Diagnosis and treatment of 11 cases of liver injury due to percutaneous nephrolithotripsy

Yuyang Yang; Taisheng Liang; Gang WU; Xin Zhang; Jianming Liang; Botao Tang; Hongjun Gao; Jian Wang

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Diagnosis and treatment of 11 cases of liver injury due to percutaneous nephrolithotripsy

VernacularTitle:经皮肾镜碎石术并发肝脏损伤11例诊治分析
Author: Yuyang YANG ¹ ; Taisheng LIANG ¹ ; Gang WU ¹ ; Xin ZHANG ¹ ; Jianming LIANG ¹ ; Botao TANG ¹ ; Hongjun GAO ^{1
,

2} ; Jian WANG ¹
Author Information

1. Department of Urology, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011
2. Guangxi Clinical Medical Research Center for Renal Diseases of Integrated Chinese and Western Medicine, Nanning 530011, China
Publication Type:Journal Article
Keywords: percutaneous nephrolithotripsy; operative complication; liver perforation; conservative treatment
From: Journal of Modern Urology 2024;29(1):37-40
CountryChina
Language:Chinese
Abstract: 【Objective】 To explore the diagnosis and management of liver injury caused by percutaneous nephrolithotripsy (PCNL), so as to provide reference for the diagnoise and treatment of similar patients. 【Methods】 The clinical data of 926 patients who underwent PCNL during Oct.2017 and Oct.2022 were searched, and the data of those complicated with liver injury were analyzed. 【Results】 A total of 11 cases were collected, including 6 males and 5 females, average age (55.00±13.25)years.All injuries were confirmed with CT.The average decrease of hemoglobin after operation was (14.00±11.97)g/L.One patient needed blood transfusion due to pyonephrosis and multiple operations, and all patients were cured and discharged after delaying the removal of nephrostomy tube [an average of (6.73±1.27)days] . 【Conclusion】 In the absence of obvious signs of peritonitis and hemodynamic stability, conservative treatment of liver injury caused by PCNL is safe and effective.