The Effect of One-shot Multi-access Percutaneous Nephrolithotomy on Complications
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2019, Vol 6, Issue 1
Abstract
Objective: Kidney stones can be seen as single and pelvic stones as well as complex and multiple calculi. For this reason, single-access is not always sufficient for the treatment of kidney stones and multi-access percutaneous nephrolithotomy (PCNL) may sometimes be necessary for stone removal. In this study, we aimed to investigate the effect of multi-access PCNL using the one-shot dilation technique on kidney functions and related complications. Materials and Methods: The effects of access number on the hemoglobin and creatinine alterations, duration of operation, need for transfusion, postoperative fever, and length of hospital stay were investigated in patients who underwent PCNL due to renal stones. Results: Single- and multi-access PCNL using the one-shot technique was performed in 329 and 79 patients, respectively. Duration of operation, duration of scopy, and length of hospital stay as well as alterations in hemoglobin and creatinine values were found to be statistically higher in the multi-access group. Conclusion: One-shot multi-access PCNL can be safely performed for complex kidney stones due to its high stone-free rates, despite some potential complications.
Authors and Affiliations
Erkan Arslan, Hakan Türk, Ahmet Sabri Öğütlü, Sıtkı Ün
Keywords
Related Articles
- EP ID EP550530
- DOI 10.4274/jus.galenos.2018.2280
- Views 65
- Downloads 0
Gender-related Differences in Surgically Treated Patients with Renal Cell Carcinoma
Objective: The aim of the study was to investigate gender-specific differences in the Turkish patients with renal cell carcinoma (RCC) undergoing radical or nephron-sparing nephrectomy and compare the results with those...
Re: Kidney-Failure Risk Projection for the Living Kidney-Donor Candidate
.
Huge Renal Angiomyolipoma with Life-threatening Bleeding into Itself Spontaneously
Renal angiomyolipoma (R-AML) is one of the most common benign neoplasms of the kidney. It is usually asymptomatic and rarely becomes symptomatic. Management of R-AML is still controversial. Generally, follow-up is enough...
Leydig Cell Tumor of the Testis: A Case with Incidental Diagnosis
Leydig cell tumors account for approximately 1-3% of adult testicular tumors. These tumors are the most common type of gonadal stromal tumors and most commonly seen in the third to sixth decades of life, and about 10% of...
Magnetic Resonance Imaging Features of Prostate Mucinous Adenocarcinoma
.