Complications of percutaneous nephrostolithotomy.

Published

Journal Article

In 224 patients, renal stones were removed from the urinary tract using either direct extraction with a basket or forceps (59 patients), ultrasonic lithotripsy (164 patients), or infusion chemotherapy (one patient). Residual stone fragments were present more frequently in patients treated with ultrasonic lithotripsy (27%) than with direct extraction (5%). Other complications included hemorrhage (eight patients), catheter dislodgement (four patients), large amounts of urine extravasation (three patients), glycine ascites (three patients), infection (two patients), pneumothorax (one patient), and a prolonged ileus (one patient). More complications occurred among the first 50 patients than the last 50 patients, even though more difficult cases, including patients with staghorn calculi, were accepted during the latter period. Although a learning curve exists, complications can be minimized by attempting to treat more favorable cases during the initial experience.

Full Text

Duke Authors

Cited Authors

  • Dunnick, NR; Carson, CC; Braun, SD; Miller, GA; Cohan, R; Degesys, GE; Illescas, FF; Newman, GE; Weinerth, JL

Published Date

  • October 1, 1985

Published In

Volume / Issue

  • 157 / 1

Start / End Page

  • 51 - 55

PubMed ID

  • 4034977

Pubmed Central ID

  • 4034977

Electronic International Standard Serial Number (EISSN)

  • 1527-1315

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.157.1.4034977

Language

  • eng