Analysis of Percutaneous Nephrolithotomy in 16,900 cases

Analysis of Percutaneous Nephrolithotomy in 16,900 cases


Authors:

Dr Rajesh Agarwal National Kidney Hospital, opp New Courts, Jalandhar, India

Correspondence:

Dr Rajesh Agarwal, rajesh.uro@gmail.com

PURPOSE:

To evaluate the outcome and complications of percutaneous nephrolithotomy (PCNL) and their management in our consecutive cases.

MATERIALS AND METHODS:

We reviewed medical records of 16,900 patients who had undergone PCNL in our center from March 1997 to July 2014. The demographic data, stone parameters, PCNL complications, and stone-free rate were evaluated. Multiple parameters were evaluated for their association with PCNL complications.

RESULTS:

Complications occurred in 203 (30.3%) patients, post-operative bleeding in 1166 (6.3%), late bleeding in 169 (1%), angio- embolization in 33 (0.2%), fever in 1690 (10%), major vessels injury in 1 (0.006%), pneumothorax in 68 (0.4%) and single case of colon perforation. Mortality occurred in the patient with colon perforation.

CONCLUSION:

Percutaneous nephrolithotomy has low complication rate in experienced hands.