PCNL - a comparative study in nonoperated and in previously operated (open nephrolithotomy/pyelolithotomy) patients - a single-surgeon experience

Gupta, Rahul; Gupta, Arti; Singh, Gurmeet; Suri, Abhineet; Mohan, Sandeep K; Gupta, C. K.

doi:10.1590/s1677-55382011000600009

Cited by 20 publications

(29 citation statements)

References 15 publications

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“…[1] The estimated lifetime risk of developing a kidney stone is approximately 12%. [1] Pakistan is located in the stone belt region with a very high incidence of renal stones.…”

Section: Introductionmentioning

confidence: 99%

“…[1] The estimated lifetime risk of developing a kidney stone is approximately 12%. [1] Pakistan is located in the stone belt region with a very high incidence of renal stones. [2] Renal stones were classically removed by open surgery, but the advent of minimally invasive, endoscopic techniques and extra-corporeal shock wave lithotripsy (ESWL) have almost replaced the classically performed open surgery for the removal of renal stones.…”

Section: Introductionmentioning

confidence: 99%

“…[2] Renal stones were classically removed by open surgery, but the advent of minimally invasive, endoscopic techniques and extra-corporeal shock wave lithotripsy (ESWL) have almost replaced the classically performed open surgery for the removal of renal stones. [1] At present, percutaneous nephrolithotomy (PCNL) is accepted as the procedure of choice for renal stones larger than 2 cm. [3] Currently, open stone surgery is rare.…”

Section: Introductionmentioning

confidence: 99%

“…[3] Currently, open stone surgery is rare. [1] In the western community, an increasingly sedentary lifestyle and high-fat diet have resulted in obesity defined as the body weight more than 120% of the ideal body weight, [4] reaching a pandemic status. [5] In USA, approximately one-third (34.9%) of adults were obese in 2011-2012.…”

Section: Introductionmentioning

confidence: 99%

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Effect of body mass index on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing percutaneous nephrolithotomy

Shohab

Ayub

Alam

et al. 2015

Turkish Journal of Urology

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Objective: To compare the effect of body mass index (BMI) on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing percutaneous nephrolithotomy (PCNL) by comparing three BMI groups. Material and methods:This is a retrospective analysis of 129 patients who underwent PCNL from January 2010 to August 2013. All the patients underwent PCNL by a standard technique. The patients were divided into three groups: patients having a BMI ≤24 kg/m 2 were included in the normal group, those having a BMI of 24.1-30.0 kg/m 2 were included in the overweight group, and those having a BMI >30 kg/m 2 were included in the obese group. Three groups were compared for operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement.Results: A total of 129 patients including 44 females and 85 males were included with a mean age of 45.00±1.44 years. The mean age in the normal group was 43.29±1.69 years, 47.08±1.29 years in the overweight group, and 43.61±1.25 years in the obese group. The mean stone size in the normal group was 25.46±8.92 mm, 28.01±8.40 mm in the overweight group, and 26.84±7.41 mm in the obese group. Our results showed no statistically significant difference with respect to mean operative time, mean hospital stay, and stone clearance in the normal, obese, and overweight patients undergoing PCNL. Postoperative complications and analgesia requirement were also similar in all the three groups. Conclusion:There was no effect of BMI on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing PCNL. PCNL is a safe and effective procedure for the removal of renal stones in obese patients.

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“…[1] The estimated lifetime risk of developing a kidney stone is approximately 12%. [1] Pakistan is located in the stone belt region with a very high incidence of renal stones.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of body mass index on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing percutaneous nephrolithotomy

Shohab

Ayub

Alam

et al. 2015

Turkish Journal of Urology

View full text Add to dashboard Cite

show abstract

“…ere was no statistically signi cant di erence in stone clearance between the groups. (Table-IV 4,5 Mean stone size among the respondents in Group I and Group II were 2.98 ± 0.65 and 3.03 ± 0.67 cm respectively. Study of Khan et al showed the mean stone size was 2.7cm with a range of 1.5 to 3.5cm.…”

Section: Resultsmentioning

confidence: 94%