Percutaneous Nephrolithotomy: Causes of Failure and Complications.
- Author:
Moon Kee CHUNG
1
;
Jin Han YOON
;
Jong Byung YOON
Author Information
1. Department of Urology, College of Medicine, Pusan National, University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
percutaneous nephrolithotomy
- MeSH:
Busan;
Humans;
Hydrothorax;
Incidence;
Learning Curve;
Mortality;
Nephrostomy, Percutaneous*;
Peritoneal Cavity;
Pneumothorax
- From:Korean Journal of Urology
1988;29(5):740-746
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fifty three percutaneous nephrolithotomy were performed in 52 patients from August `86 to July `87 in Pusan National University Hospital. We discussed our first experience in regard of failure and complications. Success rate was 81.1 per cent, increased along with learning curve from 58.3 per cent to 93.3 per cent. There was no mortality and the incidence of complications related with percutaneous nephrolithotomy was, 28.8 per cent including 6 patients with remnant stone and one patient with extrarenal lost of stone. The major complications were extravasation into peritoneal cavity in one patient and hydrothorax and pneumothorax in one patient. The most common causes of failure was inability to make proper nephrostomy tract especially in the very beginning of our experience.