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Percutaneous approach to nephrolithiasis.

N R Dunnick, C C Carson, A V Moore

    AJR. American Journal of Roentgenology
    |March 1, 1985
    PubMed
    Summary
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    Percutaneous nephrolithotomy effectively removed kidney stones in 92% of cases. This minimally invasive approach offers a comparable hospitalization stay and faster recovery than open surgery.

    Area of Science:

    • Urology
    • Minimally Invasive Surgery
    • Nephrolithiasis Treatment

    Background:

    • Kidney stones (nephrolithiasis) pose a significant health challenge.
    • Traditional open nephrolithotomy can involve prolonged recovery periods.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of percutaneous techniques for kidney stone removal.
    • To compare percutaneous stone removal with open nephrolithotomy.

    Main Methods:

    • Percutaneous nephrolithotomy was attempted in 110 kidneys.
    • Ultrasonic lithotripsy was employed for stones ranging from 5-38 mm.
    • Direct stone extraction using baskets or forceps was also performed.

    Main Results:

    • Successful stone removal was achieved in 92% (101/110) of attempted kidneys.

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  • The most frequent complication was incomplete stone disintegration.
  • Hospitalization averaged 10 days, similar to open nephrolithotomy.
  • Convalescence post-discharge was significantly shorter (3-10 days).

    • Conclusions:

    • Percutaneous stone removal is a highly effective treatment for nephrolithiasis.
    • This technique offers comparable hospitalization duration but a faster return to normal activities compared to open surgery.