Mini-percutaneous nephrolithotomy versus Standard percutaneous nephrolithotomy: outcome and complications

Abstract Background Renal stones are a prevalent urological disorder with various treatment options, including minimally invasive techniques such as Standard-PCNL (S-PCNL) and Mini-percutaneous nephrolithotomy (M-PCNL). This study aims to compare the efficacy safety outcomes of M-PCNL S-PCNL for managing renal calculi. Methods randomized enrolled 60 patients stones, comparing (Group A) B) procedures. Preoperative assessments, surgical procedures, postoperative care were conducted, operating time, stone clearance, analgesic requirement, hospital stay evaluated. Data analysis was performed using SPSS software, comparisons between groups conducted Chi-square test Student t test. Results had longer operation time (133.73 ± 29.18 min) than (48.6 17.88 min, p = 0.009) but lower mean drop in hemoglobin levels (0.14 0.01 g/dL vs. 0.82 0.05 g/dL, 0.032). The success rates (stone-free rate) significantly different, 100% group 86.7% ( 0.040). Complications generally fewer group, fever 2 cases (M-PCNL) 8 mild collection 4 26 (S-PCNL). Conclusions is an effective safer method calculi smaller 3 cm, offering higher stone-free rate, pain, shorter stays compared S-PCNL. Despite times due fragmentation, has complications, bleeding rates, drop, leakage, can be ureteroscope when miniperc scope unavailable.