An Overview of Percutaneous Nephrolithotomy

Çelik, Hüseyin; Taşdemir, Cemal; Altıntaş, Ramazan

doi:10.33590/emjurol/10313975

Cited by 4 publications

(2 citation statements)

References 54 publications

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“…One case experienced bleeding that required intervention to block the artery, while seven cases had fever (which subsided after 2–5 days of antibiotic treatment). According to Celik H., the rate of fever after PCNL is usually between 2.8% and 32.1%, 14 with a low incidence of sepsis, but he recommends testing urine and culturing the urine prior to performing PCNL. The majority of complications and adverse events in PCNL are related to the steps of puncturing and dilating the kidney.…”

Section: Discussionmentioning

confidence: 99%

The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm

Pham,

Hoang,

Bui

et al. 2024

RRU

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Objective Evaluation of the outcome of the miniaturized percutaneous nephrolithotomy in the treatment of nephrolithiasis with a lateral position based on the principle of a right triangle under the guidance of a C-Arm without contrast fluid. Materials and Methods Sixty-nine cases of Mini-PCNL with the assistance of a vacuum-assisted sheath in the lateral position were performed at Central Hospital from March 2021 to August 2022. Percutaneous renal access was under the guidance of a non-rotational C-arm without contrast medium, and we determined the puncture location and depth of the needle based on the principle of right triangles. Results The median age was 51.6 ± 12.5 years, and males accounted for 68.1% of the cases. 60.9% of all patients had normal weight. The median stone surface area was 361.1mm2, and 59.4% of all cases were graded as 2 regarding Guy’s stone score. The successful renal access rate was 100%. The tunnel access from the middle and lower calyx accounted for 94.2%. The median access duration, fluoroscopy duration, and hospital length of stay were 271.7 seconds, 14.79 seconds, and 6.3 days, respectively. The complete stone clearance rate was 78.3%. Bleeding complications occurred in 2 patients without mortality. Three patients required an additional procedure. Conclusion The puncture technique into the renal calyxes based on the principle of the right triangle under the guidance of a non-rotational C-Arm without contrast medium in PCNL is a fast, exact, and safe technique.

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Section: Discussionmentioning

confidence: 99%

The Outcome of the Miniaturized Percutaneous Nephrolithotomy in Lateral Position with Guidance of Non-Rotational C-Arm

Pham,

Hoang,

Bui

et al. 2024

RRU

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“…Postoperative fever and UTI rates have been previously reported as 29.3% and 5.5%, respectively. 29,30…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Nephrolithotomy for Paediatric Stone Disease

Çelik

Çamtosun²,

Altıntaş³

et al. 2015

EMJ Urol

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We evaluated the outcomes and complications occurring following percutaneous nephrolithotomy (PCNL) procedures performed in paediatric patients. There were 291 paediatric patients (293 renal units) included in the current study and who underwent PCNL in our clinic between March 1999 and December 2014. We evaluated stone burden, duration of surgery and complications, success (stone-free) rate, residual fragments and auxilliary procedures, and follow-up details. The stone-free rate following PCNL was 88.3%. Early postoperative complications included excessive bleeding and transfusion in nine patients, and prolonged urinary extravasation following removal of the nephrostomy tube and requiring JJ stent placement in eight patients. The mean time to catheter removal was 2.8 days and the mean hospitalisation time was 3.5 days. The aim of kidney stone treatment is to achieve minimal kidney damage with the highest success rate. Therefore, minimally invasive procedures are important in the paediatric age group where life expectancy is high. PCNL is a safe and effective procedure for the treatment of kidney stones in children.

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