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Related Experiment Videos

Percutaneous lithotripsy in morbid obesity.

C C Carson1, J E Danneberger, J L Weinerth

  • 1Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina 27710.

The Journal of Urology
|February 1, 1988
PubMed
Summary

Obese patients can safely undergo percutaneous lithotripsy for kidney stones. This study found no significant differences in outcomes or complications compared to nonobese patients, making it a viable treatment option.

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Area of Science:

  • Nephrology
  • Urology
  • Surgical Technology

Background:

  • Percutaneous lithotripsy is a standard treatment for kidney stones.
  • Obesity is linked to higher surgical risks and may exclude patients from certain treatments like shock wave lithotripsy.

Purpose of the Study:

  • To compare the efficacy and safety of percutaneous stone management in obese versus nonobese patients.
  • To evaluate if obesity impacts outcomes of percutaneous renal stone procedures.

Main Methods:

  • A comparative study involving 44 obese and 226 nonobese patients undergoing percutaneous stone management.
  • Analysis of stone characteristics (number, location, burden) and procedural outcomes.

Main Results:

  • Stone characteristics were similar between obese and nonobese groups.

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  • No significant differences were observed in hospital stay, operative time, fragment clearance rates, access success, or complication rates between the two groups.

    • Conclusions:

    • Percutaneous procedures are effective and safe for managing renal calculi in both obese and nonobese patients.
    • Obesity does not appear to increase morbidity or decrease success rates for percutaneous stone removal.