Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi?

Purpose To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD). Materials and methods Patients with complex renal calculi appropriate for PNL at our institution be...

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Bibliographic Details
Published in:World journal of urology 2021-06, Vol.39 (6), p.2121-2127
Main Authors: Huang, Jian, Zhang, Shike, Huang, Yapeng, Özsoy, Mehmet, Tiselius, Hans‑Göran, Huang, Jinkun, Zhao, Zhijian, Zeng, Tao, Zeng, Guohua, Wu, Wenqi
Format: Article
Language:English
Subjects:
Embolization
Fever
Hemoglobin
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Nephrolithiasis
Nephrology
Nomograms
Oncology
Original Article
Renal function
Risk factors
Urology
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Summary:Purpose To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD). Materials and methods Patients with complex renal calculi appropriate for PNL at our institution between August 2016 and February 2018 were included in the study. The outcome of single and multiple tract PNL was analyzed retrospectively. A nomogram was created to predict the probability of SRFD. Results 793 (88.4%) patients were treated with single tract PNL (Group 1) and 104 patients (11.6%) treated with multiple tract PNL (Group 2). Group 2 had a significantly greater hemoglobin reduction (16.0 ± 12.5 vs. 11.4 ± 11.8 g/L, p  
ISSN:0724-4983
1433-8726
1433-8726
DOI:10.1007/s00345-020-03420-8