Management of Colon Injury After Percutaneous Renal Surgery

Korkes, Fernando; Neto, Antônio Corrêa Lopes; Lucio, Jarques; Bezerra, Carlos Alberto; Wroklawski, Eric R.

doi:10.1089/end.2008.0506

Cited by 14 publications

(10 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to a review of the literature, 24.1 % of the patients were diagnosed intraoperatively, whereas 75.9 % of the patients were diagnosed in the postoperative period (mean 2.9 days) [16]. In our study, 31.8 % of the patients were diagnosed during the PNL procedure, whereas 68.2 % of the patients were diagnosed after the operation.…”

Section: Discussionmentioning

confidence: 42%

Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

et al. 2015

View full text Add to dashboard Cite

We present our experience with the largest series of colon perforation (CP) as complication of percutaneous nephrolithotomy (PNL). From January 1998 to August 2014, 22 cases that presented with PNL-related CP from seven referral centers were retrospectively reviewed. The patients with CP were evaluated in terms of probable risk factors. Peri-operative and postoperative findings, timing of diagnosis, and treatment modalities of the CP were reviewed. Of the 22 patients, previous ipsilateral renal surgery (n:2) and retrorenal colon (n:5) were the risk factors for CP. The CP was directly visualized via nephroscopy during the surgery in 3 (13.6%) and with nephrostography at the end of the procedure in 4 patients (18.2%). In two patients, perforation was realized via the passage of contrast into the colon with nephrostography on the postoperative second day. Postoperative passage of feces through the nephrostomy tube was seen in six patients. The clinical signs in 13 cases directed CP diagnosis. The confirmation of the CP was achieved with a CT scan in all the patients. The patients with extraperitoneal perforation were primarily managed conservatively. Open surgical treatment was performed in cases with intraperitoneal perforation (n:5) and those with extraperitoneal perforation resistant to conservative treatment (n:5). Meticulous evaluation of the risk factors preoperatively is the initial step in the prevention of CP. Timely diagnosis plays essential role in the management of this PNL complication. Although extraperitoneal CP may be managed conservatively, surgery is required for intraperitoneal CPs.

show abstract

Section: Discussionmentioning

confidence: 42%

Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

et al. 2015

View full text Add to dashboard Cite

show abstract

“…27,30 Our patient's benign clinical appearance, with a chief complaint of sore throat and without fever, leukocytosis, leukopenia, abdominal pain, or other clinical evidence of peritonitis, belied the peritoneal involvement seen on imaging and the bowel wall defect with fecal spillage seen laparoscopically. With recognition of the injury, despite its unusual presentation, and prompt operative management, the patient achieved a relatively rapid and uncomplicated recovery.…”

Section: Resultsmentioning

confidence: 80%

An unusual presentation of colon perforation following percutaneous nephrolithotomy

Chubak

Stern

2014

CUAJ

View full text Add to dashboard Cite

Cite as: Can Urol Assoc J 2014;8(11-12):e862-6. http://dx.doi.org/10.5489/cuaj.2154 Published online November 24, 2014. AbstractColon perforation is a rare but serious complication of percutaneous nephrolithotomy (PCNL), meriting particular attention to its signs and symptoms for prompt diagnosis and treatment. We report an unusual presentation of colon perforation following tubeless PCNL, characterized by sore throat, pneumomediastinum, and neck and shoulder crepitus. In addition to the details of this case, we review the current literature on bowel injury during PCNL and its management.

show abstract

“…Korkes et al, advocated the colonic tube to be removed when intestinal and urinary tract diversion have been proven. (21) Zuckerman and Desai reported that if in the postoperative period, fecal material in the nephrostomy tube, blood in the feces, pneumaturia, nausea, ileus, vomiting, leukocytosis, fever, sepsis or peritonitis is noted then it should be associated with bowel injury. (22) In the case of extraperitoneal injuries, conservative management may be preferred.…”

Section: Resultsmentioning

confidence: 99%

Percutaneous Nephrolithotomy and Retrorenal Colon: Its Incidence and Complications

S¹,

Shaik²

2015

jemds

View full text Add to dashboard Cite

OBJECTIVE:The aim of this study was to investigate retrorenal colon incidence in percutaneous nephrolithotomy (PCNL) and to discuss the necessity of routine preoperative CT and perform a cost analysis of this procedure. MATERIALS AND METHODS: Clinical data of 608 PCNL patients over a 5 year period (2008)(2009)(2010)(2011)(2012)(2013), was surveyed. The patient files were reviewed retrospectively, and only those who had abdominal computed tomography (CT) images before PCNL intervention were included in the study. In the CT images, the position of both the ascending and descending colon in relation to the right and left kidneys were evaluated. We compared the total cost of CTs per incidence of retro colon versus the cost of restoring complications. RESULTS: According to our hospital reports, 262 patients with CT images were included in the present study. 4 patients (1.14%) had retrorenal colon, of which 2(0.76%) were on the left side, 1(0.38%) on the right side and 1(0.38%) had bilateral retrorenal colons. Colonic perforation complication was seen only in two patients who had no CT images and the colonic perforation rate was 0.57%. The cost of recognizing one retrorenal colon case using CT was cost-effective to avoid a serious complication. CONCLUSIONS: PCNL, in the process of becoming the standard treatment modality, is a safe and reliable technique for renal stone treatment. Colonic injury should be taken into consideration during PCNL interventions of the lower pole of the kidney. CT, which should be low-dose, if possible, should be performed routinely in all patients to prevent colon injuries. This technique appears to be cost-effective.

show abstract

Management of Colon Injury After Percutaneous Renal Surgery

Cited by 14 publications

References 31 publications

Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

An unusual presentation of colon perforation following percutaneous nephrolithotomy

Percutaneous Nephrolithotomy and Retrorenal Colon: Its Incidence and Complications

Contact Info

Product

Resources

About