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Simultaneous bilateral percutaneous nephrolithotomy

J W Dushinski1, J E Lingeman

  • 1Methodist Hospital Institute for Kidney Stone Disease, Indianapolis, Indiana, USA.

The Journal of Urology
|November 20, 1997
PubMed
Summary
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Simultaneous bilateral percutaneous nephrolithotomy is a safe and effective treatment for kidney stones in both kidneys. This procedure offers a high success rate with few complications, making it a cost-effective option.

Area of Science:

  • Urology
  • Nephrology
  • Surgical Procedures

Background:

  • Bilateral renal calculi present a significant treatment challenge.
  • Percutaneous nephrolithotomy (PCNL) is a standard treatment for large kidney stones.
  • Simultaneous bilateral PCNL offers a potential solution for patients with stones in both kidneys.

Purpose of the Study:

  • To evaluate the outcomes of simultaneous bilateral percutaneous nephrolithotomy.
  • To assess the safety and efficacy of this approach for treating bilateral renal calculi.

Main Methods:

  • Retrospective review of 52 patients scheduled for the procedure.
  • Analysis of data from 48 patients who underwent simultaneous bilateral PCNL.
  • Tabulation of operative time, hospital stay, stone-free rates, and complications.

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Main Results:

  • The stone-free rate was 96.9% across 96 renal units.
  • Mean operative time was 269 minutes and mean hospital stay was 5.6 days.
  • Complications were infrequent, including hydrothorax, ureteral obstruction, hematuria, and ureteral perforation.

Conclusions:

  • Simultaneous bilateral PCNL is a well-tolerated and safe procedure.
  • It is a cost-effective and expeditious approach for managing bilateral renal calculi.
  • The high success rate and low complication rate support its use in selected patients.