Author/Authors :
İsen, K Diyarbakır Eğitim ve Arastırma Hastanesi - Üroloji Kilinigi, Turkey , Ağaoğlu, İ Diyarbakır Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Dedeoğlu, S Diyarbakır Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Em, S Diyarbakır Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Utku, V Diyarbakır Egitim ve Arastırma Hastanesi - Üroloji Kilinigi, Turkey , Kaymaz, İ Diyarbakır Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Boğatekin, S Diyarbakır Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey
Abstract :
Aim: To present our experience of percutaneous nephrolithotomy (PNL) in the first 110 renal units.Material and Methods: One hundred and five patients who had renal stones were enrolled in this study. Five patients had bilateral renal stones. Percutaneous renal access was done under C-armed flouroscopy with patients in the prone position. The tract was dilated with an Amplatz dilatator set and the stones were fragmented with a 26 Fr rigid nephroscope and pneumatic lithotriptor.Results: One hundred and ten procedures were performed on the patients. The mean age was 42.6 years (range 16-72), stone burden was 5.2 (range 2-16) cm², operative time was 115.3 (range 60-240) minutes and hospitalization time was 3.8 ( range 3-8 ) days. Total success rate was 78.1 % (86/110). The procedures were terminated in 3 (2.7 %) procedures due to bleeding in two patients and colonic perforation in one. The blood transfusion rate was 11.8 %. Fever ( 38.5°C), hydropneumothorax, pelvic laceration, retroperitoneal migration of stones and prolonged urinary drenaj were seen in 5 (4.7 %), 1 (0.9 %), 5 (4.7 %), 1 (0.9%), 2 (1.8%) procedures, respectively. Auxiliary procedures were needed in 8 (7.6 %) patients (Second look PNL in 3 patients, URSL in 1, DJ stent in 3 and torax tube in 1) Conclusion: PNL can be considered as a an effective and safe treatment modality for the management of renal stones with an acceptable morbidity and success rate.
NaturalLanguageKeyword :
Renal stones , percutaneous nephrolithotomy , complications , auxiliary procedures
