[Percutaneous nephrolithotomy (PCNL): evaluation of 250 PCNL by the same operator].
The author reports his 8-year experience of PCNL in 250 patients between the ages of 8 and 86 years, including 31 staghorn calculi and 52 ureteric stones treated via a descending approach. The other stones were pelvic or caliceal and 4 occurred in a solitary kidney. The technique used and the complications are described in detail. The most serious complication was infection, which was almost fatal in 1 case. Haemorrhage (7 cases) and intestinal perforation (2 right colonic perforations) never required surgical intervention. There were no deaths or nephrectomies. The results were immediately perfect (stone-free) in 77.6% of cases and in 82.8% of cases after spontaneous elimination of stone debris or repeat PCNL.
Clinique Béthesda, Strasbourg.
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Viville
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D007669:Kidney Calculi / Q000737:chemistry / Q000209:etiology / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D007670:Kidney Calices / Q000601:surgery; D007682:Kidney Pelvis / Q000601:surgery; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects / Q000379:methods; D013530:Surgical Wound Infection / Q000209:etiology; D013997:Time Factors; D017211:Treatment Failure; D014514:Ureteral Calculi / Q000737:chemistry / Q000209:etiology / Q000382:microbiology / Q000473:pathology / Q000601:surgery*
La néphrolithotomie per-cutanée (NLPC): bilan de 250 NLPC par le même opérateur.