Supracostal Punctures for PCNL: Factors that Predict Safety, Success and Stone Free Rate in Stag Horn and Non-Stag Horn Stones: A Single Centre Experience and Review of Literature

Sekar, Hariharasudhan; Krishnamoorthy, Sriram; Natarajan, K; Ramanan, Venkat

doi:10.7860/jcdr/2016/21875.8505

Cited by 10 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PCNL is recommended as the first line of therapy for treating large kidney stones by the EAU[11]. Some studies of LP renal stones showed that there was a high success rate and a low complication rate for all stone sizes using PCNL[10,12]. PCNL has the advantage of a high stone-clearance rate[13].…”

Section: Discussionmentioning

confidence: 99%

Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5-2.5 cm in diameter

Li¹,

Yang²,

Liu³

et al. 2018

WJCC

View full text Add to dashboard Cite

AIMTo compare the outcomes of retrograde intrarenal surgery (RIRS) and miniaturized percutaneous nephrolithotomy (mini-PCNL) in treating lower pole (LP) renal stones with a diameter of 1.5-2.5 cm.METHODSA total of 216 patients who underwent mini-PCNL (n = 103) or RIRS n = 113) for LP stones with a diameter of 1.5-2.5 cm were enrolled between December 2015 and April 2017 at the Urology Department of Ningbo Urology and Nephrology Hospital.RESULTSSignificant differences were found in the hospital stay (9.39 ± 4.01 vs 14.08 ± 5.26, P < 0.0001) and hospitalization costs (2624.5 ± 513.36 vs 3255.2 ± 976.5, P < 0.0001) between the RIRS and mini-PCNL groups. The mean operation time was not significantly different between the RIRS group (56.48 ± 24.77) and the mini-PCNL group (60.04 ± 30.38, P = 0.345). The stone-free rates at the first postoperative day (RIRS vs mini-PCNL: 90.2% vs 93.2%, P = 0.822) and the second month postoperatively (RIRS vs mini-PCNL: 93.8% vs 95.1%, P = 0.986) were not significantly different.CONCLUSIONRIRS and mini-PCNL are both safe and effective methods for treating LP stones with a diameter of 1.5-2.5 cm. RIRS can be considered as an alternative to PCNL for the treatment for LP stones of 1.5-2.5 cm.

show abstract

Section: Discussionmentioning

confidence: 99%

Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5-2.5 cm in diameter

Li¹,

Yang²,

Liu³

et al. 2018

WJCC

View full text Add to dashboard Cite

show abstract

“…PCNL is a well-established treatment option for patients with large, multiple, or inferior calyx renal stones [3–6]. Parameters that influence the complication rate are the surgeon's experience, the operative time, the stone's size and opacity, the number of punctures or tracts, and the presence of bacteria within the stone [3, 4, 6]. PE after PCNL is an uncommon complication.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Embolism following Percutaneous Nephrolithotomy: An Uncommon and Life-Threatening Complication

Paparidis

Katsimantas

Oikonomidis

et al. 2019

Case Reports in Urology

View full text Add to dashboard Cite

High risk pulmonary embolism is a rare and life-threatening complication following percutaneous nephrolithotomy. We report the case of a previously healthy, 44-year-old male, who developed acute pulmonary embolism following right percutaneous nephrolithotomy. On the 1st postoperative day, the patient presented with hemodynamic instability, acute respiratory distress, hypoxia, and loss of consciousness. He was urgently intubated and placed on mechanical ventilation. Clinical findings set the suspicion of pulmonary embolism with shock. Chest computed tomography scan confirmed the diagnosis. The patient underwent urgent thrombolysis in the cardiac care unit. On the 2nd postoperative day, the patient was admitted to the intensive care unit due to hemodynamic instability and fever. The postoperative course was complicated by right renal bleeding on the 3rd postoperative day, which was managed through angiography and angioembolization of the lower segmental right renal artery, followed by recurrent respiratory and urinary tract infections. The patient was transferred back to the urology department on the 66th postoperative day and was discharged seven days later.

show abstract

“…PCNL is a well-established treatment option for patients with large, multiple, or inferior calyx renal stones [ 1 – 4 ]. Supracostal puncture is a safe and effective choice in a selected group of patients [ 3 ]. Parameters that influence the complication rate are the surgeon's experience, the operative time, the stone's size and opacity, the number of punctures/tracts, and the presence of bacteria within the stone [ 1 , 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

Nontraumatic Acute Elevation of Pancreatic Enzymes following Percutaneous Nephrolithotomy: A Rare Complication

Ferakis

Katsimantas

Zervopoulos

et al. 2017

Case Reports in Urology

View full text Add to dashboard Cite

Herein, we report the case of a 48-year-old female who developed nontraumatic acute pancreatitis following left supracostal Percutaneous Nephrolithotomy. Three hours postoperatively, the patient developed fever with signs and symptoms consistent with hydrothorax, which was confirmed radiologically and was managed conservatively. The following days, the patient developed manifestations of Systemic Inflammatory Response Syndrome with epigastric pain, nausea, and vomiting. Blood, urine, and sputum cultures were negative. Serum amylase and lipase levels were elevated 3 and 13 times above the normal level, respectively. Imaging studies revealed no pathologic findings from pancreas. These findings were consistent with the diagnosis of acute pancreatitis.

show abstract

Supracostal Punctures for PCNL: Factors that Predict Safety, Success and Stone Free Rate in Stag Horn and Non-Stag Horn Stones: A Single Centre Experience and Review of Literature

Cited by 10 publications

References 19 publications

Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5-2.5 cm in diameter

Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5-2.5 cm in diameter

Pulmonary Embolism following Percutaneous Nephrolithotomy: An Uncommon and Life-Threatening Complication

Nontraumatic Acute Elevation of Pancreatic Enzymes following Percutaneous Nephrolithotomy: A Rare Complication

Contact Info

Product

Resources

About