Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi
Objective: To compare upper versus lower calyceal approaches in percutaneous nephrolithotomy for managing renal calculi. Method: The retrospective study was conducted in the Department of Urology, The Kidney Centre Post-Graduate Training Institute, Karachi, and comprised data of patients who unde...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2020-11-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1988 |
| _version_ | 1797820602476658688 |
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| author | Waqar Ahmed Memon Salman El Khalid Ali Haider Sherjeel Saulat Shariq Anis Khan Muhammad Bilal Quddus Khadijah Abid |
| author_facet | Waqar Ahmed Memon Salman El Khalid Ali Haider Sherjeel Saulat Shariq Anis Khan Muhammad Bilal Quddus Khadijah Abid |
| author_sort | Waqar Ahmed Memon |
| collection | DOAJ |
| description |
Objective: To compare upper versus lower calyceal approaches in percutaneous nephrolithotomy for managing renal calculi.
Method: The retrospective study was conducted in the Department of Urology, The Kidney Centre Post-Graduate Training Institute, Karachi, and comprised data of patients who underwent percutaneous nephrolithotomy from January 2014 to January 2015. Patients were divided into upper pole puncture group A and lower pole puncture group B. Data was analysed using SPSS 17.
Results: Of the 198 patients, 147(74.2%) were males and 51(25.8%) were females. The overall mean age was 40.64±14.02 years. Of the total, 69(34.84%) were in group A and 129(65.15%) were in group B. Inter-group difference was significant in pre- and post-operative haemoglobin (p<0.05). Post-operative outcomes showed that blood transfusion, stone clearance and complication like tube thoracostomy had significant association with both the groups (p<0.05). Complete clearance was seen in 152(76.8%) patients; 40(74.1%) in group A and 102(81.6%) in group B.
Conclusion: The success rate was found to be better in lower calyceal puncture group than upper calyceal puncture group for the management of renal calculi.
Key Words: Upper and lower calyceal approach, Percutaneous nephrolithotomy, Continuous....
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| first_indexed | 2024-03-13T09:40:44Z |
| format | Article |
| id | doaj.art-aa740398b8dc4c28a32ff1b264760b0a |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:40:44Z |
| publishDate | 2020-11-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-aa740398b8dc4c28a32ff1b264760b0a2023-05-25T04:25:04ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822020-11-0171210.47391/JPMA.461Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculiWaqar Ahmed Memon0Salman El Khalid1Ali Haider 2Sherjeel Saulat3Shariq Anis Khan 4Muhammad Bilal Quddus 5Khadijah Abid 6Liaquat University of Medical and Health Sciences, Karachi, PakistanThe Kidney Center Post Graduate Training Institute, Karachi, PakistanHamdard University Hospital. Karachi, PakistanTabba Kidney Institute Post Graduate, Training & Research Center, Karachi, PakistanThe Kidney Center Post Graduate Training Institute, Karachi, PakistanVictoria Hospital BlackpoolCollege of Physicians and Surgeons, Karachi, Pakistan Objective: To compare upper versus lower calyceal approaches in percutaneous nephrolithotomy for managing renal calculi. Method: The retrospective study was conducted in the Department of Urology, The Kidney Centre Post-Graduate Training Institute, Karachi, and comprised data of patients who underwent percutaneous nephrolithotomy from January 2014 to January 2015. Patients were divided into upper pole puncture group A and lower pole puncture group B. Data was analysed using SPSS 17. Results: Of the 198 patients, 147(74.2%) were males and 51(25.8%) were females. The overall mean age was 40.64±14.02 years. Of the total, 69(34.84%) were in group A and 129(65.15%) were in group B. Inter-group difference was significant in pre- and post-operative haemoglobin (p<0.05). Post-operative outcomes showed that blood transfusion, stone clearance and complication like tube thoracostomy had significant association with both the groups (p<0.05). Complete clearance was seen in 152(76.8%) patients; 40(74.1%) in group A and 102(81.6%) in group B. Conclusion: The success rate was found to be better in lower calyceal puncture group than upper calyceal puncture group for the management of renal calculi. Key Words: Upper and lower calyceal approach, Percutaneous nephrolithotomy, Continuous.... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1988 |
| spellingShingle | Waqar Ahmed Memon Salman El Khalid Ali Haider Sherjeel Saulat Shariq Anis Khan Muhammad Bilal Quddus Khadijah Abid Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi Journal of the Pakistan Medical Association |
| title | Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi |
| title_full | Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi |
| title_fullStr | Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi |
| title_full_unstemmed | Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi |
| title_short | Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi |
| title_sort | comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy 1 for managing renal calculi |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1988 |
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