Efficacy and Safety of Radiation free Percutaneous Nephrolithotomy in Kidney Position
Keywords:
Percutaneous nephrolithotomy, radiation free, ultrasound guidance, flank or kidney positionAbstract
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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