Impact of experience on percutaneous nephrolithotomy complications
Journal Title: Ege Tıp Dergisi - Year 2016, Vol 55, Issue 4
Abstract
Aim: Percutaneous nephrolithotomy (PNL) is a minimally invasive surgical procedure which has evolved in technique and instrumentation throughout the years. But just like every surgical procedure, PNL can have several complications. We have evaluated the distribution of the complications of PNL in our department throughout the years and the association between complications and surgical experience. Materials and Methods: Between January 2009 and October 2014, PNL was performed in 1625 renal units in our department. Based on the yearly total renal units, cases were divided into six groups. The distribution of frequently observed complications throughout the years and their ratios among all complications were assessed. Complications like bleeding requiring transfusion, fever, ureter stone, colonic injury, pleural injury and arteriovenous fistula were compared. Results: The mean age of 1625 renal units was 48 (17-80) years. The mean stone size was 633 mm2 and the mean operation time was 74 minutes. There was a significant decrease in the number of blood transfusions, in fever-acquiring patients, complications overall and duration of operations while there was a significant increase in stone-free rates throughout the years. Conclusion: PNL is considered as the gold standard method for management of renal stones offering high stone-free rates. Still, serious and life threatening complications could be expected following this procedure. A decrease in complication rates was observed with increasing surgical experience in PNL operations.
Authors and Affiliations
Hakan Türk, Cemal Selçuk İşoğlu, Mustafa Karabıçak, Mehmet Yoldaş, Batuhan Ergani, Tufan Süelözgen, Yusuf Özlem İlbey, Ferruh Zorlu
Keywords
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- EP ID EP340945
- DOI 10.19161/etd.344219
- Views 114
- Downloads 0
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