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Complications of percutaneous nephrolithotomy
AJR. American Journal of Roentgenology
|January 1, 1987
Summary
Percutaneous nephrolithotomy (PCNL) had a 4% complication rate in 582 patients. Most common issues included fever and bleeding, with few requiring immediate surgery.
Area of Science:
- Urology
- Nephrology
- Surgical Complications
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Understanding the complication profile of PCNL is crucial for patient safety and procedural optimization.
Purpose of the Study:
- To analyze the incidence and types of complications following percutaneous nephrolithotomy.
- To identify factors contributing to severe complications and the need for surgical intervention.
Main Methods:
- Retrospective review of 582 patients who underwent percutaneous nephrolithotomy.
- Detailed documentation of all immediate and delayed complications, including those requiring intervention.
Main Results:
- Overall complication rate was 4% (23 patients).
- Most frequent complications included fever (23%) and bleeding requiring transfusion (12%).
- Severe complications necessitating immediate surgery occurred in 1% of patients, primarily for renal pelvic lacerations, ureteral avulsion, or uncontrolled bleeding.
Conclusions:
- Percutaneous nephrolithotomy is associated with a low overall complication rate.
- Fever and bleeding are the most common complications, typically managed conservatively.
- While rare, severe complications can occur, requiring prompt surgical or interventional management.