What Is the Difference Between Percutaneous Nephrolithotomy in Patients with and without Previous Open Renal Surgery?

Falahatkar, Siavash; Panahandeh, Zahra; Ashoori, Elham; Akbarpour, Marzieh; Khaki, Pejvak

doi:10.1089/end.2008.0630

Cited by 31 publications

(24 citation statements)

References 14 publications

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“…Also Onal's study supported our findings [27]. As distinct from our study, Falahatkar's study had a higher fever rate as 33.3 % in patient with previous open renal surgery and 26.5 % without [28]. Sofikerim et al faced 11 and 9.7 % fever in patients with and without open renal surgery, respectively [16].…”

Section: Discussionsupporting

confidence: 84%

Does previous open renal surgery or percutaneous nephrolithotomy affect the outcomes and complications of percutaneous nephrolithotomy

et al. 2015

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In this study, we aim to evaluate the effectiveness and safety of PNL in patients with a history of open renal surgery or PNL by comparing with primary patients and to compare impact of previous open renal surgery and PNL on the success and complications of subsequent PNL. Charts of patients, who underwent PNL at our institute, were analyzed retrospectively. Patients were divided into three groups according to history of renal stone surgery. Patients without history of renal surgery were enrolled into Group 1. Other patients with previous PNL and previous open surgery were categorized as Group 2 and Group 3. Preoperative characteristic, perioperative data, stone-free status, and complication rates were compared between the groups. Stone-free status was accepted as completing clearance of stone and residual fragment smaller than 4 mm. Eventually, 2070 patients were enrolled into the study. Open renal surgery and PNL had been done in 410 (Group 2) and 131 (Group 3) patients, retrospectively. The mean operation time was longer (71.3 ± 33.5 min) in Group 2 and the mean fluoroscopy time was longer (8.6 ± 5.0) in Group 3 but there was no statistically significant difference between the groups. Highest stone clearance was achieved in primary PNL patients (81.62%) compared to the other groups (77.10% in Group 2 and 75.61% in Group 3). Stone-free rate was not significantly different between Group 2 and Group 3. Fever, pulmonary complications, and blood transfusion requirement were not statically different between groups but angioembolization was significantly higher in Group 2. Percutaneous nephrolithotomy is a safe and effective treatment modality for patients with renal stones regardless history of previous PNL or open renal surgery. However, history of open renal surgery but not PNL significantly reduced PNL success.

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Section: Discussionsupporting

confidence: 84%

Does previous open renal surgery or percutaneous nephrolithotomy affect the outcomes and complications of percutaneous nephrolithotomy

et al. 2015

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“…9 Complete stone clearance was achieved in 96.7% of patients in the study group and 93.3% patients in the control group. Similar result was seen in studies of Shah et al 10 and Falahatkar et al 7 Khan et al, Falahatkar et al, Gupta et al and Resorlu et al in their studies reported that previous open stone surgery does not alter the outcome of subsequent PCNL signi cantly. 6,7,8,11 In the present study it was found that there is no di erence in outcome of PCNL between the two groups based on the previous open renal surgery and primary patients without previous renal surgery.…”

Section: Resultssupporting

confidence: 86%

“…Falahatkar et al in a study showed that the mean postoperative hospital stay was 85.88±17.25 hours and 80.20±17.71 hours in the group of previous surgery and in the group of no previous surgery, respectively that results were similar to our result. 7 Gupta et al reported that the hospital stay was similar in both groups. 8 Kurtulus et al in a similar study found no signi cant di erence in hospitalization time (4.4 v 4.2 days).…”

Section: Resultsmentioning

confidence: 90%

“…Falahatkar et al in a study showed that the mean operating time was 75.41±17.2 minutes in the group of previous surgery and 67.42±26.25 minutes in the group of no previous surgery. 7 Gupta et al in a study reported that the mean operative time was longer in the group of previous surgery (88.4 min vs 80.2 min), but it was not statistically signi cant (p = 0.44). 8 Kurtulus et al in a similar study no signi cant di erence was found in terms of operative time (2.3 v 2.2 hours) (p> 0.05).…”

Section: Resultsmentioning

confidence: 91%

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Outcome of percutaneous nephrolithotomy in patients with history of open renal surgery - a comparative study with PCNL in primary patients

Hossain

Rassell

Rahman³

et al. 2016

Bangladesh Med J

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“…Sofikerim et al and Falahatkar et al reported 33.3% and 11% fever rates, repectively, in their patients with previous ORSS. 12,13 Sterile urine cultures were obtained from every patient prior to surgery. Additionally, we finalzed the PNL procedure if purulent urine discharge was observed from the nephrostomy tract, which may explain our lower fever rates.…”

Section: Discussionmentioning

confidence: 99%

The effects of previous open renal stone surgery types on PNL outcomes

Özgör

Küçüktopçu

Üçpınar

et al. 2016

CUAJ

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E246Cite as: Can Urol Assoc J 2016;10(7-8) Patients who had a history of ORSS with parenchymal insicion, such as radial nephrotomies, anatrophic nephrolithotomy, lower pole resection, and partial nephrectomy, were included in Group 1. Other patients with a history of open pyelolithotomy were enrolled in Group 2. Preoperative characteristics, perioperative data, stone-free status, and complications were compared between the groups. Stone-free status was defined as complete clearance of stone(s) or presence of residual fragments smaller than 4 mm. The retrospective nature of our study, different experience level of surgeons, and lack of the evaluation of anesthetic agents and cost of procedures were limitations of our study. Results: 123 and 111 patients were enrolled in Groups 1 and 2, respectively. Preoperative characteristics were similar between groups. In Group 1, the mean operative time was statistically longer than in Group 2 (p=0.013). Stone-free status was significantly higher in Group 2 than in Group 1 (p=0.027). Complication rates were similar between groups. Hemorrhage requiring blood transfusion was the most common complication in both groups (10.5% vs. 9.9%). Conclusions: Our study demonstrated that a history of previous ORSS with parenchymal insicion significantly reduces the success rates of PNL procedure.

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What Is the Difference Between Percutaneous Nephrolithotomy in Patients with and without Previous Open Renal Surgery?

Abstract: PCNL in patients who previously underwent open renal surgery is effective and safe. We found no difference in results between the two groups based on the number of stones and the number of accesses. The step 1 of dilatation was the only difference between the two groups.

Cited by 31 publications

References 14 publications

Does previous open renal surgery or percutaneous nephrolithotomy affect the outcomes and complications of percutaneous nephrolithotomy

Does previous open renal surgery or percutaneous nephrolithotomy affect the outcomes and complications of percutaneous nephrolithotomy

Outcome of percutaneous nephrolithotomy in patients with history of open renal surgery - a comparative study with PCNL in primary patients

The effects of previous open renal stone surgery types on PNL outcomes

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