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jsmc-10091


PERCUTANEOUS NEPHROLITHOTOMY: OUR INITIAL EXPERIENCE WITH 125 CASES

Sarwar Noori Mahmood *


* Department of Surgery, College of Medicine, University of Sulaimani.


Submitted: 4/1/2016; Accepted: 10/5/2016Published: 1/12/2016


ABSTRACT


Background 

Percutaneous nephrolithotomy (PCNL) is generally accepted to be a minimal invasive technique with low complication rates. In the current study we reviewed our initial experience with percutaneous nephrolithotomy.

Patients and Methods

A prospective study of 125 patients with mean age of (34.65) years, underwent PCNL in our center from April 2009 to November 2010. PCNL done in prone position by a single experienced faculty urologists under general or spinal anesthesia under fluoroscopic guidance. The kidney was punctured via a lower pole calyx whenever
possible. The demographic data, stone parameters, PCNL complications and stone-free rate were evaluated.

Results

One hundred twenty five patients, underwent percutaneous nephrolithotomy , 85 male and 40 female, with a mean (range) age of 34.65 (3-83) years, and a mean (range) stone size of 39,6 mm (10-80) mm. Stone-free rate after PCNL monotherapy was 81.6%, which increased to 88% with clinically insignificant small residual
fragments ≤4 mm. Overall complication rate was observed in twenty six patients (20.8%). Majority were minor complications, with the most common observations of transient fever (11.2%), need for blood transfusion (5.6%), pelvic and calyceal perforations were 4%, and all managed conservatively. No death, urosepsis, nor injuries to adjacent organs were recorded.

Conclusion

Our data demonstrate that PCNL is a safe and effective technique. Most of the intraoperative incidents or complications are minor and easy to solve. However, an adequate training is imperative in order to reduce the associated morbidity.

KEYWORDS

Percutaneous nephrolithotomy, renal calculi, Complication.

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