Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience
Background: Percutaneous nephrolithotomy (PCNL) is the preferred treatment of choice for renal calculi. PCNL has evolved remarkably since the eighties when it was first described. PCNL is the treatment of choice for renal stones ≥2 cm. Aims and Objectives: Our aim is to observe the various surgic...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2023-02-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/50569 |
| _version_ | 1797936593097457664 |
|---|---|
| author | Rajkumar Ramakrishnan Senthil Kumar Poovathai Rajasekar Sundaram Gopu Rakesh Vamsi Sammohit Gulakavarapu Vinayak Sangreshi |
| author_facet | Rajkumar Ramakrishnan Senthil Kumar Poovathai Rajasekar Sundaram Gopu Rakesh Vamsi Sammohit Gulakavarapu Vinayak Sangreshi |
| author_sort | Rajkumar Ramakrishnan |
| collection | DOAJ |
| description | Background: Percutaneous nephrolithotomy (PCNL) is the preferred treatment of choice for renal calculi. PCNL has evolved remarkably since the eighties when it was first described. PCNL is the treatment of choice for renal stones ≥2 cm.
Aims and Objectives: Our aim is to observe the various surgical outcomes of different types of PCNL.
Materials and Methods: It is an observational study conducted in our institute a total of 160 pts of renal stone disease who presented to the outpatient department were included in the study. All patients underwent PCNL either in supine or prone position. The parameters such as stone free rate, body mass index (BMI), stone size, operative time, length of stay (LOS), in hospital, and complications were observed.
Results: There were no significant differences in stone size between supine and prone PCNL patients. The supine group had a higher mean BMI, shorter mean surgical time, shorter mean LOS, and higher stone free rate. Prone PCNL patients had a higher rate of overall complications.
Conclusion: PCNL is one of the best modalities for renal stones management, with supine and modified supine PCNL demonstrating better results in obese patients, and may be considered by all surgeons performing PCNLs. |
| first_indexed | 2024-04-10T18:33:01Z |
| format | Article |
| id | doaj.art-513eb35c0272484ab6760285a186bf4f |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-10T18:33:01Z |
| publishDate | 2023-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-513eb35c0272484ab6760285a186bf4f2023-02-02T02:46:30ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-02-01142163166https://doi.org/10.3126/ajms.v14i2.50569Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experienceRajkumar Ramakrishnan 0https://orcid.org/0000-0001-7206-487XSenthil Kumar Poovathai 1https://orcid.org/0000-0003-4062-3029Rajasekar Sundaram 2https://orcid.org/0000-0002-4314-1589Gopu Rakesh Vamsi 3https://orcid.org/0000-0002-2629-2262Sammohit Gulakavarapu 4https://orcid.org/0000-0001-5002-0008Vinayak Sangreshi 5https://orcid.org/0000-0003-2477-7562Associate Professor, Department of Urology, Government Mohan Kumaramangalam Medical College and Hospital, Salem, Tamil Nadu, India Assistant Professor, Department of Urology, Government Mohan Kumaramangalam Medical College and Hospital, Salem, Tamil Nadu, India Assistant Professor, Department of Urology, Government Mohan Kumaramangalam Medical College and Hospital, Salem, Tamil Nadu, India Senior Resident, Department of Urology, Government Mohan Kumaramangalam Medical College and Hospital, Salem, Tamil Nadu, India Senior Resident, Department of Urology, Government Mohan Kumaramangalam Medical College and Hospital, Salem, Tamil Nadu, India Senior Resident, Department of Urology, Government Mohan Kumaramangalam Medical College and Hospital, Salem, Tamil Nadu, India Background: Percutaneous nephrolithotomy (PCNL) is the preferred treatment of choice for renal calculi. PCNL has evolved remarkably since the eighties when it was first described. PCNL is the treatment of choice for renal stones ≥2 cm. Aims and Objectives: Our aim is to observe the various surgical outcomes of different types of PCNL. Materials and Methods: It is an observational study conducted in our institute a total of 160 pts of renal stone disease who presented to the outpatient department were included in the study. All patients underwent PCNL either in supine or prone position. The parameters such as stone free rate, body mass index (BMI), stone size, operative time, length of stay (LOS), in hospital, and complications were observed. Results: There were no significant differences in stone size between supine and prone PCNL patients. The supine group had a higher mean BMI, shorter mean surgical time, shorter mean LOS, and higher stone free rate. Prone PCNL patients had a higher rate of overall complications. Conclusion: PCNL is one of the best modalities for renal stones management, with supine and modified supine PCNL demonstrating better results in obese patients, and may be considered by all surgeons performing PCNLs.https://www.nepjol.info/index.php/AJMS/article/view/50569renal stones; supine percutaneous nephrolithotomy; prone percutaneous nephrolithotomy; surgical outcomes |
| spellingShingle | Rajkumar Ramakrishnan Senthil Kumar Poovathai Rajasekar Sundaram Gopu Rakesh Vamsi Sammohit Gulakavarapu Vinayak Sangreshi Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience Asian Journal of Medical Sciences renal stones; supine percutaneous nephrolithotomy; prone percutaneous nephrolithotomy; surgical outcomes |
| title | Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience |
| title_full | Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience |
| title_fullStr | Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience |
| title_full_unstemmed | Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience |
| title_short | Outcome and complications of percutaneous nephrolithotomy for renal stones – Our institutional experience |
| title_sort | outcome and complications of percutaneous nephrolithotomy for renal stones our institutional experience |
| topic | renal stones; supine percutaneous nephrolithotomy; prone percutaneous nephrolithotomy; surgical outcomes |
| url | https://www.nepjol.info/index.php/AJMS/article/view/50569 |
| work_keys_str_mv | AT rajkumarramakrishnan outcomeandcomplicationsofpercutaneousnephrolithotomyforrenalstonesourinstitutionalexperience AT senthilkumarpoovathai outcomeandcomplicationsofpercutaneousnephrolithotomyforrenalstonesourinstitutionalexperience AT rajasekarsundaram outcomeandcomplicationsofpercutaneousnephrolithotomyforrenalstonesourinstitutionalexperience AT gopurakeshvamsi outcomeandcomplicationsofpercutaneousnephrolithotomyforrenalstonesourinstitutionalexperience AT sammohitgulakavarapu outcomeandcomplicationsofpercutaneousnephrolithotomyforrenalstonesourinstitutionalexperience AT vinayaksangreshi outcomeandcomplicationsofpercutaneousnephrolithotomyforrenalstonesourinstitutionalexperience |