The Influence of Access on the Efficacy and Complications in PCNL for Renal Calculi

Dr Lokesh Sharma, Dr Nisar Ahmed, Dr Vengetesh Kilvani Sengottayan
2016 IOSR Journal of Dental and Medical Sciences  
PCNL has remained standard procedure for renal calculi patients. Over the years, improvements in techniques, instruments and better understanding of anatomy has led diminished complications rate. However significant complications still occurs. Here we tried to determine the effects of percutaneous access point, number and location on success as well as complication rates during PCNL. This was a prospective study of patients who underwent PCNL between august 2012 to November 2013.Total 166
more » ... 013.Total 166 patients were studied. Stone was categorized as simple in 75 (45.2%) and complex in 91 (54.2%). Out of 91 renal units with complex stones, in 56 complete clearance could achieve in first setting. Among the rest 35 renal units, 19 underwent relook PCNL. Out of 75 cases with simple calculi 63 achieved complete clearance in first setting, 12 had residual calculi. It is evident from the study that clearance rates were not dependent on the site and number of access.
doi:10.9790/0853-150731825 fatcat:qkrscqr7t5gzznvgliqzlhrukm