Efficacy and Safety of Radiation free Percutaneous Nephrolithotomy in Kidney Position


  • Chaowat Pimratana Department of Surgery, Buriram Hospital


Percutaneous nephrolithotomy, radiation free, ultrasound guidance, flank or kidney position


Objective: To evaluate the efficacy of clinical result and safety of ultrasound guidance Percutaneous Nephro- lithotomy (PCNL) in Kidney position.

Method: A total of 122 renal stone patients undergone ultrasound guidance PCNL in kidney or flank position between January 2010 - March 2011 in Khonkaen Hospital, were prospectively observed. Stone size, opera- tive time, and length of stay were recorded. Stone free rate, blood transfusion, and postoperative complica- tions were evaluated.

Results: The pelvocaliceal system could be successfully approached in 119 patients (97.5%). Stone free rate was 82.4%. The mean length of stay was 6.8 days. The mean total operative time was 68.2 minutes. Five patients needed blood transfusion. Postoperative febrile urinary tract infection was found 5 cases, 1 case was presented with septic shock. Minor tear of renal pelvis was found 2 cases. The pleural or visceral organ injury was not found in this study.

Conclusions: Ultrasound guidance PCNL in kidney position provided satisfactory result. Its efficacy and safety were comparable to standard PCNL. The operative teams were radiation-free exposed in this tech- nique.


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How to Cite

Pimratana, C. (2011). Efficacy and Safety of Radiation free Percutaneous Nephrolithotomy in Kidney Position. Insight Urology, 32(2), 90–94. Retrieved from https://he02.tci-thaijo.org/index.php/TJU/article/view/252867



Original article