A Single-Centre Experience Study in Percutaneous Nephrolithotomy (PCNL) at Al-Safeer Surgical Specialized Hospital Toma Riyadh R. aal1,*, Muhsen Ali M.2 1FICS Urology, University of Kerbala, College of Medicine, Chief of Surgical Department 2FICS Urology, Al Safeer Surgical Specialized Hospital, Department of Urology *Corresponding Author: Dr. Riyadh Rasheed Jawad aal-Toma, M.B. Ch. B, F.I.C.M.S, FEBU, Head of Department of Surgery, College of Medicine, Karbala University, Karbala, Iraq, e-mail: Medicalresearch64@yahoo.com
Online published on 23 December, 2019. Abstract Aim To evaluate our gained experience in PCNL surgery and its effectiveness in treated various cases with renal stones. Method A retrospective study compromise 3146 patients underwent PCNL in single center of surgical hospital from 1st January 2013 to 1st January 2018. Aquestionnaire was used to collected data. Surgical and postsurgical parameters were reported. Result Patient's gender male 56.4%, female 43.6%. PCNL done on 47.9% right sides, 50.5% left and 1.6% bilatera l.71.4% were opaque stones. 9.1% of patients were Pediatrics, 86.8% adult's and 4.1% Geriatrics. Mean Stone measures (mm)32.9±15.3. Mean operative time (mints) 36.5±17.2. Mean Hospitalization (days) 1.5±0.8. The entrance approach to kidney: upper 64.7%, lower 20.50%, middle 10.70% and multiple in 4.13%. The stone free rate were 96.9%. Intraoperative complication were: Bleeding 0.8%, Pleural injury 1%, and Bowel injury 0.1%. Postoperative complication: Sepsis 1.3% and transient impairment of renal function 0.3%. Conclusion Forlarge kidney and upper ureteral stones PCNL is effective procedure with minimal morbidity even in the presence of anatomical variation and experience play important role for good results. Top Keywords Nephrolithotomy, Hydronephrosis, Ureteral stone, Karbala. Top |