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Percutaneous nephrolithotomy in patients with previous renal surgery
N Netto Júnior1, G C Lemos, J L Fiuza
1Hospital Israelita Albert Einstein, São Paulo, Brazil.
European Urology
|January 1, 1988
Summary
Percutaneous nephrolithotomy is a safe and effective kidney stone removal method. It shows minimal complications even for patients with prior open renal surgery, making it a viable treatment option.
Area of Science:
- Urology
- Nephrology
- Surgical Innovation
Background:
- Nephrolithotomy is a common procedure for kidney stones.
- Percutaneous stone extraction is a minimally invasive alternative.
- Previous open renal surgery can complicate stone extraction.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous nephrolithotomy.
- To compare outcomes in patients with and without prior open renal surgery.
- To assess the impact of previous surgery on operative parameters.
Main Methods:
- Retrospective analysis of 224 patients undergoing percutaneous stone extraction.
- Patients divided into two groups: prior open renal surgery (79) and no prior surgery (145).
- Comparison of operative time, bleeding, and complications between groups.
Main Results:
- Increased operative time and bleeding noted in the prior surgery group.
- No statistically significant difference in outcomes or complications was observed between groups.
- Percutaneous nephrolithotomy demonstrated feasibility in complex cases.
Conclusions:
- Percutaneous nephrolithotomy is a safe and effective treatment for kidney stones.
- Prior open renal surgery does not significantly increase morbidity or decrease efficacy.
- This method offers minimal morbidity even in patients with a history of renal surgery.