Factors Affecting Success and Complication of Percutaneous Nephrolithotomy
Journal Title: Journal of Clinical and Analytical Medicine - Year 2012, Vol 3, Issue 2
Abstract
Aim: Percutaneous nephrolithotomy (PNL) is the first choice renal stones especially larger than 2 cm, and high success rates can be achieved after PNL. But several severe complications may be occurred. In this study, factors which affect the success rate and complications were investigated. Material and Method: Between July 2004 and August 2007, 176 patients (102 men/74 women) underwent PNL operation. Because of the bilateral renal stones PNL was performed in two separate sessions of 9 patients. Percutaneous access was doing in prone position. Factors affecting the success and complication data were collected. Results: Mean age was 47.6±10,7 (17%uFFFD76 year, median=47). Complete success rate was detected 77.8% with the direct X-rays taken in the first postoperative day. The success rate was up to 87% after the additional post-treatment therapy. Success rates were 83.1% for complex stones and 89.4% for simple stones (p <0.001). Stone size and location, percutaneous access number, surgical experience and the need for additional treatment as factors affecting the success rates were found to be statistically significant. The major and in minor complications were observed in 14.1% and 17.8%, respectively. One patient died in postoperative period. Major complications exitus (n: 1), bleeding requiring blood transfusion (n: 15), adjacent organ injury (n:2), Malekot catheter do not leave the kidney (n: 2) and one patient had non-functional kidney. Presence of great stone burden and complex stones, multiple access and access location as factors affecting the complications rates were found to be statistically significant. Discussion: Stone size and location, access number, the need for additional treatment and surgical experience can be listed as factors affecting the success of the PNL process. Especially in experienced hands it is possible to get good results with lower complication rates.
Authors and Affiliations
Soner Yalcınkaya, Mehmet Yücel, Namık Kemal Hatipoğlu, Galip Dedekargınoğlu, Tahir Karadeniz
Keywords
Related Articles
- EP ID EP129998
- DOI 10.4328/JCAM.600
- Views 132
- Downloads 0
Prediction of Mortality and Causes of Death in a Burn Centre: A Retrospective Clinical Study
Mortality rates are important outcome parameters after burn. The causes of mortality have been reported differently in the literature. The aim of the study was to identify parameters that are predictive of major morbid...
Our Direct Laryngoscopy Results: 3 Years Follow Up
Aim: To evaluate the pathological and clinical results of the 126 patients who had endoscopic direct laryngoscopy for laryngeal pathology. Material and Method: In this study, endoscopic direct laryngoscopy were appli...
Fotokatalizörlerin Anti-Mikrobiyal Etkinliğinin Klinik ve Laboratuar Ortamda Değerlendirilmesi
Aim This study aims at investigating and testing the tentative antimicrobial efficacy; in vitro and in- hospital applications of apatite coated ferrum titanate which is one of the new generation photocatalysts. Material an...
Mağdur Oldukları İddia Edilen Çocuk Olgularının Analizi
Amaç: Çocuklara karşı gösterilen şiddet, son yıllarda dünyada ve ülkemizde giderek önemi artan önemli halk sağlığı sorunlarından biri haline gelmiştir. Bu çalışmada şiddete maruz kalan çocuk olgularının demografik öz...
Interestingly Foreign Bodies in Esophageal and Bronchial System: Analysis of 9 Cases
Aim: Foreign body aspiration and ingestion foreign body is usually seen in childhood but can occur at any age. When the diagnosis of foreign bodies are delayed, this may lead important complications. Complet or parti...