Percutaneous renal surgery for urolithiasis.
Sixty eight consecutive cases of percutaneous renal surgery, percutaneous nephrolithotripsy (PCNL), were performed on 64 patients (male-41, female-23) at the Subang Jaya Medical Centre from April 1988 to July 1989. All the cases were done as a one stage procedure. Fifty eight stones were large renal or staghorn and ten were ureteric. Thirty cases (41%) were stone free after PCNL alone. Thirty eight cases had residual fragments needing extracorporeal shockwave lithotripsy (ESWL). Mean operating time was 109.6 +/- 36.0 minutes. Mean hospital stay was 4.5 +/- 1.8 days. At three months follow-up, 86% of the cases were stone free. The remaining had residual sand (less than 3mm). Minor complications occurred in six patients. None required major surgical intervention post PCNL.
Tan
H M
HM
Subang Jaya Medical Centre, Selangor.
Cheung
H S
HS
D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery* / Q000628:therapy; D007902:Length of Stay; D008096:Lithotripsy; D008296:Malaysia; D008297:Male; D014514:Ureteral Calculi / Q000601:surgery* / Q000628:therapy