Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience
Background: Percutaneous nephrolithotomy (PNL) is the minimally invasive treatment elected for large kidney calculi (>2cm), staghorn calculi, inferior calyceal lithiasis, hard consistency calculi (calcium oxalate monohydrate or cystine) and lithiasis at the level of a malformed kidney. The aim w...
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| Format: | Article |
| Language: | English |
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Scientific Medical Association of Moldova
2020-09-01
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| Series: | The Moldovan Medical Journal |
| Subjects: | |
| Online Access: | http://moldmedjournal.md/wp-content/uploads/2020/09/moldovan-med-j-2020-63-3-banov-et-al-full-text.pdf |
| _version_ | 1819110069480980480 |
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| author | Pavel Banov Andrei Galescu Ilie Ceban Emil Ceban |
| author_facet | Pavel Banov Andrei Galescu Ilie Ceban Emil Ceban |
| author_sort | Pavel Banov |
| collection | DOAJ |
| description | Background: Percutaneous nephrolithotomy (PNL) is the minimally invasive treatment elected for large kidney calculi (>2cm), staghorn calculi, inferior
calyceal lithiasis, hard consistency calculi (calcium oxalate monohydrate or cystine) and lithiasis at the level of a malformed kidney. The aim was to
analyse the results, which were obtained in the clinic for one year from the implementation of the method in patients with urolithiasis treated by PNL.
Material and methods: The transversal descriptive study was performed in the group of 43 patients with urolithiasis, subjected to PNL treatment,
throughout 2019.
Results: The mean age of kidney stone patients treated by PNL was 55±7 years, among them 29 (67.5%) women and 14 (32.5%) men. The anatomical
distribution of nephrolithiasis was: right kidney – 21(48.9%) patients, left kidney –22 (51.1%) patients. The post-operative period in most cases was 5 days.
Most of the operated calculi had the following dimensions: 2-2.5 cm in 18 (41.86%) patients, 2.6-4 cm in 16 (37.2%) patients and over 4.5 cm in 9 (20.93%)
patients. Postoperative complications were detected and distributed according to Clavien-Dindo scale (CDS). The majority of detected complications
were minor (CDS grade 1) in 31 (72%) patients, CDS 2 in 7 (14%) patients and CDS 3b in 6 (14%) patients. Patients with CDS complications grade 4 and
5 were not detected. In 3 (7%) patients the procedure was of “tube-less” type and in 1 (2.3%) patient with double-pointed canal.
Conclusions: The success of PNL intervention depends on multiple factors, such as calculus composition, dimension and location in the urinary tract,
the patient’s body mass index, as well as collecting system anatomy. PNL is a safe and effective procedure with a 90-100% stone-free rate and minor
complications. |
| first_indexed | 2024-12-22T03:35:51Z |
| format | Article |
| id | doaj.art-fb5777993392464f805235580ef33137 |
| institution | Directory Open Access Journal |
| issn | 2537-6373 2537-6381 |
| language | English |
| last_indexed | 2024-12-22T03:35:51Z |
| publishDate | 2020-09-01 |
| publisher | Scientific Medical Association of Moldova |
| record_format | Article |
| series | The Moldovan Medical Journal |
| spelling | doaj.art-fb5777993392464f805235580ef331372022-12-21T18:40:24ZengScientific Medical Association of MoldovaThe Moldovan Medical Journal2537-63732537-63812020-09-0163351010.5281/zenodo.3958423Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experiencePavel Banov0https://orcid.org/0000-0002-6904-0743Andrei Galescu1https://orcid.org/0000-0002-7953-2450Ilie Ceban2https://orcid.org/0000-0002-4875-1239Emil Ceban3https://orcid.org/0000-0002-1583-2884Department of Urology and Surgical Nephrology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaDepartment of Urology and Surgical Nephrology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaSection of Urology, Timofei Mosneaga Republican Clinical Hospital, Chisinau, the Republic of MoldovaDepartment of Urology and Surgical Nephrology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of MoldovaBackground: Percutaneous nephrolithotomy (PNL) is the minimally invasive treatment elected for large kidney calculi (>2cm), staghorn calculi, inferior calyceal lithiasis, hard consistency calculi (calcium oxalate monohydrate or cystine) and lithiasis at the level of a malformed kidney. The aim was to analyse the results, which were obtained in the clinic for one year from the implementation of the method in patients with urolithiasis treated by PNL. Material and methods: The transversal descriptive study was performed in the group of 43 patients with urolithiasis, subjected to PNL treatment, throughout 2019. Results: The mean age of kidney stone patients treated by PNL was 55±7 years, among them 29 (67.5%) women and 14 (32.5%) men. The anatomical distribution of nephrolithiasis was: right kidney – 21(48.9%) patients, left kidney –22 (51.1%) patients. The post-operative period in most cases was 5 days. Most of the operated calculi had the following dimensions: 2-2.5 cm in 18 (41.86%) patients, 2.6-4 cm in 16 (37.2%) patients and over 4.5 cm in 9 (20.93%) patients. Postoperative complications were detected and distributed according to Clavien-Dindo scale (CDS). The majority of detected complications were minor (CDS grade 1) in 31 (72%) patients, CDS 2 in 7 (14%) patients and CDS 3b in 6 (14%) patients. Patients with CDS complications grade 4 and 5 were not detected. In 3 (7%) patients the procedure was of “tube-less” type and in 1 (2.3%) patient with double-pointed canal. Conclusions: The success of PNL intervention depends on multiple factors, such as calculus composition, dimension and location in the urinary tract, the patient’s body mass index, as well as collecting system anatomy. PNL is a safe and effective procedure with a 90-100% stone-free rate and minor complications.http://moldmedjournal.md/wp-content/uploads/2020/09/moldovan-med-j-2020-63-3-banov-et-al-full-text.pdfpercutaneous nephrolithotomyrenal lithiasiscomplicationsclavien-dindo scale |
| spellingShingle | Pavel Banov Andrei Galescu Ilie Ceban Emil Ceban Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience The Moldovan Medical Journal percutaneous nephrolithotomy renal lithiasis complications clavien-dindo scale |
| title | Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience |
| title_full | Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience |
| title_fullStr | Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience |
| title_full_unstemmed | Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience |
| title_short | Percutaneous nephrolithotomy – effective method in contemporary treatment of renal lithiasis. Clinical implementation experience |
| title_sort | percutaneous nephrolithotomy effective method in contemporary treatment of renal lithiasis clinical implementation experience |
| topic | percutaneous nephrolithotomy renal lithiasis complications clavien-dindo scale |
| url | http://moldmedjournal.md/wp-content/uploads/2020/09/moldovan-med-j-2020-63-3-banov-et-al-full-text.pdf |
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