Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (PCNL) for managing renal calculi.
J Pak Med Assoc
; 71(2(B)): 602-607, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-33941943
ABSTRACT
OBJECTIVE:
To compare upper versus lower calyceal approaches in percutaneous nephrolithotomy for managing renal calculi.METHODS:
The retrospective study was conducted in the Department of Urology, The Kidney Centre Post-Graduate Training Institute, Karachi, and comprised data of patients who underwent percutaneous nephrolithotomy from January 2014 to January 2015. Patients were divided into upper pole puncture group A and lower pole puncture group B. Data was analysed using SPSS 17.RESULTS:
Of the 198 patients, 147(74.2%) were males and 51(25.8%) were females. The overall mean age was 40.64±14.02 years. Of the total, 69(34.84%) were in group A and 129(65.15%) were in group B. Inter-group difference was significant in pre- and post-operative haemoglobin (p<0.05). Post-operative outcomes showed that blood transfusion, stone clearance and complication like tube thoracostomy had significant association with both the groups (p<0.05). Complete clearance was seen in 152(76.8%) patients; 40(74.1%) in group A and 102(81.6%) in group B.CONCLUSIONS:
The success rate was found to be better in lower calyceal puncture group than upper calyceal puncture group for the management of renal calculi.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nefrostomia Percutânea
/
Cálculos Renais
/
Nefrolitotomia Percutânea
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Pak Med Assoc
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Paquistão