Objectives: In this study, we analysed the first 70 percutaneous nephrolithotomy (PCNL) cases’ records retrospectively that have been per-formed at Bitlis State Hospital.
Material and Methods: Between March 2011 and October 2013, 70 PCNL operations were performed at Bitlis State Hospital. Pati-ent records were analysed. The relationship between stone burden and surgical time, stone burden and surgical success, stone burden and stone free rates were analysed. The changing of elapsed time between inserting endotracheal tube and puncturing the access needle in time was estimated.
Results: The mean patient age was 39,6±13,6. Mean operation time was 120±16,37 min. In this study stone free rate was 80% and overall success rate was 84,3%. 14 (20%) patients had residual stone fragments and extracorporeal shock wave lithotripsy (ESWL) was performed for 9 patients after PCNL. 7 (10%) patients re-ceived blood transfusion, mean double J (DJ) catheter insertion rate was 11,4%.
Conclusion: In the surgical treatment of large renal stones (2 cm<), PCNL is recommen-ded for the first treatment choice. When app-ropriate conditions are prepared, PCNL surgery can be performed for renal stones in peripheral hospitals.
Key Words: Peripheral Hospital, Percutane-ous Nephrolithotomy, Renal Stone
Abstract
Objectives: In this study, we analysed the first 70 percutaneous nephrolithotomy (PCNL) cases’ records retrospectively that have been per-formed at Bitlis State Hospital.
Material and Methods: Between March 2011 and October 2013, 70 PCNL operations were performed at Bitlis State Hospital. Pati-ent records were analysed. The relationship between stone burden and surgical time, stone burden and surgical success, stone burden and stone free rates were analysed. The changing of elapsed time between inserting endotracheal tube and puncturing the access needle in time was estimated.
Results: The mean patient age was 39,6±13,6. Mean operation time was 120±16,37 min. In this study stone free rate was 80% and overall success rate was 84,3%. 14 (20%) patients had residual stone fragments and extracorporeal shock wave lithotripsy (ESWL) was performed for 9 patients after PCNL. 7 (10%) patients re-ceived blood transfusion, mean double J (DJ) catheter insertion rate was 11,4%.
Conclusion: In the surgical treatment of large renal stones (2 cm<), PCNL is recommen-ded for the first treatment choice. When app-ropriate conditions are prepared, PCNL surgery can be performed for renal stones in peripheral hospitals.
Key Words: Peripheral Hospital, Percutane-ous Nephrolithotomy, Renal Stone