| Autor: |
Abdulkader, Alobaidy, Abdulla, Al-Naimi, Khalid, Assadiq, Haidar, Alkhafaji, Abdulla, Al-Ansari, Ahmed A, Shokeir |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
The Canadian journal of urology. 18(1) |
| ISSN: |
1195-9479 |
| Popis: |
To identify the risk factors of unfavorable results of percutaneous nephrolithotomy (PCNL).A total of 602 patients were subjected to 616 PCNL procedures. Patients were divided into two groups according to the results of treatment. Group 1 with favorable results includes patients who became stone free after a single PCNL procedure without major complications. Group 2 with unfavorable results includes three subgroups: a) Patients who developed major complications, b) Those who required second major intervention to complete stone removal, and c) Patients with residual stones4 mm at 3 month. Risk factors for unfavorable outcome were studied by univariate and multivariate analyses.Unfavorable results were documented in 176 patients (28.6%) due to major complications in 40 (6.5%), need for second intervention in 124 (20%), and presence of residual stones4 mm at 3 month in 12 (1.9%). The remaining 440 patients (71.4%) were considered of favorable outcome. Independent risk factors of unfavorable results on multivariate analysis were staghorn stones, multiple stones and stone largest diameter50 mm.To optimize the results of PCNL, urologists should consider careful patient selection. Patients with staghorn stones, multiple stones or large stone burden are more susceptible to unfavorable outcome. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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