Outcome of PCNL- Success &Complications

Comparative Evaluation of Outcomes After Standard versus “Modified Large PCNL”- Is Larger Better…?

“…Within 48 hours of the procedure, 101 (80.8%) patients were fit to be discharged (Figure 7). On the contrary, the literature reports of hospital stay are far more, Sharma L. et al 16 reported a mean hospital stay of 3.5 days (range 2-10 days), whereas Shin TS et al 18 reported a mean + SD hospital stay of 4.5 + 2.6 days (0-28 days) in their study. This contrasting difference in hospital stay in their studies is mostly attributable to their practice of nephrostomy placement in all the patients, which was required in only 9 (6.2%) renal units in the present study, thereby reducing not only the hospital stay but also the overall expenses of the treatment.…”

“…81.4% of the renal units were managed with a single puncture and secondary punctures were needed in 18.6% of renal units which was quite similar to the incidences reported in the literature. 15,16 However, many group-A patients required secondary punctures with 13 (8.9%) renal units in this group requiring three or more punctures. Gorbachinsky et al 17 evaluated the impact of multiple access tracts on renal function.…”

“…Kukreja et al 15 had 191(63.5%), 95 (31.6%), and 15 (4.9%) patients in their study who had an operative time of less than 60, 61 -120, and more than 120 minutes respectively, but a categorization into unilateral and bilateral intervened cases was not described. Sharma L. et al 16 reported a mean operative time of 83 minutes (range 35 -190 minutes). Karaköse A. et al 13 reported no statistical difference in the operative time irrespective of the Amplatz size used because they excluded patients with multiple punctures, intraoperative complications like excessive blood loss, and patients history of previous surgery on the ipsilateral side.…”