Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience

PURPOSE: To evaluate major and minor complications of percutaneous nephrolithotomy (PCNL) and their management in our consecutive cases. MATERIALS AND METHODS: We reviewed medical records of 671 patients who had undergone PCNL in our center from March 2000 to March 2006. The demographic data, stone...

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Main Authors: Seyed Habibollah Mousavi-Bahar, Sasan Mehrabi, Mohammad Kazem Moslemi
Format: Article
Language:English
Published: Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences 2011-11-01
Series:Urology Journal
Subjects:
Online Access:http://www.urologyjournal.org/index.php/uj/article/view/1233/614
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author Seyed Habibollah Mousavi-Bahar
Sasan Mehrabi
Mohammad Kazem Moslemi
author_facet Seyed Habibollah Mousavi-Bahar
Sasan Mehrabi
Mohammad Kazem Moslemi
author_sort Seyed Habibollah Mousavi-Bahar
collection DOAJ
description PURPOSE: To evaluate major and minor complications of percutaneous nephrolithotomy (PCNL) and their management in our consecutive cases. MATERIALS AND METHODS: We reviewed medical records of 671 patients who had undergone PCNL in our center from March 2000 to March 2006. The demographic data, stone parameters, PCNL complications, and stone-free rate were evaluated. Multiple parameters were evaluated for their association with PCNL complications using Chi-Square test. RESULTS: Complications occurred in 203 (30.3%) patients; renal parenchymal injury in 103 (15.4%), peri-operative bleeding in 42 (6.3%), late bleeding in 6 (0.9%), renal collecting ducts injury in 35 (5.2%), fever in 7 (1.0%), colon perforation in 2 (0.3%), major vessels injury in 3 (0.4%), pneumothorax in 3 (0.4%), and hemothorax in 2 (0.3%) subjects. Mortality occurred in 1 patient with colon perforation (0.15%).CONCLUSION: Percutaneous nephrolithotomy has low complication rate in experienced hands.
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spelling doaj.art-d770ede051094b7984406c60e400d13f2022-12-22T00:52:23ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2011-11-0184271276Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center ExperienceSeyed Habibollah Mousavi-BaharSasan MehrabiMohammad Kazem MoslemiPURPOSE: To evaluate major and minor complications of percutaneous nephrolithotomy (PCNL) and their management in our consecutive cases. MATERIALS AND METHODS: We reviewed medical records of 671 patients who had undergone PCNL in our center from March 2000 to March 2006. The demographic data, stone parameters, PCNL complications, and stone-free rate were evaluated. Multiple parameters were evaluated for their association with PCNL complications using Chi-Square test. RESULTS: Complications occurred in 203 (30.3%) patients; renal parenchymal injury in 103 (15.4%), peri-operative bleeding in 42 (6.3%), late bleeding in 6 (0.9%), renal collecting ducts injury in 35 (5.2%), fever in 7 (1.0%), colon perforation in 2 (0.3%), major vessels injury in 3 (0.4%), pneumothorax in 3 (0.4%), and hemothorax in 2 (0.3%) subjects. Mortality occurred in 1 patient with colon perforation (0.15%).CONCLUSION: Percutaneous nephrolithotomy has low complication rate in experienced hands.http://www.urologyjournal.org/index.php/uj/article/view/1233/614complicationspercutaneous nephrolithotomyurogenital systemkidney calculihemorrhage
spellingShingle Seyed Habibollah Mousavi-Bahar
Sasan Mehrabi
Mohammad Kazem Moslemi
Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience
Urology Journal
complications
percutaneous nephrolithotomy
urogenital system
kidney calculi
hemorrhage
title Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience
title_full Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience
title_fullStr Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience
title_full_unstemmed Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience
title_short Percutaneous Nephrolithotomy Complications in 671 Consecutive Patients: A Single-Center Experience
title_sort percutaneous nephrolithotomy complications in 671 consecutive patients a single center experience
topic complications
percutaneous nephrolithotomy
urogenital system
kidney calculi
hemorrhage
url http://www.urologyjournal.org/index.php/uj/article/view/1233/614
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AT sasanmehrabi percutaneousnephrolithotomycomplicationsin671consecutivepatientsasinglecenterexperience
AT mohammadkazemmoslemi percutaneousnephrolithotomycomplicationsin671consecutivepatientsasinglecenterexperience