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[Complications following transcutaneous operations on the kidney]
1Urologische Universitätsklinik Wien.
Summary
Percutaneous nephrostomy is a common procedure with a low complication rate. Septic complications were similar in patients undergoing nephrostomy alone versus those also having percutaneous nephrolithotripsy.
Area of Science:
- Nephrology
- Urology
- Minimally Invasive Surgery
Context:
- Percutaneous nephrostomy (PCN) is a key procedure for urinary tract obstruction.
- Since 1979, 249 patients underwent PCN for various indications.
- Complications include technical difficulties (2%), bleeding (1%), and pyelonephritis (11%).
Purpose:
- To analyze the complication rates of percutaneous nephrostomy.
- To compare septic complications between PCN alone and PCN followed by percutaneous nephrolithotripsy (PCNL).
Summary:
- A total of 249 PCN procedures were reviewed, with documented complications.
- Septic complication rates were analyzed in 124 PCN patients versus 125 PCN+PCNL patients.
- No significant difference in septic complications was observed between the two groups.
Impact:
- Provides data on PCN safety and complication profiles.
- Informs clinical decision-making regarding PCN and PCNL procedures.
- Highlights the comparable safety of PCN with or without subsequent PCNL concerning infection risk.