Abstract
To determine the effects of previous stone surgery on the results of complete supine percutaneous nephrolithotomy (csPCNL), we reviewed 81 patients undergoing csPCNL at our center between March 2008 and March 2009. The principal aim in our study was whether prior renal surgery affects the outcome of PCNL. The results of the study were analyzed using SPSS 11 software. Our patients were divided to in two groups. Group 1 consisted of patients with a previous history of renal stone surgery and group 2 consisted of patients without history of renal surgery. Mean operative time in group 1 was 98.75 ± 56.31 min, and in group 2 99.71 ± 45.9 min (p = 0.93). Bleeding requiring transfusion occurred in four (14.2%) patients in group 1, and in eight (15.09%) patients in group 2 (p = 0.826). Fever was detected in no patients in group 1, and in four (7.5%) patients in group 2 (p = 0.136). Postoperative hematoma was seen in one (3.5%) patient in group 1 and in no patient in group 2 (p = 0.166). Other major complications including extravasations, sepsis, pleural effusion, pelvis perforation, and visceral organ trauma were not seen in any groups. This is the first experience of csPCNL in patients with and without a previous history of renal surgery. We found that there was no difference in results between the two groups that underwent complete supine PCNL. So csPCNL in patients with a history of stone surgery can be safe and effective. csPCNL offers the potential advantages of less patient handling, easier access to the urethra, easier possibility of changing spinal or regional anesthesia to general anesthesia if needed, better airway control and less hazard, especially for patients with compromised cardiopulmonary function, morbid obesity, or those who require a prolonged procedure and easier access to upper calyx. Its popularity is still minimal in the field of urology as a whole, because of fear of colon injury and a lack of training in this position in educational centers.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Miller NL, Lingeman JE (2007) Management of kidney stones. BMJ 334:468–472
Moe OW (2006) Kidney stones: pathophysiology and medical management. Lancet 367:333–344
Sutherland JW, Parks JH, Coe FL (1985) Recurrence after a single renal stone in a community practice. Miner Electrolyte Metab 11:267–269
Sahin A, Atsu N, Erdem E et al (2001) Percutaneous nephrolithotomy in patients aged 60 years or older. J Endourol 15:489–491
Choong S, Whitfield H, Duffy P et al (2000) The management of pediatric urolithiasis. BJUI 86:857–860
Sahin A, Tekgul S, Erdem E et al (2000) Percutaneous nephrolithotomy in older children. J Pediatr Surg 35:1336–1338
Margel D, Lifshitz DA, Kugel V, Dorfmann D, Lask D, Livne PM (2005) Percutaneous nephrolithotomy in patients who previously underwent open nephrolithotomy. J Endourol 19(10):1161–1164
Falahatkar S, Afshari Moghaddam A, Salehi M, Nikpour S, Esmaili F, Khaki N (2008) Complete supine percutaneous nephrolithotripsy comparison with the prone standard technique. J Endourol 22(11):2513–2517
Tugcu V, Su FE, Kalfazade N, Sahin S, Ozbay B, Tasci AI (2008) Percutaneous nephrolithotomy(PCNL) in patients with previous open stone surgery. Int Urol Nephrol 40:881–884
Preminger GM, Clayman RV, Hardeman SW et al (1985) Percutaneous nephrostolithotomy vs open surgery for renal calculi: a comparative study. JAMA 254:1054–1058
Amiel J, Choong S (2004) Renal stone disease: the urological perspective. Nephron Clin Pract 98:54–58
Ruoppolo M, Bellorofonte C, Dell’Acqua S, Zaatar C, Ferri PM, Tagliaferri A, Tombolini P (1990) Complications of percutaneous litholapaxy. Arch Ital Urol Nefrol Androl 62:399–410
Gremmo E, Ballanger P, Dore B et al (1999) Hemorrhagic complications during percutaneous nephrolithotomy: retrospective studies of 772 cases. Prog Urol 9:460–463
Viville C (1987) Percutaneous nephrolithotomy: personal experience in 100 cases. J Urol (Paris) 93:253–258
Viville C (1988) Treatment of staghorn calculi by percutaneous nephrolithotomy: apropos of 18 cases. J Urol (Paris) 94:133–136
Falahatkar S, Panahandeh Z, Ashoori E, Akbarpour M, Khaki N (2009) What is the difference between percutaneous nephrolithotomy in patients with and without previous open renal surgery? J Endourol 23(7):1107–1110
Falahatkar S, Enshaei A, Afsharimoghaddam A, Emadi SA, Allahkhah A (2010) Complete supine percutaneous nephrolithotomy with lung inflation avoids the need for a supracostal puncture. J Endourol 24(2):213–218
Sofikerim M, Demirci D, Gulmez I et al (2007) Does previous open nephrolithotomy affect the outcome of percutaneous nephrolithotomy? J Endourol 21:401–403
Basiri A, Karrami H, Moghaddam SM et al (2003) Percutaneous nephrolithotomy in patients with or without a history of open nephrolithotomy. J Endourol 17:213–216
Falahatkar S, Allahkhah A (2010) Recent developments in percutaneous nephrolithotomy: benefits of the complete supine position. UroToday Int J 3(2): doi:10.3834/uij.1944-5784.2010.04.03
Lojanapiwat B (2006) Previous open nephrolithotomy: does it affect percutaneous nephrolithotomy techniques and outcome? J Endourol 20:17–20
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Falahatkar, S., Asli, M.M., Emadi, S.A. et al. Complete supine percutaneous nephrolithotomy (csPCNL) in patients with and without a history of stone surgery: safety and effectiveness of csPCNL. Urol Res 39, 295–301 (2011). https://doi.org/10.1007/s00240-010-0341-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00240-010-0341-y