title: [Hemorrhage during and after percutaneous nephrolithotomy via standard nephrostomy tract].
abstract: OBJECTIVE
  To investigate the intra- and postoperative hemorrhage of percutaneous nephrolithotomy via the standard nephrostomy tract.
  
  
  METHODS
  A retrospective analysis was conducted among 1578 patients undergoing percutaneous nephrolithotomy. During the operations, all the nephrostomy tracts were dilated to F24 size after successful puncture. The stones were shattered and removed by EMS lithotrity system.
  
  
  RESULTS
  All the patients showed intra- and postoperative hemorrhage, and in 121 cases, blood transfusion was needed. In 18 patients, the operation had to be terminated for severe hemorrhage. The 8 patients with repeated bleeding were managed and cured by blood transfusion and medication. In another 2 cases, severe hemorrhage was found to result from false aneurysms by renal arteriography and managed by superselective embolization.
  
  
  CONCLUSIONS
  Percutaneous nephrolithotomy through standard nephrostomy tract is safe and does not increase the risk of bleeding with careful operation.
authors.affiliation: Department of Urology, Hospital of PLA, Nanning, China. sxwy555666@tom.com
authors.forename: Da-qing
authors.initials: DQ
authors.lastname: Zhou
authors.forename: Jian
authors.initials: J
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D019106:Postoperative Hemorrhage; D012189:Retrospective Studies; D055815:Young Adult