title: Outcomes of tubeless percutaneous nephrolithotomy in patients with chronic renal insufficiency.
abstract: We evaluated the outcomes of percutaneous nephrolithotomy in patients with chronic renal insufficiency. A total of 60 patients with a creatinine level greater than 1.5 mg/dL who underwent PCNL were included. Serum creatinine level, as a kidney function index, was assessed before and after the operation. The mean calculus size was 31.13 ± 9.38 mm. The mean pre-operative and 2-week postoperative serum creatinine levels were 2.43 ± 0.75 mg/dL and 2.08 ± 0.78 mg/dL, respectively. There was a significant difference between the pre-operative and postoperative creatinine levels in all postoperative days (days 1, 2, and 14). Fifty of the 60 patients (83.3%) were stone free. Ten patients (16.6%) developed postoperative fever. We can conclude that percutaneous nephrolithotomy seems to be a safe and effective therapeutic option for kidney calculi in patients with chronic kidney disease.
authors.affiliation: Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Etemadian
authors.forename: Robab
authors.initials: R
authors.lastname: Maghsoudi
authors.forename: Pejman
authors.initials: P
authors.lastname: Shadpour
authors.forename: Hadi
authors.initials: H
authors.lastname: Ghasemi
authors.forename: Mohsen
authors.initials: M
authors.lastname: Shati
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003404:Creatinine / Q000378:metabolism; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000097:blood / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000097:blood / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D003404:Creatinine