The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones
Turkish Journal of Urology, cilt.44, sa.2, ss.148-152, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 2
- Basım Tarihi: 2018
- Doi Numarası: 10.5152/tud.2017.84665
- Dergi Adı: Turkish Journal of Urology
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.148-152
- Anahtar Kelimeler: Percutaneous nephrolithotomy, stone, urolithiasis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To determine the success rate of percutaneous nephrolithotomy (PNL) in kidney stones over 50 milimeters. Material and methods: Twenty-four patients with a renal stone size of >50 mm between January 2007 and December 2016 were enrolled. Stone- free and complication rates were investigated. Results: Twenty-one (87.5%) patients were male and 3 (12.5%) were female. Fifteen (62.5%) stones were located in the right, and 9 (37.5%) in the left kidney. Twenty-one (87.5%) patients were operated using single-access, and three (12.5%) patients were double-access. Thirteen (54%) patients were found to have no stone after operation and 11 (46%) patients had residual stones. Extracorporal shock wave lithotripsy was applied to 5 of 11 patients with residual stones, while flexible ureteroscopy was applied to 6 of them. After additional treatments, 8 (33.5%) patients were observed to be stone free. The stone- free rate was 87.5%. The mean operation time was 135.43 (85-240) minutes. Hemoglobin levels before and after operation were 14.8 (12-16.7) and 12.6 (9.3-15.5), respectively (p=0.001). The hospital stay was 6.04 (4-8) days. Complications were observed in four patients (16.6%). Conclusion: PNL has high stone-free rate on staghorn type large stones compared with multiple calyceal scattered large stones.