Factors determining perioperative complications of percutaneous nephrolithotomy: A single center perspective

Ibrahim, Ahmad; Elsotohi, Ibrahim; Mahjoub, S.; Elatreisy, Adel; Soliman, Kh.; Mabrouk, Mohamed; Khalaf, I.

doi:10.1016/j.afju.2017.05.002

Cited by 9 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is obvious that increased experience in any surgery increases the success rate and diminishes the complications related to surgery. It applies well in PCNL, as PCNL is said to have a steep learning curve [ [74] , [75] , [76] ]. El-Nahas et al.…”

Section: Factors Affecting Bleeding In Pcnlmentioning

confidence: 99%

Current insights on haemorrhagic complications in percutaneous nephrolithotomy

Poudyal

2022

Asian Journal of Urology

View full text Add to dashboard Cite

Section: Factors Affecting Bleeding In Pcnlmentioning

confidence: 99%

Current insights on haemorrhagic complications in percutaneous nephrolithotomy

Poudyal

2022

Asian Journal of Urology

View full text Add to dashboard Cite

“…This rate achieved was higher compared to 57.1% in a similar study. 16 In the remaining 10 cases, clinical insignificant residual fragments (CIRFs) were found in four (4.3%) patients and significant residual fragments (>5 mm) in six (6.7%) patients after first stage PCNL. Similar study showed that 14.7% patients had CIRFs and 24.1% had SRFs.…”

Section: Discussionmentioning

confidence: 94%

“…Similar study showed that 14.7% patients had CIRFs and 24.1% had SRFs. 16 The most commonly encountered complication is bleeding. 25 Mean pre operative hemoglobin was 12.6 ± 1.45 g/dL and mean post-operative hemoglobin was 11.4 ± 1.53 g/dL.…”

Section: Discussionmentioning

confidence: 99%

“…The transfusion rate was similar to other studies which had 4% and 2.5% rate of blood transfusion. 15,16 Regarding perinephric collection, four (4.4%) patients developed puncture site urinary leak and two (2.2%) patients developed puncture site hematoma which was managed conservatively. Previous studies reported 0.5% and 2.5% incidence of perinephric collection.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Supine PCNL-5 year experience in a tertiary care center

2021

View full text Add to dashboard Cite

Objective: The prone position for percutaneous nephrolithomy (PCNL) has been widely practiced. There has been a shift from prone position to supine position which showed numerous benefits. The aim of our study is to describe the 5 year experience from the perspective of a tertiary care center using a modified Galdakao supine Valdivia position for total tubeless ultra mini supine PCNL, total tubeless supine PCNL, tubeless supine PCNL, and standard supine PCNL. Material and methods: We retrospectively reviewed the data of 90 patients who underwent supine PCNL at the tertiary care center during the period of 5 years from January 2017 to January 2021. The data collection was done from patients’ medical records. Pre operatively, complete examination of the patients with laboratory investigations were done. The modified Clavien classification system was used to classify the perioperative complications of PCNL. Results: Operative time was lowest for ultra mini supine PCNL (50 ± 10.4 min) compared to standard supine PCNL (58 ± 11.2 min). Stones were single in 54 patients and multiple in 40 patients with 4 patients with staghorn stones. The size of the stones in the largest dimension ranged from 1.2 to 5.5 cm.Complete clearance was achieved in 84 (89.7%) patients. Seven patients (7.2%) developed mild fever and four patients (4.5%) required blood transfusion. Conclusion: We found supine PCNL to be an immensely convenient, time-saving practice, and with higher stone free rate compared to prone PCNL. The different techniques of supine PCNL were also useful in patients with horseshoe kidney and calyceal diverticulum which resulted in good outcomes in these patients.

show abstract