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Pulmonary Complications following Percutaneous Nephrolithotomy: A Prospective Study
Gili Palnizky1, Sarel Halachmi2, Michal Barak3
1Department of Pediatrics, Tel Aviv Medical Center, Tel Aviv, Haifa, Israel.
Current Urology
|June 12, 2014
Summary
Post-operative pulmonary complications (PPC) like pneumothorax are common after percutaneous nephrolithotomy (PCNL). Younger patients and those undergoing PCNL on the left kidney face higher risks.
Area of Science:
- Nephrology
- Pulmonology
- Anesthesiology
Background:
- Post-operative pulmonary complications (PPC) are a significant cause of morbidity and mortality.
- PPC rates vary based on surgical procedures, anesthesia types, and patient condition.
Purpose of the Study:
- To investigate pulmonary complications following percutaneous nephrolithotomy (PCNL).
- To identify pre- and intra-operative factors associated with the risk of PPC after PCNL.
Main Methods:
- Prospective observational study involving 100 adult patients undergoing PCNL.
- Data collection on patient demographics, surgical details, and anesthesia.
- Analysis to determine correlations with PPC development.
Main Results:
- 8% of patients experienced PPC, primarily pneumothorax (7 patients).
- One patient with atelectasis and pleural effusion died from respiratory failure.
- PCNL on the right kidney was associated with a lower risk of PPC.
- Younger patients exhibited a higher incidence of PPC.
Conclusions:
- Pulmonary complications, especially pneumothorax, are the most frequent post-PCNL complications.
- PPC can lead to patient mortality.
- The side of operation and patient age are potential risk factors for PPC.
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