Complications in Percutaneous Nephrolithotomy

Michel, Maurice Stephan; Trojan, Lutz; Rassweiler, Jens

doi:10.1016/j.eururo.2006.10.020

Cited by 842 publications

(614 citation statements)

References 31 publications

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“…Hemorrhage, cured by intervention (0.6-17%) is the most important complication (12,13). Bleeding may occur during needle entry, tract dilatation, and nephroscopy.…”

Section: Commentsmentioning

confidence: 99%

The comparison of standard and tubeless percutaneous nephrolithotomy procedures

Nalbant¹,

Öztürk²,

Şener³

et al. 2012

Int. braz j urol.

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“…Hemorrhage, cured by intervention (0.6-17%) is the most important complication (12,13). Bleeding may occur during needle entry, tract dilatation, and nephroscopy.…”

Section: Commentsmentioning

confidence: 99%

The comparison of standard and tubeless percutaneous nephrolithotomy procedures

Nalbant¹,

Öztürk²,

Şener³

et al. 2012

Int. braz j urol.

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“…Kanama üzerine etkili faktörlerin belirlenmesi görülme sıklığını azaltmaya yardımcı olabilir. Literatürde böbrek yetmezliği, diabetes mellitus ve obezite varlığının hastalarda PNL operasyonun genel komplikasyon oranını arttırdığı gösterilmiştir [5]. Özellikle artmış kanama ile; operasyon süresi, dilatasyon sistemleri (amplatz,balon), renal parankimal kalınlık, staghorn taş, trakt boyutu, taş boyutu, multipl giriş ve soliter böbrek birer risk faktörü olarak tanımlanmıştır [9][10][11].…”

Section: Discussionunclassified

“…Kanama sıklıkla renal parankimden kaynaklandığı gibi çoğunluk-la da spontan olarak sınırlanır. Ancak hemodinamik stabilitenin bozulduğu hastalarda transfüzyon gerektiren kanama oranları % 11-17,5 bildirilmiştir [5]. Ayrıca büyük damar veya ana renal arter yaralanması nedeniyle majör kanama nadirdir ve olguların ancak % 0,5'inden azında görülür [7].…”

Section: Discussionunclassified

“…Yüksek başarı oranına ve düşük morbiditeye karşın, hemen her böbrek taşına uygulanabilen bu minimal invaziv tekniğin ciddi kabul edilebilecek komplikasyonları gelişebilmektedir [3]. PNL'nin en sık karşılaşılan komplikasyonlardan biri kanamadır, transfüzyon gerektiren kanama sıklığı % 1-34 arasında bildirilmiştir [3][4][5]. PNL'de işlem sırasında ya da sonrasında görülen kanama için çeşitli risk faktörleri bildirilmiş-tir [6,7].…”

Section: Introductionunclassified

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The Factors That Effects Hemorrhage in Percutaneous Nephrolitotomy

Duz¹

2015

Ann Clin Anal Med

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Anahtar KelimelerKomplikasyon; Perkütan Nefrolitotomi; Kanama; Litotripsi; Nefrostomi Abstract Aim: Today, PNL has become primary treatment alternative in multiple or large kidney stones where ESWL treatment has failed. In our study, we have analyzed the facts that affect hemorrhage in PNL surgeries. Material and Method: Between March 2008 and December 2009, 204 patient's histories who had undergone percutaneous nephrolithotomy surgery in Izmir Bozyaka Training & Research Hospital, Urology Department were analyzed retrospectively. The patients were assembled under four groups according to the effect of some factors related to stone (size and localization), operation (number and localization of the entrances) and the effects of PNL hemorrhage between these groups was investigated. Results: Of the 204 patients undergoing percutaneous nephrolithotomy, 76 were female, 128 were male, with an average age of 46. 9±14.2 (18-80). The preoperation and postoperation Hb differences of the 176 patients whose stone load was less than 1000 mm2 and 28 patients whose stone load was over 1000 m2 were compared, yielding no statistically significant difference (p=0.942). Also no statistically significant difference was observed with regard to stone type, number of entries and percutaneous entry location. Discussion: In our study, it has been observed the size and localization of the stone is not an independent factor that affects the hemorrage itself. And also it has been observed that number and localization of entrances are not an independent factor that affecting haemorrhage.

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“…In many instances, this has been achieved by operating via natural body openings (eg, cystoscopy, transurethral resection, and ureteroscopy) [1,2]. Urologists have also pioneered novel techniques to address clinical situations where access through natural body openings was impossible, such as percutaneous stone surgery, laparoscopy, and robotics [3][4][5].…”

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confidence: 99%