calculi with the PCNL technique (Experience of 20 years)].
OBJECTIVE
To sum up experience of 20 years for treating upper urinary calculi with percutaneous nephrolithotomy (PCNL) at our institute and assess the safety, feasibility and superiority of the technique.


METHODS
We retrospectively investigated 4,014 patients suffering from upper urinary calculi, who were treated with PCNL of 4,014 cases, traditional PCNL was performed in 358, two stage "mini perc" technique in 520 and minimally invasive PCNL in 3,136.


RESULTS
The success rates were 90%, 95% and 98%, the stone free rates were 82%, 86% and 91%. Major complications rates were 5.3%, 1.2% and 0.5%, respectively,with single tract in 3,027 cases and multiple tracts in 987 cases. A total of 5,571 PCNLs were performed in 4,014 patients.


CONCLUSIONS
By improvement and innovation of this technique, percutaneous nephrolithotomy can reach the high success rate and stone free rate, with less morbidity and wide clinical indications.
Li
Xun
X
Department of Urology, Minimally Invasive Surgery Center, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510230, China. gdgzlx@21cn.com
Zeng
Guo-hua
GH
Yuan
Jian
J
Wu
Kai-jun
KJ
Shan
Chi-chang
CC
Guo
Bin
B
Liang
Zhi-xiong
ZX
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D014545:Urinary Calculi / Q000628:therapy*