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Related Experiment Videos

Early experience with percutaneous nephrolithotomy.

K Lehtoranta1, O Lindell, S Rannikko

  • 1Second Department of Surgery, University Central Hospital, Helsinki, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1989
PubMed
Summary
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Percutaneous nephrolithotomy (PNL) effectively removed most renal and upper ureteral stones in 41 patients. While generally well-tolerated, five significant complications occurred, requiring further intervention in some cases.

Area of Science:

  • Urology
  • Nephrology
  • Surgical Procedures

Background:

  • Percutaneous nephrolithotomy (PNL) is a minimally invasive surgical technique for kidney stone removal.
  • Evaluating the efficacy and safety of PNL is crucial for managing nephrolithiasis.

Purpose of the Study:

  • To assess the outcomes of percutaneous nephrolithotomy (PNL) for renal and ureteral stones.
  • To document the complication rate associated with PNL procedures.

Main Methods:

  • Retrospective analysis of 54 percutaneous nephrolithotomy (PNL) procedures in 41 patients.
  • Procedures were performed between May 1986 and December 1987.
  • Stone locations included pelvicalyceal system and upper/middle ureter.

Main Results:

Related Experiment Videos

  • Successful percutaneous removal of most renal and upper ureteral stones.
  • Six patients required repeat procedures; one case failed PNL and was treated with open ureterolithotomy.
  • Five significant complications were recorded: steinstrasse, perirenal hematoma, ureteral catheter perforation, and irrigation fluid extravasation.

Conclusions:

  • Percutaneous nephrolithotomy (PNL) demonstrates good patient tolerance and efficacy for renal and upper ureteral stones.
  • Careful patient selection and surgical technique are important to minimize PNL-related complications.