Effect of stone burden on PNL outcomes [Taş boyutunun PNL sonuçlari üzeri·ne etki·?i]
Küçük Resim Yok
Tarih
2006
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Studies reporting percutaneous nephrolithotomy (PNL) outcomes in relation to stone burden are very limited in the literature. We therefore examined our data to analyze our stone-free rates and complication rates of PNL with regards to stone surface area. Materials and Methods: Data of 234 patients who underwent 234 PNL procedures were retrospectively analyzed. Patients were stratified with respect to stone burden into two groups. Groups were compared with respect to the success of therapy, complications, requirement of secondary procedures, number of tracts, drop in hematocrit level and blood transfusion requirement in relation to stone burden. Results: The overall stone-free rate for PNL was 78.6% with a complication rate of 34.6%. Stone-free rates decreased with increasing stone burden (p=0.001). The total number of complications rose with increasing stone surface area (p=0.0001). The mean operative time increased with increasing stone burden (p<0.05). The need of multiple tracts also increased with increasing stone burden (p<0.05). Conclusion: There is a decrease in the overall stone-free rate as well as an increase in the complication rate, the secondary procedure rate, the mean operative time and the need of multiple tracts with increasing stone surface area with PNL.
Açıklama
Anahtar Kelimeler
Complication rate, Percutaneous nephrolithotomy, Stone surface area, Stone-free rate
Kaynak
Turk Uroloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
32
Sayı
4
