RESULTS OF MINI – PERCUTANEOUS NEPHROLITHOTRIPSY IN PATIENTS WITH PREVIOUS OPEN RENAL SURGERY
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Abstract
To assess the efficacy and safety of mini percutaneous nephrolithotripsy (PCNL) in patients with previous open renal surgery. A retrospective study was conducted including 48 patients underwent PCNL with previous open renal surgery. The average time from previous open renal surgery to PCNL was 13.0 ± 6.7 years. The mean operative time was 75.6 ± 36.7 minutes. There was 10.4% and 8.3% patients requiring secondary PCNL and two tracts. The stone-free rate after first and last PCNL procedure was 79.2% and 87.5%. The rates of grade I, II and III complications accroding to the Clavien-Dindo were 16.7%, 4.2% and 2.1%, respectively. The proportion of patients requiring blood transfusion and vascular intervention was 4.2% and 2.1%. The average hospital stay after PCNL was 3.6 ± 2.6 days. Thus, PCNL ensures effectiveness and safety in treating kidney stone in patients with previous open renal surgery.
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References
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