Abstract
 
 

ABSTRACT

Introduction: Kidney stones are a common problem affecting all population groups across the globe. Percutaneous extraction of renal stone - properly termed percutaneous nephrolithotomy (PCNL) which was invented over three decades ago - has become a standard, well-established procedure for the management of renal stones. This study will evaluate the role of PCNL in the management of renal calculi.

Materials and methods: A total of 107 cases of renal calculi who underwent PCNL from May 1, 2014 to April 30, 2016 were studied. Intraoperative findings and immediate postoperative complications were noted. They were followed up for 1 month after the surgical procedure.

Results: Mean age of cases was 43.64 years. Multiple calculi were seen in 43.9%, while a staghorn calculus was seen in 16.8%. Stone clearance was done through a single tract in 78.5%. Additional tracts were made in 21.5%. Tubeless PCNL was done in 45%; 12.1% of the cases had urinary tract infection. Pulmonary complications were noted in 4.67% in the form of hydrothorax. Urinary leak was noted in 4.6%; 70% of the cases were left stone free, with an overall success rate of 85.98%.

Conclusion: This study reveals that PCNL is a safe procedure with less complications and higher stone-free rates without compromising patient safety in a short period.

Keywords: Minimally invasive, Nephroscopy, Percutaneous nephrolithotomy, Renal calculi.

How to cite this article: Raut N, Singhania P, Joshi N, Shringarpure S, Sathe S, Tiwari N. Prospective Study of Percutaneous Nephrolithotomy in the Management of Renal Calculi. MGM J Med Sci 2017;4(1):1-5.

Source of support: MGMIHS

Conflict of interest: None

 
 
 


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