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[Complications of percutaneous litholapaxy]
M Ruoppolo1, C Bellorofonte, S Dell'Acqua
1Divisione di Urologia, Policlinico San Marco, Gruppo Ligresti Sanità, Zingonia.
Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|December 1, 1990
Summary
Percutaneous nephrolithotomy (PCNL) is an effective treatment for kidney stones, with major complications in 3-6% of patients. Despite rare severe outcomes, PCNL is considered a safe procedure with minimal long-term effects.
Area of Science:
- Urology
- Nephrology
- Surgical Complications
Context:
- Renal calculi (kidney stones) management.
- Percutaneous nephrolithotomy (PCNL) as a primary treatment modality.
- Review of existing literature and institutional experience since 1985.
Purpose:
- To review and analyze the complications associated with the PCNL procedure.
- To assess the safety and efficacy of PCNL based on reported outcomes.
- To evaluate both early and late sequelae of PCNL.
Summary:
- Major complications (e.g., bleeding, fistulas, sepsis) occur in 3-6% of PCNL patients, with nephrectomy needed in <1%.
- Early complications arise during puncture, dilation, and lithotripsy; postoperative bleeding is reported in 0.5-1%.
- Late sequelae like strictures and renal damage are rare, supporting PCNL's safety and efficacy.
Impact:
- Provides a comprehensive overview of PCNL-related morbidity and mortality.
- Reinforces PCNL as a safe and effective intervention for renal calculi.
- Informs clinical decision-making regarding kidney stone treatment options.