Application of intelligent wireless endoscopy in ultra-mini percutaneous nephrolithotomy

doi:10.3877/cma.j.issn.1674-3253.2025.06.008

Abstract

Abstract:

Objective

To explore the effects on clinical application of intelligent wireless endoscope in ultra-mini percutaneous nephrolithotomy.

Methods

The clinical data of 48 patients with upper urinary tract calculi who underwent ultra-mini percutaneous nephrolithotomy in Tongling People’s Hospital from June 2022 to December 2023 were retrospectively analyzed. According to the type of endoscopy used during the operation, patients were divided into observation group (intelligent wireless endoscopy group) and the control group (traditional high-definition endoscope group). There were 22 cases in the observation group and 26 cases in the control group. The connecting time of endoscopy, operation time, intraoperative blood loss, postoperative hospital stay, surgical complications, stone clearance rate and operator comfort score were compared between the two groups.

Results

All 48 operations were successfully completed without severe bleeding or interventional embolization. The preparation time of laparoscopic connection in the observation group was significantly shorter than the control group [(178.32±13.15)s vs (300.73±17.46)s, P<0.001]. There was no significant difference in operation time, intraoperative blood loss, postoperative hospital stay, surgical complications and stone clearance rate between the two groups (P>0.05). The operation comfort score of the observation group was significantly higher than that of the control group [(3.95±0.49) vs (2.85±0.37), P<0.001].

Conclusions

The application of intelligent wireless endoscopy combined with ultra-fine nephroscope in percutaneous nephrolithotomy shortens the preparation time of surgical instrument connection, improves operator comfort.

Key words: Calculi, Wireless intelligent endoscopy, Telemedicine, PCNL, Artificial intelligence

Zeping Zuo, Hongtao Yu, Jinhai Zhu, Junjie Qian, Xiumin Xu, Yixing Wang, Chaozhao Liang, Zongyao Hao. Application of intelligent wireless endoscopy in ultra-mini percutaneous nephrolithotomy[J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(06): 736-741.

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References 24

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组别	例数	性别（例）		年龄[岁，(±s)]	结石位置（例）		侧别（例）		结石最大径[cm，(±s)]	肾积水程度（例）
组别	例数	男	女	年龄[岁，(±s)]	输尿管上段	肾脏	左侧	右侧	结石最大径[cm，(±s)]	轻度	中度
观察组	22	12	10	56.14±12.77	13	9	11	11	2.13±0.26	10	12
对照组	26	14	12	55.35±14.40	15	11	12	14	2.08±0.35	13	13
统计值		χ²=0.002		t=0.199	χ²=0.010		χ²=0.071		t=0.516	χ²=0.099
P值		0.961		0.843	0.922		0.790		0.608	0.753

组别	例数	性别（例）		年龄[岁，(±s)]	结石位置（例）		侧别（例）		结石最大径[cm，(±s)]	肾积水程度（例）
组别	例数	男	女	年龄[岁，(±s)]	输尿管上段	肾脏	左侧	右侧	结石最大径[cm，(±s)]	轻度	中度
观察组	22	12	10	56.14±12.77	13	9	11	11	2.13±0.26	10	12
对照组	26	14	12	55.35±14.40	15	11	12	14	2.08±0.35	13	13
统计值		χ²=0.002		t=0.199	χ²=0.010		χ²=0.071		t=0.516	χ²=0.099
P值		0.961		0.843	0.922		0.790		0.608	0.753

组别	例数	腔镜连接时间[s，(±s)]	手术时间[min，(±s)]	术中出血量[ml，(±s)]	术后住院日[d，(±s)]	术后发热[例(%)]	术者操作舒适度评分[分，(±s)]	清石率[例(%)]
观察组	22	178.32±13.15	60.32±6.27	22.50±4.82	6.27±0.63	2（9.09）	3.95±0.49	21（95.45）
对照组	26	300.73±17.46	61.15±7.11	23.08±3.49	6.31±0.47	2（7.69）	2.85±0.37	24（92.31）
统计值		t=-27.012	t=-0.428	t=-0.480	t=-0.220	χ²=0.031	t=8.986	-
P值		<0.001	0.671	0.633	0.827	0.861	<0.001	>0.999

组别	例数	腔镜连接时间[s，(±s)]	手术时间[min，(±s)]	术中出血量[ml，(±s)]	术后住院日[d，(±s)]	术后发热[例(%)]	术者操作舒适度评分[分，(±s)]	清石率[例(%)]
观察组	22	178.32±13.15	60.32±6.27	22.50±4.82	6.27±0.63	2（9.09）	3.95±0.49	21（95.45）
对照组	26	300.73±17.46	61.15±7.11	23.08±3.49	6.31±0.47	2（7.69）	2.85±0.37	24（92.31）
统计值		t=-27.012	t=-0.428	t=-0.480	t=-0.220	χ²=0.031	t=8.986	-
P值		<0.001	0.671	0.633	0.827	0.861	<0.001	>0.999

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