Rana Ata-Ur-Rehman, Fazal-Ur-Rehman, Abdul Rauf, Syed Atif Hussain, Muhammad Adnan, Salik Nazir

Previous Published Issues


Complications of Percutaneous Nephrolithotomy Classified by the Modified Clavien Grading System

Rana Ata-Ur-Rehman, Fazal-Ur-Rehman, Abdul Rauf, Syed Atif Hussain, Muhammad Adnan, Salik Nazir



613



ABSTRACT

 

Background:  Percutaneous nephrolithotomy (PCNL)is generally a very safe and well-tolerated procedure, but as with any surgical intervention, PCNL is not free of complications. It was very difficult to compare complications of PCNL with other hospitals data until the development of calvin grading system.

Place and duration of study: This study was conducted in Urology Department at Shaikh Zayed Hospital, Lahore from January 2017 to January 2018.

Methods: A total 190 cases of PCNL procedures were performed and complications were noted. Clavien grading system provides classification of complications of PCNL according to their severity in an excellent way.

Results: Out of the 190 patients, 130(68%) were male and 60(32%) female. The mean age of the patient population was 35.0±9.56 years (range: 10–65 years). The mean size of stones was 2.8cm (ranging from 1.5-4cm). 70(37%) patients had pelvic stones, 30(16%) patients had stag horn calculi, 40(21%) patients had upper pole calyces stones and 50(26%) patients had lower pole calyces stones.

Conclusion: Percutaneous nephrolithotomy is a gold standard treatment for renal stone disease. It is need of time to document complications of other urological procedures according to Calvin grading system so that outcomes of other urological procedures may improve.

Keywords: Percutaneous nephrolithotomy, Complications, Clavien Grading System.



Copyright © Pakistan Journal of Medical & Health Sciences 2020. All rights reserved!