Evaluation of Pleural Following after Percutaneous Nephrolithotomy: An Analysis of 49 Cases
Journal Title: HASEKİ TIP BÜLTENİ - Year 2016, Vol 54, Issue 4
Abstract
Aim: Thoracic complications developing after percutaneous nephrolithotomy and the efficacy of their treatment were studied. Methods: Among 2527 patients who were operated on using the percutaneous nephrolithotomy technique for kidney stones between November 2003 and August 2014, the medical records of 49 patients who had intrathoracic pathologies after the procedure were retrospectively reviewed. Results:It was observed that pleural effusion developed in 49 patients who were operated with percutaneous nephrolithotomy. The mean age of the patient population was 46.1 years and the age range was 13-85 years. Nineteen (39%) patients were female and 30 (61%) were male. A supracostal intervention was applied in 40 (82%) patients. A subcostal intervention was applied in nine (18%) patients. Seven (78%) of the subcostal interventions were performed above 12th rib and 2 (22%) above 11th rib. After percutaneous nephrolithotomy operation, a hemorrhagic pleural effusion developed in 43 (88%) patients and hydropneumothorax in six (12%) patients. Conclusion:Percutaneous nephrolithotomy is a cause of iatrogenic thoracic complications and pleura and lungs are reportedly the most commonly injured organs. In the case of early postoperative, a posteroanterior chest x-ray should be obtained for an early diagnosis of thoracic complications. Tube thoracostomy usually suffices for these types of complications.
Authors and Affiliations
Erkan Akar, Miktat Arif Haberal, Sedat Öner, Mehmet Hakan Üstün, Abdullah Erdoğan
Keywords
Related Articles
- EP ID EP227910
- DOI 10.4274/haseki.3126
- Views 115
- Downloads 0
Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal
Warfarin is an oral anticoagulant, which is commonly used in the treatment and prophylaxis of thromboembolic conditions. Bleeding is the primary adverse effect associated with warfarin. The majority of warfarin-related b...
Quantitative Analysis of Osteoporotic Vertebral Fracture Risk on Pre-Existing CT
Aim: Recent research has shown that the measurement of vertebrae bone density on computed tomography for diagnosis of osteoporosis is associated with dual energy X-ray absorptiometry. Our aim was to compare vertebra bone...
Effect of Prophylactic Antibiotic Use in the Development of Antibiotic Resistance in Children with Recurrent Urinary Tract Infections
2017-04-05Aim:Although prophylactic antibiotic treatment is still debatable, it is currently in use in recurrent urinary tract infections (UTIs). In the present study, we aimed to observe if prophylactic antibiotic use...
Comparison of Midterm Efficiency and Complications of Tension-Free Vaginal Tape Alone and Tension-Free Vaginal Tape Performed with Vaginal Hysterectomy
Aim: To evaluate and compare the results and complications of tension-free vaginal tape (TVT) when performed alone or with vaginal hysterectomy (VH) and to evaluate the mid-term success rates of TVT for both groups. Meth...
Evaluation of Excessive Daytime Sleepiness with Sleep Apnea and Determining the Relationship Between Life Quality
Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repetitive episodes of upper airway obstruction affecting many different systems in the human body. In this study, we aimed to ex...