ABSTRACT

Objective:

The evaluation of the commonly used procedure Percutaneous Nephrolithotomy (PNL) on 976 patients with stone disease.

Material and Methods:

976 patients (568 men/408 women) underwent percutaneous nephrolithotomy operation between July 2003 and May 2013. Giving the patient prone position percutaneous intervention was performed under C-arm fluoroscopy. 30 F Amplatz sheath was placed after enlargement of the entrance way with Amplatz dilatation. 26 F rigid nephroscope and pneumatic lithotriptor were used to disintegrate and cleane the stones. 18 F nephrostomy tube was placed at the end of the operation. The results of 976 cases were compared.

Results:

The mean age of 47,6±10 (17-76) of 568 men and 408 women totally 976 patients were performed PNL. PNL was applied to 536 right, 440 left unit. The stone burden was found to be 8,1±4,21 cm² (2-30 cm²). The average operation duration was 72,1±29,7 minutes (30-80 minutes). The stone free rate was calculated as 849/976 (87 %). 46 patients (4,8 %) were applied blood transfusion during postoperative period. Complicated urinary tract infection developed in 16 patients. The average duration of stay for nephrostomy was 2,6 days and the average lenght of hospital stay was 3,4 days.

Conclusion:

As we see in our study with large series, percutaneous nephrolithotomy is a highly effective and safe method in stone diseases.