Effect of Simple Malrotation on Percutaneous Nephrolithotomy: A Matched Pair Multicenter Analysis
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Science Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: In this multicenter study we compared the outcome of percutaneous nephrolithotomy in patients with and without malrotated kidneys. Materials and Methods: A total of 44 patients (group 1) at 6 institutions who underwent percutaneous nephrolithotomy for kidneys with simple malrotation were enrolled in our study. Attending physicians in our group also provided the same number of cases of percutaneous nephrolithotomy done for nonmalrotated (normal) kidneys (group 2). Group 2 patients were selected by match pairing. Operative and postoperative data on the 2 groups were compared using the chi-square, Student t and Fisher exact tests. Results: As a result of match pairing, the 2 groups were similar in age, gender, body mass index, and stone size and site. Mean +/- SD stone size was 5.9 +/- 3.5 cm(2) in group 1. Multiple access attempts were required in 9 (20.5%) and 7 cases (15.9%) in groups 1 and 2, respectively (p > 0.05). Mean fluoroscopy time was 7.0 +/- 3.9 minutes in the malrotated kidney group and 7.3 +/- 4.5 minutes in the nonmalrotated kidney group (p > 0.05). The mean hemoglobin decrease after percutaneous nephrolithotomy was significantly higher in group 1 (-1.9 vs -1.3 gm/dl, p = 0.008) but the blood transfusion rate was similar in the 2 groups. The procedure success rate in groups 1 and 2 was 77.3% and 79.5%, respectively (p > 0.05). Conclusions: Percutaneous nephrolithotomy is safe and effective even in patients with larger kidney stones and malrotated kidneys.
Açıklama
Anahtar Kelimeler
kidney, nephrostomy, percutaneous, nephrolithiasis, abnormality, hemoglobins
Kaynak
Journal of Urology
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
185
Sayı
5
