Table 2.
PCNL technique | Indication | Stone free rate | Blood transfusion | Limitations | Fragmentation device |
---|---|---|---|---|---|
Standard PCNL (24–30F) | Large stones – any size (staghorn stones) | High SFR (depending on stone complexity) | 3–6% | Increased risk with multiple tracts | Pneumatic or ultrasound or laser |
Mini PCNL (14–20F) | Large stones | High SFR (depending on stone complexity) | 1–2% | Longer operative time for larger stones (compared with standard PCNL) | Pneumatic or Ultrasound or Laser |
Ultra-mini (UMP) PCNL (11–13F) | Stones up to 2 cm | 85–92% | Transfusion – not reported | Able to remove small fragments only | Laser |
Micro PCNL (4.8F) | Stones up to 1.5 cm | 85–90% | Transfusion – not reported | Unable to remove fragments | Laser |
PCNL, percutaneous nephrolithotomy; SFR, stone free rates.