Hemorrhage during and after percutaneous nephrolithotomy via standard nephrostomy tract.
- Author:
Da-qing ZHOU
1
;
Jian WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Blood Loss, Surgical; Female; Humans; Kidney Calculi; surgery; Male; Middle Aged; Nephrostomy, Percutaneous; methods; Postoperative Hemorrhage; Retrospective Studies; Young Adult
- From: Journal of Southern Medical University 2010;30(12):2768-2769
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the intra- and postoperative hemorrhage of percutaneous nephrolithotomy via the standard nephrostomy tract.
METHODSA 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.
RESULTSAll 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.
CONCLUSIONPercutaneous nephrolithotomy through standard nephrostomy tract is safe and does not increase the risk of bleeding with careful operation.
