ABSTRACT
Objective To investigate the treatment of hemorrhage after mini-percutaneous nephrolithotomy. Method From February 2001 to May 2006, 20 clinical data of severe bleeding were retrospectively analysed in 3910 cases of mini-percutaneous nephrolithotomy in treatment of upper urinary calculi. Results In 20 cases, 19 were successfully treated, in which 2 patients can be treated with expectant treatment (transfusion and catheter compression), 16 cases were rendered with super-selective arterial embolization;1 case with nephrectomy;1 case wsa suffered from DIC and died. Conclusions The most familiar complication of mini-percutaneous nephrolithotomy is bleeding. If only be more carefully and try the right way in time, the safety of the operation must be increased.
ABSTRACT
Objective To assess the safety and feasibility of minimally invasive percutaneous nephrolithotomy(mPCNL) in the treatment of solitary kidney calculi.Method Thirty-eight patients with solitary kidney calculi,treated with mPCNL from Jan 1998 to May 2004,were retrospectively investigated.Results Of 38 cases,there was 6 cases with pyonephrosis and 32 cases with the treatment of one stage percutaneous nephrolithotomy.With the treatment of 1 to 3 tract was used for calculus removed in all cases,a total of 86% stone-free rate was achieved.Only one case with pyonephrosis suffered from postoperative infection shock while one stage minimally invasive percutaneous nephrolithotomy was performed.Another one patient with diabetes suffered from postoperative ketoacidosis and no major complications were noted in other patients.Conclusion Minimally invasive percutaneous nephrolithotomy is safe and effective in the treatment of solitary kidney calculi.