ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT HỞ LẤY SỎI THẬN TẠI BỆNH VIỆN ĐÀ NẴNG

Abstract

Introduction: Kidney stones are common, and although minimally invasive techniques have advanced, open surgery remains essential for complex stones, anatomical abnormalities, or cases where other methods fail or are contraindicated, especially since patients in Vietnam often present late. Objective: Survey some clinical and paraclinical characteristics of kidney stone patients; evaluate the early results of open surgery to remove kidney stones. Subject and method: The study describes a series of cases on 35 patients diagnosed with kidney stones and required open surgery at Da Nang Hospital from May 2023 to March 2024. Information is collected according to the data table prepared through medical records. Results: Mean age is 54.4 ± 11.8 years old, the most affected age group is 60-69 years old accounting for 37.1%; the predominant symptoms is lumbar pain, accounting for 100%; mean stone size of 28.8 ± 11.6 mm,  the largest stone is 54 mm, the smallest stone is 15 mm; The number of stones in patients with more than 5 stones accounts for 42.9%; Complete coral gravel accounts for 40%, partial coral gravel accounts for 60%; Grade I hydronephrosis 31.4%; Grade II 28.6%; Grade III hydronephrosis 25.7%; Average surgery time 89.7 ± 27.1 minutes; Pelvic-parenchymal open surgery method account for the highest proportion with 62.9%; 5.7% of surgical wound infections; 46% of cases have residual stones. Conclusion: Assessing the characteristics of the stone and urinary tract problems related to kidney stone treatment is important in planning treatment. Open surgery gives relatively good early results.