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Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

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dc.contributor.author Celik, Huseyin
dc.contributor.author Utangac, Mehmet Mazhar
dc.date.accessioned 2019-10-16T11:22:19Z
dc.date.available 2019-10-16T11:22:19Z
dc.date.issued 2015
dc.identifier.citation Celik, H . Utangac, MM . (2015). Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment. Cilt:43. Sayı: 6. 521- 526 ss. tr_TR
dc.identifier.uri http://hdl.handle.net/11616/14648
dc.description.abstract We present our experience with the largest series of colon perforation (CP) as complication of percutaneous nephrolithotomy (PNL). From January 1998 to August 2014, 22 cases that presented with PNL-related CP from seven referral centers were retrospectively reviewed. The patients with CP were evaluated in terms of probable risk factors. Peri-operative and postoperative findings, timing of diagnosis, and treatment modalities of the CP were reviewed. Of the 22 patients, previous ipsilateral renal surgery (n:2) and retrorenal colon (n:5) were the risk factors for CP. The CP was directly visualized via nephroscopy during the surgery in 3 (13.6 %) and with nephrostography at the end of the procedure in 4 patients (18.2 %). In two patients, perforation was realized via the passage of contrast into the colon with nephrostography on the postoperative second day. Postoperative passage of feces through the nephrostomy tube was seen in six patients. The clinical signs in 13 cases directed CP diagnosis. The confirmation of the CP was achieved with a CT scan in all the patients. The patients with extraperitoneal perforation were primarily managed conservatively. Open surgical treatment was performed in cases with intraperitoneal perforation (n:5) and those with extraperitoneal perforation resistant to conservative treatment (n:5). Meticulous evaluation of the risk factors preoperatively is the initial step in the prevention of CP. Timely diagnosis plays essential role in the management of this PNL complication. Although extraperitoneal CP may be managed conservatively, surgery is required for intraperitoneal CPs. tr_TR
dc.language.iso eng tr_TR
dc.publisher Sprınger, 233 sprıng st, new york, ny 10013 usa tr_TR
dc.relation.isversionof 10.1007/s00240-015-0792-2 tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.subject Nephrocolıc fıstula tr_TR
dc.subject renal surgery tr_TR
dc.subject management tr_TR
dc.subject complıcatıons tr_TR
dc.subject nephrostolıthotomy tr_TR
dc.subject ınjury tr_TR
dc.title Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment tr_TR
dc.type article tr_TR
dc.relation.journal Urolıthıasıs tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.identifier.volume 43 tr_TR
dc.identifier.issue 6 tr_TR
dc.identifier.startpage 521 tr_TR
dc.identifier.endpage 526 tr_TR


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