Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy
A retrospective review was conducted to evaluate intraoperative and patient outcomes following simultaneous bilateral percutaneous nephrolithotomy (SB-PCNL). Target stone characteristics, operative time, hospitalization length, post-operative complications, blood loss, opioid use, pain, and stone-fr...
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| Format: | Article |
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MDPI AG
2022-02-01
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| Series: | Uro |
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| Online Access: | https://www.mdpi.com/2673-4397/2/1/7 |
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| author | Victor K. F. Wong Colin J. Lundeen Ryan F. Paterson Kymora B. Scotland Ben H. Chew |
| author_facet | Victor K. F. Wong Colin J. Lundeen Ryan F. Paterson Kymora B. Scotland Ben H. Chew |
| author_sort | Victor K. F. Wong |
| collection | DOAJ |
| description | A retrospective review was conducted to evaluate intraoperative and patient outcomes following simultaneous bilateral percutaneous nephrolithotomy (SB-PCNL). Target stone characteristics, operative time, hospitalization length, post-operative complications, blood loss, opioid use, pain, and stone-free rates were evaluated. In total, 42 patients with large renal stones (>20 mm<sup>2</sup>) were identified for this study, and 38% of them achieved stone-free status with no residual fragments apparent on post-operative day one CT imaging. The maximum mean residual fragment size was 3.67 mm<sup>2</sup> and average number of residual fragments following the procedures was 1.63. The rates of blood loss, post-operative complications, opioid use, and pain from the study cohort were similar to the reported outcomes of studies conducted by others. The potential benefits of a single procedure and anesthesia to treat bilateral stone burdens, lower total pain medication prescribed, and lower hospital costs render SB-PCNL as an attractive option in the treatment of bilateral kidney stones. |
| first_indexed | 2024-03-09T12:19:29Z |
| format | Article |
| id | doaj.art-09a5bf57001a4d90b10a6f512e1f5800 |
| institution | Directory Open Access Journal |
| issn | 2673-4397 |
| language | English |
| last_indexed | 2024-03-09T12:19:29Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
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| spelling | doaj.art-09a5bf57001a4d90b10a6f512e1f58002023-11-30T22:41:36ZengMDPI AGUro2673-43972022-02-0121495410.3390/uro2010007Safety and Efficacy of Simultaneous Bilateral Percutaneous NephrolithotomyVictor K. F. Wong0Colin J. Lundeen1Ryan F. Paterson2Kymora B. Scotland3Ben H. Chew4Department of Urologic Sciences, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, CanadaDepartment of Urologic Sciences, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, CanadaDepartment of Urologic Sciences, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, CanadaDepartment of Urology, University of California, 200 Medical Plaza Driveway #140, Los Angeles, CA 90095, USADepartment of Urologic Sciences, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, CanadaA retrospective review was conducted to evaluate intraoperative and patient outcomes following simultaneous bilateral percutaneous nephrolithotomy (SB-PCNL). Target stone characteristics, operative time, hospitalization length, post-operative complications, blood loss, opioid use, pain, and stone-free rates were evaluated. In total, 42 patients with large renal stones (>20 mm<sup>2</sup>) were identified for this study, and 38% of them achieved stone-free status with no residual fragments apparent on post-operative day one CT imaging. The maximum mean residual fragment size was 3.67 mm<sup>2</sup> and average number of residual fragments following the procedures was 1.63. The rates of blood loss, post-operative complications, opioid use, and pain from the study cohort were similar to the reported outcomes of studies conducted by others. The potential benefits of a single procedure and anesthesia to treat bilateral stone burdens, lower total pain medication prescribed, and lower hospital costs render SB-PCNL as an attractive option in the treatment of bilateral kidney stones.https://www.mdpi.com/2673-4397/2/1/7bilateral calculiPCNLpercutaneous nephrolithotomyrenal stonesurolithiasis |
| spellingShingle | Victor K. F. Wong Colin J. Lundeen Ryan F. Paterson Kymora B. Scotland Ben H. Chew Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy Uro bilateral calculi PCNL percutaneous nephrolithotomy renal stones urolithiasis |
| title | Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy |
| title_full | Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy |
| title_fullStr | Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy |
| title_full_unstemmed | Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy |
| title_short | Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy |
| title_sort | safety and efficacy of simultaneous bilateral percutaneous nephrolithotomy |
| topic | bilateral calculi PCNL percutaneous nephrolithotomy renal stones urolithiasis |
| url | https://www.mdpi.com/2673-4397/2/1/7 |
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