Objectives: We retrospectively evaluated our series for effectiviness and safety of Perkü-tan Nefrolitotomi treatment of renal stones in low volume group.
Patients and Methods: Between March 2011 to November 2012, 47 female and 66 male,totaly 113 patients who had 116 PCNL procedures were retrospectively evaluated. The-se patients were evaluated for demographic fea-tures, complications, blood loss, blood transfu-sion requirement and stone free rates.
Results: Average age of the patients was 42.83±15.66. Average operation time was 189 min.(35 -210 min).Stone free rate and clini-caly insignificant residuel fragments rate were 69.01% and 6.19%, respectively. Overall sto-ne free rates was 75,2%. Avarage stone area was 5.2 cm²(2-18 cm²) . The blood transfusion rate was 8,84% (10 patients). JJ stent insertion was performed in 15 patients (13.2%) for residu-el stones or prolonged urinary drainage from nephrostomy site. Colon perforation in 2 pati-ent , AV fistula in one patient and urinoma due to ureteral stone in one patient were observed as complications.
Conclusion: PCNL ia a safe and effective therapy in low volume series.
Key Words: Percutane Nephrolithotomy, Renal Stones
Abstract
Objectives: We retrospectively evaluated our series for effectiviness and safety of Perkü-tan Nefrolitotomi treatment of renal stones in low volume group.
Patients and Methods: Between March 2011 to November 2012, 47 female and 66 male,totaly 113 patients who had 116 PCNL procedures were retrospectively evaluated. The-se patients were evaluated for demographic fea-tures, complications, blood loss, blood transfu-sion requirement and stone free rates.
Results: Average age of the patients was 42.83±15.66. Average operation time was 189 min.(35 -210 min).Stone free rate and clini-caly insignificant residuel fragments rate were 69.01% and 6.19%, respectively. Overall sto-ne free rates was 75,2%. Avarage stone area was 5.2 cm²(2-18 cm²) . The blood transfusion rate was 8,84% (10 patients). JJ stent insertion was performed in 15 patients (13.2%) for residu-el stones or prolonged urinary drainage from nephrostomy site. Colon perforation in 2 pati-ent , AV fistula in one patient and urinoma due to ureteral stone in one patient were observed as complications.
Conclusion: PCNL ia a safe and effective therapy in low volume series.
Key Words: Percutane Nephrolithotomy, Renal Stones