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Analysis of stone-free rates and residual fragment sizes following standard percutaneous nephrolithotomy: mistakes in the treatment of non-opaque kidney stones        
Yazarlar
Doç. Dr. Ümit YILDIRIM Doç. Dr. Ümit YILDIRIM
Kafkas Üniversitesi, Türkiye
Kemal Sarıca
Sağlık Bilimleri Üniversitesi, Türkiye
Dr. Öğr. Üyesi Mehmet EZER Dr. Öğr. Üyesi Mehmet EZER
Kafkas Üniversitesi, Türkiye
Dr. Öğr. Üyesi Mehmet USLU Dr. Öğr. Üyesi Mehmet USLU
Kafkas Üniversitesi, Türkiye
Dr. Öğr. Üyesi İsmet Bilger ERİHAN Dr. Öğr. Üyesi İsmet Bilger ERİHAN
Türkiye
Cengiz Kara
Türkiye
Özet
Our presented study aimed to evaluate the possible effects of stone opacity, on both the success of percutaneous nephrolithotomy and the sizes of residual fragments following the procedure. Medical records of patients undergoing PCNL treatment for kidney stones at our clinic between July 2014 and May 2022 were evaluated in a retrospective manner. A total sample size of 304 patients with the required criteria was included. Patients were divided into two groups based on the radiopacity status of the stones assessed in the kidney-ureter-bladder graphy (KUB) [Group O (n = 211): opaque, Group N (n = 93): non-opaque)]. Demographic data, laboratory results, and surgical follow-up information were comparatively evaluated between groups. The mean age and percentage of female patients were higher in Group N (45.2 vs. 25,1%; p < 0.001). Also, patients in this group were associated with more comorbidities. No significant difference was present regarding stones’ laterality, size, surface area, and localization. Cases in the Group N group demonstrated higher median hemoglobin reduction [1.7 (IQR = 1.2–2.5) vs. 2 (IQR = 1.6–2.6); p = 0.047]. The stone-free rates in Group O patients were higher (67.8% vs. 53.8%; p = 0.014). The size of the residual fragments was meaningfully larger in Group N cases [8 (IQR = 7–13) vs. 10 (IQR = 8–16); p = 0.032]. Finally, no significant difference was observed between the groups regarding both minor (as grade 3a and below) and major (grade 3b and above) assessed by the Modified Clavien-Dindo Classification. Our data show that treatment of patients with so-called non-opaque kidney stones by PCNL results in low SFR and larger residual fragments, which is due to a variety of errors that should be avoided by appropriate measures.
Anahtar Kelimeler
Standard | Percutaneous | Nephrolithotomy | Non-opaque | Mistakes
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı UROLITHIASIS
Dergi ISSN 2194-7228
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili Türkçe
Basım Tarihi 04-2023
Cilt No 51
Sayı 1
Sayfalar 69 / 0
Doi Numarası 10.1007/s00240-023-01448-0
Makale Linki http://dx.doi.org/10.1007/s00240-023-01448-0