Introduction: Percutaneous Nephrolithotomy (PCNL) is considered the treatment of choice for large (> 2 cm size) renal stones at present. Aim of this study was to evaluate the results of PCNL as monotherapy in our centre which were done through superior calyceal approach.Materials and Methods: Seventy five patients with three bilateral renal stone (total 78 renal units) that underwent PCNL through superior calyceal approach at Apollo Hospitals Dhaka from May 15, 2005 to December 15, 2007 were included in this retrospective study. Selected patients had renal stones more than 2 cm in size (average stone size 35 mm and surface area 750 mm2). Ultrasonogram, intravenous urogram and in some selected cases CT scan were done to detect the location and size of the stone. Urologist performed percutaneous punctures through superior calyx in prone position under fluoroscopic guidance and general anaesthesia were employed in all cases. Post-operative stone clearance was documented on plain X-ray KUB and ultrasonogram KUB.Results: PCNL was successfully (complete stone clearance and insignificant residue) carried out in 68 patients (69 renal units). Average stone clearance was 88.46%. No second look procedures were needed. Uro-sepsis was the main complication, occurred in 9 renal units (11.53 %) while urinary leakage/ fistula in 6.41%, significant bleeding in 6 renal units (7.69 %) and pleural breach with fluid in pleural cavity (hydrothorax) in 2 (2.6 %) cases. Mean blood transfusion was 1.2 units and mean hospital stay was 67 hours.Conclusion: Monotherapy with PCNL is highly effective in the treatment of large volume renal calculi and staghorn calculi using superior calyceal supracostal and subcostal approach. As a minimally invasive procedure, it is quite safe in experienced hand.Keywords: Percutaneous nephrolithotomy, Renal stone, Superior calyceal puncture, Staghorn calculiDOI: 10.3329/pulse.v3i1.6543Pulse Vol.3(1) July 2009 p4-6
| Mualliflar | AU Shaikh, Rabi Sanker Biswas, NUM Arif, N Miah, Waheed Zaman |
|---|---|
| Jurnal | PULSE |
| Nashr sanasi | 1970-01-01 |
| Jild | 3 |
| Son | 1 |
| Betlar | 4-6 |
| Til | en |
| DOI | 10.3329/pulse.v3i1.6543 |
DOI: 10.3329/pulse.v3i1.6543 · Maqolaning asl sahifasi · PDF
We report a case of a 54 year old male who presented with abdominal pain and hematemesis. After thorough workup, a laparotomy was done. It revealed an ante grade intussusception in the afferent limb of a…
Coronary Artery Bypass Surgery (CABG) is an established surgical treatment of coronary artery disease. Conventionally it has been done with left internal mammary artery and saphenous vein for many years. But the study…
Abstract not available DOI: http://dx.doi.org/10.3329/pulse.v5i2.20268 Pulse Vol.5 July 2011 p.58-60
We report the clinical, neuro-radiological findings of a young man who was admitted to Apollo Hospitals Dhaka, Bangladesh because of abrupt onset of aphasia and right sided mild hemiparesis. He had two strokes six days…
Abstract not available DOI: http://dx.doi.org/10.3329/pulse.v5i1.20190 Pulse Vol.5 January 2011 p.44-49
Management of a complicated obstetric patient with profuse bleeding following caesarean section (under GA) required massive blood transfusion was managed properly with multidisciplinary approach in ICU. The involvement…
Apollo Hospitals Dhaka surely stepped ahead than any other hospital of Bangladesh for reducing medication errors significantly. From the very beginning of its establishment, reducing medication errors was taken as a…
Coronary Artery disease (CAD) is an important cause of mortality and morbidity in the developed world as well as in Bangladesh. Treatment of Acute Myocardial Infarction (AMI) patient either by Streptokinase (STK) or…
Pregnancy is a rare event in patients with cirrhosis. Recent improvements in the treatment of chronic liver disease have resulted in higher conception rates and more successful pregnancy outcomes. Still pregnancy in…
Items such as cotton or gauze pads can be mistakenly left behind during operations. Such foreign materials (called textiloma) cause foreign body reaction in the surrounding tissue. The complications caused by these…