Percutaneous nephrolithotomy in patients with spinal deformities

Journal of Endourology
Ioannis Goumas-Kartalas, Emanuele Montanari

Abstract

To assess the feasibility and efficacy of percutaneous nephrolithotomy (PCNL) in patients with spinal deformities. Between 1999 and 2008, eight patients (nine renal units) with spinal deformities underwent 10 PCNLs. Mean stone burden was 372 mm(2) (160-840 mm(2)). Preoperative investigation of the respiratory function, evaluation of anatomy by intravenous pyelography or CT spiral scan, and preoperative planning of the percutaneous access by ultrasonography (US) were performed in all patients. Patients were either in a prone (n = 5) or supine (n = 5) position during PCNL. US-guided fluoroscopic adjusted percutaneous puncture of the desired calix was performed in all the patients. There was a 40% complication rate related to the number of procedures, with 20% of patients needing blood transfusion and 10% experiencing major complications. Complete stone clearance per kidney after one PCNL was 55.5% (5/9 PCNLs), increasing to 66.6% (6/9 PCNLs) after a second PCNL. Four of nine (44.4%) renal units needed additional procedures after one PCNL (shockwave lithotripsy [SWL], retrograde intrarenal surgery [RIRS], combined simultaneous PCNL and RIRS). At the 3-month follow-up, the overall stone-free rate was 88.8% (eight renal units). PCNL...Continue Reading

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Citations

Apr 27, 2012·Journal of Endourology·Berkan ResorluAli Unsal
Dec 25, 2012·Journal of Endourology·Caroline J ColangeloGeorge Chiang
Jan 22, 2011·Current Opinion in Urology·Cecilia M CraccoRoberto M Scarpa
Sep 1, 2016·Journal of Endourology Case Reports·Maximiliano Lopez SilvaNorberto Bernardo
Aug 5, 2016·Arab Journal of Urology·David K-C MakTamer El-Husseiny
May 6, 2015·The Journal of Spinal Cord Medicine·Fazli Polat, Suleyman Yesil
Jul 21, 2016·Investigative and Clinical Urology·Madeleine Nina JonesPhilip McCahy
Jan 24, 2017·Journal of Endourology·Rajeev ChaudhryMichael C Ost
Oct 21, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Zhaohui HeGuohua Zeng
Mar 9, 2017·World Journal of Urology·Mordechai DuvdevaniHassan Razvi
Mar 2, 2017·Current Urology Reports·Roshan M PatelJaime Landman
Jan 28, 2021·The Journal of International Medical Research·Hao-Tian TanChun-Hua Lin

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Methods Mentioned

BETA
infrared spectroscopy
sedation

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