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Related Experiment Videos

Percutaneous nephrolithotomy: analysis of 500 consecutive cases.

W J Lee, A D Smith, V Cubelli

    Urologic Radiology
    |January 1, 1986
    PubMed
    Summary

    Percutaneous stone removal success rates significantly improved with team experience. This procedure remains vital for kidney stone treatment despite advancements like extracorporeal shock-wave lithotripsy.

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    Area of Science:

    • Urology
    • Nephrology
    • Surgical Innovation

    Background:

    • Percutaneous stone removal is a key procedure for treating kidney stones.
    • Nephrolithotomy has evolved with technological advancements.
    • Assessing procedural outcomes and complications is crucial for patient care.

    Purpose of the Study:

    • To evaluate the outcomes of percutaneous stone removal in a large patient cohort.
    • To assess the impact of surgical team experience on procedural success rates.
    • To identify common complications and their incidence.

    Main Methods:

    • Retrospective review of 500 patients undergoing percutaneous stone removal.
    • Minimum 8-month follow-up evaluation for all patients.
    • Comparison of outcomes between the initial 100 patients and the entire series.

    Main Results:

    • Overall success rate for simple stones improved from 89% in the first 100 cases to 98% in the entire series.
    • Success rate for staghorn calculi was 87%.
    • Most common complication was bleeding (12% requiring transfusion); other complications included infection (0.6%), retained fragments (4%), and stricture (1%). One death occurred due to myocardial infarction.

    Conclusions:

    • Nephrolithotomy success rates improve significantly with radiologic and urologic team experience.
    • Bleeding requiring transfusion is the most frequent complication.
    • Percutaneous stone removal remains an essential treatment modality for kidney stones, even with the availability of extracorporeal shock-wave lithotripsy.

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