Outcome of Supracostal Puncture for Percutaneous Nephrolithotomy for Renal Stones: A Retrospective Analysis
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Objective: Supracostal superior calyceal puncture is best puncture for staghorn, upper ureter, superior and inferior calyceal stone. The objective of this study is to analyzed the data from single centre regarding. The aim of this retrospective study was to evaluate a single center data regarding the safety and efficacy of this approach for percutaneous renal stone surgery. Materials and Methods: A total of 597 renal units (597 cases) were treated with percutaneous nephrolithotomy from the March of 2010 to March of 2015. Supracostal approach was selected in 123 cases and infracostal approach in remaining 474 cases. The indications of supracostal approach in our cases were staghorn and complex inferior calyceal stones, and stones in the upper calyx or the upper ureter. The urologist under C-arm fluoroscopic guidance in the prone position made all punctures. The interspace between 11th and 12th rib was used in 116 patients (94%) and 10th–11th interspace in 7 cases (6%). The operative time, success rate, hospital stay, and complications were evaluated. Results: The complete and relative success rates were 89.4 and 10.6%, respectively. The total complication rate was 13%. The success rate in the 10th– 11th rib access and 11th–12th inter rib access was 77 and 90%, respectively. Complete success rate was 100% in stone sizes less than 2 cm in diameter of upper ureteral and renal pelvic areas, and 77.4% of staghorn calculi. The total complication rate was 13% (16 cases), in which the most common of it was perioperative bleeding (5.7%; 7 cases). Conclusion: The supracostal approach was found to be effective as well as safe, with acceptable complications. It gives high stone clearance rates with acceptable morbidity rates and should be attempted in selected cases. The rate of pulmonary complications is higher with the supracostal approach. If the supracostal approach is indicated, it should be used with caution.
Authors and Affiliations
Nilesh Kumar Jain, Ankur Jhanwar, Sanjay Hada, Nitin Lashkary
Keywords
Related Articles
- EP ID EP543834
- DOI 10.21276/ijmrp.2017.3.2.026
- Views 68
- Downloads 0
Impact on Quality of Life After Adenotonsilleomy in Pediatric Patients
Objectives: To assess the impact of adenotonsillectomy on quality of life in pediatric patients. Methods: The study comprises of 50 patients who have underwent adenotonsillectomy, at S. P. M.C. Impact on adenotonsil heal...
Surgical Outcome of Posterior Fossa Space Occupying Lesion: A Critical Analysis
Background: Out of all childhood brain tumors, 54-70% arise in posterior fossa as compared to 15-20% in adults. Medulloblastoma, ependymoma, astrocytoma of cerebellum vermian and brainstem more commonly affect children....
A Severe Case of Robert Syndrome: 4 Limbs Anomalies and Maxillofacial Deformities
Robert SC syndrome is a very rare inherited disorder, considered as an autosomal recessive genetic disease characterized by skeletal and facial anomalies, growth retardation, mental retardation, cardiac and renal abnorma...
Comparative Study of Newer and Conventional Risk Factors of Coronary Artery Disease in Young Patients: A Case-Control Study from a Centre in Uttar Pradesh, India
Aim: To analyze the young patients with coronary artery disease in relation to the levels of Apolipoprotein A-I and B, Lipoprotein (a), and hs-CRP and to study their relation with other conventional risk factors. Methods...
A Histological Study of Surgically Resected Appendices in Clinically Suspected Appendicitis with Special Reference to Eosinophils and Mast Cells
Background: The appendix is a normal true diverticulum of the caecum that is prone to acute and chronic inflammation. Acute appendicitis is most common in adolescents and young adults, but may occur in any age group. The...