Results and complications of percutaneous nephrostomy.
A series of 181 patients (158 with obstructive uropathy) treated by percutaneous nephrostomy (PN) in 1978-1987 is evaluated. In 8.3% of the patients PN did not succeed. The success rate of PN was lower when done outside normal working hours and before ultrasound guidance was used. Major complications occurred in 5.5% and minor ones in 10.5%. There was no direct mortality. The complications and the possible avoidance of them are discussed. In 68% of patients nephrostomy improved their clinical condition. The benefit of PN was closely related to the existing renal recovery potential following the relief of obstruction; a problem that has not yet been fully solved.
Vehmas
T
T
Department of Diagnostic Radiology, University Central Hospital, Helsinki, Finland.
Kivisaari
L
L
Mankinen
P
P
Tierala
E
E
Somer
K
K
Lehtonen
T
T
Standertskjöld-Nordenstam
C G
CG
D000293:Adolescent; D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects; D011183:Postoperative Complications; D011859:Radiography; D014555:Urination Disorders / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*