Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
Introduction: Percutaneous nephrolithotomy is the first therapeutic option for staghorn kidney stones. Objective: To characterize patients with complications of percutaneous nephrolithotomy for the treatment of staghorn renal lithiasis. Method: A series of 191 patients, operated by percutaneous neph...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2021-11-01
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| Series: | Revista Cubana de Medicina Militar |
| Subjects: | |
| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1639 |
| _version_ | 1818404207132147712 |
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| author | Mariano Castillo Rodríguez Tania González León Angela Rosa Gutiérrez Rojas Luis Leandro Borrero Barrientos María Victoria Labrada Rodríguez Ana Ramírez Mena |
| author_facet | Mariano Castillo Rodríguez Tania González León Angela Rosa Gutiérrez Rojas Luis Leandro Borrero Barrientos María Victoria Labrada Rodríguez Ana Ramírez Mena |
| author_sort | Mariano Castillo Rodríguez |
| collection | DOAJ |
| description | Introduction: Percutaneous nephrolithotomy is the first therapeutic option for staghorn kidney stones.
Objective: To characterize patients with complications of percutaneous nephrolithotomy for the treatment of staghorn renal lithiasis.
Method: A series of 191 patients, operated by percutaneous nephrolithotomy, was studied. Variables studied: type of staghorn lithiasis, position for the technique, stone-free condition after the operation, presence of complications, time, type and grade according to the Clavien-Dindo classification. Absolute and relative frequencies were found and the chi-square test was used to determine the association between variables.
Results: 86.9 % were less than 60 years old, 67,0 % were male, 61,7 % had comorbidities. The staghorn lithiasis was partial or total (30,3 % and 46,5 %, respectively). In 60,2 % it affected the left kidney; 58.1 % underwent supine surgery and 70,2 % were stone free with monotherapeutic percutaneous nephrolithotomy. Complications occurred in 19,9 %; 16,2 % were postoperative, 14,1 % infectious, 7,8 % Clavien-Dindo I, and 5,2 % IIIb. The type of lithiasis and the position of the percutaneous nephrolithotomy were not associated with complications (p> 0,05). The degree of complication was not related to the type of lithiasis (p> 0,05).
Conclusions: The most frequent postoperative complications are those related to infection and bleeding; they slightly predominate in patients with partial and total staghorn stones and in those operated on in the supine position; the Clavien-Dindo grade of complications is only slightly higher in the more complex staghorn stones. |
| first_indexed | 2024-12-14T08:36:29Z |
| format | Article |
| id | doaj.art-7056373226924d108aa26147c213ed36 |
| institution | Directory Open Access Journal |
| issn | 1561-3046 |
| language | Spanish |
| last_indexed | 2024-12-14T08:36:29Z |
| publishDate | 2021-11-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj.art-7056373226924d108aa26147c213ed362022-12-21T23:09:23ZspaECIMEDRevista Cubana de Medicina Militar1561-30462021-11-01504e02101639e02101639484Complications of percutaneous nephrolithotomy as treatment for staghorn renal stoneMariano Castillo Rodríguez0Tania González León1Angela Rosa Gutiérrez Rojas2Luis Leandro Borrero Barrientos3María Victoria Labrada Rodríguez4Ana Ramírez Mena5Hospital Universitario Hermanos AmeijeirasCentro Nacional de Cirugía de Mínimo AccesoHospital Universitario Hermanos AmeijeirasHospital Universitario Hermanos AmeijeirasHospital Universitario Hermanos AmeijeirasEspecialista de UrologíaIntroduction: Percutaneous nephrolithotomy is the first therapeutic option for staghorn kidney stones. Objective: To characterize patients with complications of percutaneous nephrolithotomy for the treatment of staghorn renal lithiasis. Method: A series of 191 patients, operated by percutaneous nephrolithotomy, was studied. Variables studied: type of staghorn lithiasis, position for the technique, stone-free condition after the operation, presence of complications, time, type and grade according to the Clavien-Dindo classification. Absolute and relative frequencies were found and the chi-square test was used to determine the association between variables. Results: 86.9 % were less than 60 years old, 67,0 % were male, 61,7 % had comorbidities. The staghorn lithiasis was partial or total (30,3 % and 46,5 %, respectively). In 60,2 % it affected the left kidney; 58.1 % underwent supine surgery and 70,2 % were stone free with monotherapeutic percutaneous nephrolithotomy. Complications occurred in 19,9 %; 16,2 % were postoperative, 14,1 % infectious, 7,8 % Clavien-Dindo I, and 5,2 % IIIb. The type of lithiasis and the position of the percutaneous nephrolithotomy were not associated with complications (p> 0,05). The degree of complication was not related to the type of lithiasis (p> 0,05). Conclusions: The most frequent postoperative complications are those related to infection and bleeding; they slightly predominate in patients with partial and total staghorn stones and in those operated on in the supine position; the Clavien-Dindo grade of complications is only slightly higher in the more complex staghorn stones.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1639litiasis urinarianefrolitotomía percutáneacomplicaciones intraoperatoriascomplicaciones postoperatoriaslitiasis coraliforme. |
| spellingShingle | Mariano Castillo Rodríguez Tania González León Angela Rosa Gutiérrez Rojas Luis Leandro Borrero Barrientos María Victoria Labrada Rodríguez Ana Ramírez Mena Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone Revista Cubana de Medicina Militar litiasis urinaria nefrolitotomía percutánea complicaciones intraoperatorias complicaciones postoperatorias litiasis coraliforme. |
| title | Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone |
| title_full | Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone |
| title_fullStr | Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone |
| title_full_unstemmed | Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone |
| title_short | Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone |
| title_sort | complications of percutaneous nephrolithotomy as treatment for staghorn renal stone |
| topic | litiasis urinaria nefrolitotomía percutánea complicaciones intraoperatorias complicaciones postoperatorias litiasis coraliforme. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1639 |
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