Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone

Introduction: Percutaneous nephrolithotomy is the first therapeutic option for staghorn kidney stones. Objective: To characterize patients with complications of percutaneous nephrolithotomy for the treatment of staghorn renal lithiasis. Method: A series of 191 patients, operated by percutaneous neph...

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Autores principales:	Mariano Castillo Rodríguez, Tania González León, Angela Rosa Gutiérrez Rojas, Luis Leandro Borrero Barrientos, María Victoria Labrada Rodríguez, Ana Ramírez Mena
Formato:	article
Lenguaje:	ES
Publicado:	ECIMED 2021
Materias:	litiasis urinaria nefrolitotomía percutánea complicaciones intraoperatorias complicaciones postoperatorias litiasis coraliforme. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c71a0ccd12f747f68cab66f1d9dd0240
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spelling	oai:doaj.org-article:c71a0ccd12f747f68cab66f1d9dd02402021-12-03T13:28:51ZComplications of percutaneous nephrolithotomy as treatment for staghorn renal stone1561-3046https://doaj.org/article/c71a0ccd12f747f68cab66f1d9dd02402021-11-01T00:00:00Zhttp://revmedmilitar.sld.cu/index.php/mil/article/view/1639https://doaj.org/toc/1561-3046Introduction: Percutaneous nephrolithotomy is the first therapeutic option for staghorn kidney stones. Objective: To characterize patients with complications of percutaneous nephrolithotomy for the treatment of staghorn renal lithiasis. Method: A series of 191 patients, operated by percutaneous nephrolithotomy, was studied. Variables studied: type of staghorn lithiasis, position for the technique, stone-free condition after the operation, presence of complications, time, type and grade according to the Clavien-Dindo classification. Absolute and relative frequencies were found and the chi-square test was used to determine the association between variables. Results: 86.9 % were less than 60 years old, 67,0 % were male, 61,7 % had comorbidities. The staghorn lithiasis was partial or total (30,3 % and 46,5 %, respectively). In 60,2 % it affected the left kidney; 58.1 % underwent supine surgery and 70,2 % were stone free with monotherapeutic percutaneous nephrolithotomy. Complications occurred in 19,9 %; 16,2 % were postoperative, 14,1 % infectious, 7,8 % Clavien-Dindo I, and 5,2 % IIIb. The type of lithiasis and the position of the percutaneous nephrolithotomy were not associated with complications (p> 0,05). The degree of complication was not related to the type of lithiasis (p> 0,05). Conclusions: The most frequent postoperative complications are those related to infection and bleeding; they slightly predominate in patients with partial and total staghorn stones and in those operated on in the supine position; the Clavien-Dindo grade of complications is only slightly higher in the more complex staghorn stones.Mariano Castillo RodríguezTania González LeónAngela Rosa Gutiérrez RojasLuis Leandro Borrero BarrientosMaría Victoria Labrada RodríguezAna Ramírez MenaECIMEDarticlelitiasis urinarianefrolitotomía percutáneacomplicaciones intraoperatoriascomplicaciones postoperatoriaslitiasis coraliforme.MedicineRMedicine (General)R5-920ESRevista Cubana de Medicina Militar, Vol 50, Iss 4, Pp e02101639-e02101639 (2021)
institution	DOAJ
collection	DOAJ
language	ES
topic	litiasis urinaria nefrolitotomía percutánea complicaciones intraoperatorias complicaciones postoperatorias litiasis coraliforme. Medicine R Medicine (General) R5-920
spellingShingle	litiasis urinaria nefrolitotomía percutánea complicaciones intraoperatorias complicaciones postoperatorias litiasis coraliforme. Medicine R Medicine (General) R5-920 Mariano Castillo Rodríguez Tania González León Angela Rosa Gutiérrez Rojas Luis Leandro Borrero Barrientos María Victoria Labrada Rodríguez Ana Ramírez Mena Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
description	Introduction: Percutaneous nephrolithotomy is the first therapeutic option for staghorn kidney stones. Objective: To characterize patients with complications of percutaneous nephrolithotomy for the treatment of staghorn renal lithiasis. Method: A series of 191 patients, operated by percutaneous nephrolithotomy, was studied. Variables studied: type of staghorn lithiasis, position for the technique, stone-free condition after the operation, presence of complications, time, type and grade according to the Clavien-Dindo classification. Absolute and relative frequencies were found and the chi-square test was used to determine the association between variables. Results: 86.9 % were less than 60 years old, 67,0 % were male, 61,7 % had comorbidities. The staghorn lithiasis was partial or total (30,3 % and 46,5 %, respectively). In 60,2 % it affected the left kidney; 58.1 % underwent supine surgery and 70,2 % were stone free with monotherapeutic percutaneous nephrolithotomy. Complications occurred in 19,9 %; 16,2 % were postoperative, 14,1 % infectious, 7,8 % Clavien-Dindo I, and 5,2 % IIIb. The type of lithiasis and the position of the percutaneous nephrolithotomy were not associated with complications (p> 0,05). The degree of complication was not related to the type of lithiasis (p> 0,05). Conclusions: The most frequent postoperative complications are those related to infection and bleeding; they slightly predominate in patients with partial and total staghorn stones and in those operated on in the supine position; the Clavien-Dindo grade of complications is only slightly higher in the more complex staghorn stones.
format	article
author	Mariano Castillo Rodríguez Tania González León Angela Rosa Gutiérrez Rojas Luis Leandro Borrero Barrientos María Victoria Labrada Rodríguez Ana Ramírez Mena
author_facet	Mariano Castillo Rodríguez Tania González León Angela Rosa Gutiérrez Rojas Luis Leandro Borrero Barrientos María Victoria Labrada Rodríguez Ana Ramírez Mena
author_sort	Mariano Castillo Rodríguez
title	Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
title_short	Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
title_full	Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
title_fullStr	Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
title_full_unstemmed	Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
title_sort	complications of percutaneous nephrolithotomy as treatment for staghorn renal stone
publisher	ECIMED
publishDate	2021
url	https://doaj.org/article/c71a0ccd12f747f68cab66f1d9dd0240
work_keys_str_mv	AT marianocastillorodriguez complicationsofpercutaneousnephrolithotomyastreatmentforstaghornrenalstone AT taniagonzalezleon complicationsofpercutaneousnephrolithotomyastreatmentforstaghornrenalstone AT angelarosagutierrezrojas complicationsofpercutaneousnephrolithotomyastreatmentforstaghornrenalstone AT luisleandroborrerobarrientos complicationsofpercutaneousnephrolithotomyastreatmentforstaghornrenalstone AT mariavictorialabradarodriguez complicationsofpercutaneousnephrolithotomyastreatmentforstaghornrenalstone AT anaramirezmena complicationsofpercutaneousnephrolithotomyastreatmentforstaghornrenalstone
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Complications of percutaneous nephrolithotomy as treatment for staghorn renal stone

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