[Percutaneous removal of renal and upper ureteral stones: clinical results and complications of 103 cases].
We report the results and complications of 103 consecutive patients who underwent percutaneous removal of renal and ureteral stones. The overall clinical success rate was 80.6%. For the recent 33 cases in which UL-arm fluoroscopy was used, however, the success rate was as high as 87.9%, which was considered to be due to easier establishment of percutaneous direct access. The most common complications were bleeding (18.5%), extravasation (15.5%) and fever (9.7%). Four cases with significant bleeding required arteriography, but there were no sign of arteriovenous fistula nor pseudoaneurysms in any cases. To study renal parenchymal damage in the percutaneous procedures, plasma renin activities (PRA) were compared in 54 cases after six months. However, significant elevation of PRA did not occur in any case.
Shishido
S
S
Department of Urology, Keio University School of Medicine.
Baba
S
S
Ohigashi
T
T
Muraki
J
J
Hayashi
A
A
Tachibana
M
M
Deguchi
N
N
Jitsukawa
S
S
Hata
M
M
Tazaki
H
H
D000328:Adult; D000368:Aged; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D012083:Renin / Q000097:blood; D014514:Ureteral Calculi / Q000601:surgery*; D014551:Urinary Tract / Q000293:injuries
D012083:Renin