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PHARMACEUTICAL SCIENCES
http://doi.org/10.5281/zenodo.1137631
Please cite this article in press as Javed Altaf Jat et al., Frequency of Success of Percutaneous Nephrolithotomy
(PCNL) Procedure in Patients with Renal Calculi,, Indo Am. J. P. Sci, 2017; 4(12).
Success of Percutaneous Nephrolithotomy: absence proportion. Effect modifiers like age, gender, BMI,
of ecohogenic mass (stone) on ultrasound was labeled size of stone, HTN, DM was stratified. Post
as success stratification, Chi-square test was applied for
statistical difference in the outcome. Significance
Renal Stone (Calculi): Presence of ecohogenic mass level was set at p-value < 0.05.
(stone) in the kidney assessed on ultrasound was
labelled as renal stone. RESULTS:
The data was entered, cleaned and analyzed with the Mean age of the patients was 40.38 ±7.09 years
help of statistical package for social sciences (SPSS) (Table 1). Majority of the patients 65 (55.60%) were
version 17. Means and standard variation was presented with >35 years of age (Table 2) while the
calculated like variables age, BMI and size of stone. frequency of success was found 109 (93.20%)
Gender, comorbid conditions like HTN, DM and patients (Table 3).
success (stone clearance) was measured in
percutaneous nephrolithotomy in patients with renal nephrolithotomy for kidney calculi: a single surgeon's
stones was 94.9% [3]. Moreover, it was further experience. Korean J Urol. 2011 Apr;52(4):284-8.
revealed that stone location, but not the access point 6.Wong Bill TH. Percutaneous nephrolithotomy.
location, was the major determinant for success, Medical Bulletin. Oct 2009:14(10):14-17.
which was 99.3 and 90.2% in patients with simple 7.Falahatkar S, KhosropanahI, Roshan ZA, Gulshahi
and complex stones, respectively (p < 0.01). M, Emadi SA. Decreasing the complications of
Significant complications included bleeding PNCL with alternative techniques including complete
necessitating blood transfusion in 28 (10.2%), and supine PCNL and subcostal approach. Pak J Med Sci.
hydropneumothorax in 2 (0.7%) patients. Bleeding 2009Apr-Jun;25(3):353-8.
was observed in 39.1 and 7.5% of patients managed 8.Madhy S, Agrawal, Singh SK, Singh H.
with supracostal access, and subcostal access, Management of multiple/staghorn kidney stones:
respectively (p < 0.01). An increased number of Open surgery versus PCNL (with or without ESWL).
access points significantly augmented the risk for Indian J Urol. 2009 Apr-Jun;25(2):284–5.
bleeding. Bleeding was encountered in 7.6% of 9.Duvdevani M, Razvi H, Sofer M, Bieko DT, Nott
patients managed with 1 percutaneous access point, L, Chew BH. Third prize contemporary percutaneous
and in 18.5% of cases managed with ≧2 access nephrolithotripsy 1585 procedures in 1338
points (p < 0.05). Hydropneumothorax occurred in consecutive patients. J Endourol. 2007
patients with supracostal access [3] Aug;21(8):824-9.
10.Kuzgunbay B, Gul U, Turunc T, Egilmez T,
CONCLUSION: Ozkardes H, Yaycioghu O. Long term renal function
Frequency of success of Percutaneous and stone recurrence after percutaneous
Nephrolithotomy (PCNL) procedure founds higher in nephrolithotomy in patients with renal insufficiency
participant patients with renal calculi J.Endourol. 2009 Oct;23(10):1773-6.
11.Ramello A, Vitale C &Marangella M.
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