Complications, Open Renal Surgery, Percutaneous Nephrolithotomy
Conditions
Brief summary
This study compared percutaneous nephrolithotomy (PCNL) complications in cases with or without previous renal surgery.
Detailed description
Percutaneous nephrolithotomy (PCNL) is a cornerstone in managing large renal calculi. However, in patients with a history of previous open renal surgery (POS), retroperitoneal scarring, altered anatomy, and vascular complications may influence PCNL outcomes. The literature remains inconsistent regarding whether POS negatively impacts PCNL success or increases complications. Therefore, this study aims to clarify the comparative safety and efficacy of PCNL in patients with and without prior open renal surgery.
Interventions
PROCEDUREPercutaneous Nephrolithotomy
Patients underwent percutaneous nephrolithotomy (PCNL) for renal calculi \>2 cm.
Sponsors
Sohag University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (≥18 years). * Both sexes. * Undergoing percutaneous nephrolithotomy (PCNL) for renal calculi \>2 cm.
Exclusion criteria
* Active urinary tract infection. * Elevated serum creatinine \>2.0 mg/dL. * Pregnancy. * Uncontrolled coagulopathy. * Significant cardiopulmonary comorbidities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stay duration | Till the discharge from hospital (Up to two weeks) | Lenght of hospital stay was recorded from the admission till the discharge from hospital. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum creatinine level | Preoperatively | Serum creatinine level was recorded. |
| Incidence of patients who need for auxiliary procedure | 24 hours postoperatively | Incidence of patients who need for auxiliary procedure were recorded. |
Countries
Egypt
Outcome results
None listed