Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Medeniyet medical journal Pub Date : 2023-06-20 DOI:10.4274/MMJ.galenos.2023.85688

Tiopan Napitupulu, Yosua Hardja, Martin Susanto, Grace Dumamawarni Hutahaean, Ika Riantri, Hendra Sutapa, Yusuf Rachman, Andre Marolop Pangihutan Siahaan

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引用次数: 0

Abstract

Objective: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was to analyze the correlation of hydronephrosis with surgical outcomes after ultrasound-guided supine PCNL.

Methods: A retrospective study was conducted at Doris Sylvanus General Hospital. Data of the patients was obtained from hospital records. Hundred and five patients underwent ultrasound-guided PCNL in the supine position from August 2020 to August 2022. Data were analyzed using SPSS 16.0.

Results: The presence of hydronephrosis was 85 (80.95%), which consisted of Grade I 15 (14.30%), Grade II 25 (23.80%), Grade III 28 (26.70%), and Grade IV 17 (16.20%). In our study analysis, complications occurred in 16 patients (15.23%). Grade I complications of the Clavien-Dindo classification was of in 4 cases, 11 cases of grade 2 complications, and 1 patient died. The statistical result was the relationship between grade hydronephrosis and the grade of complication using the modified Clavien-Dindo system. We found a p-value of 0.207 (>0.05), and there is no statistically significant relationship p=0.382 and r=-0.086 was a negative correlation. There is also no statistically significant relationship between hydronephrosis and stone clearance with p=0.310.

Conclusions: The use of ultrasonographic guidance PCNL has been reported as a safe and effective procedure for the management of large renal stones. In this study, there was no correlation or signification between hydronephrosis and surgical outcome after ultrasound-guided supine PCNL.

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超声引导下仰卧经皮肾镜取石术后肾积水程度与手术结果的相关性:一项回顾性观察研究。

目的:经皮肾镜取石术(PCNL)是治疗鹿角结石和大肾结石的首选方法。超声引导下的PCNL比透视引导下的PCNL有明显的优势。术前特征对于评估更好的手术结果至关重要。本研究的目的是分析超声引导下仰卧PCNL术后肾积水与手术结果的关系。方法:在Doris Sylvanus总医院进行回顾性研究。患者资料来源于医院记录。205例患者于2020年8月至2022年8月在仰卧位行超声引导下PCNL。数据采用SPSS 16.0进行分析。结果:肾积水85例(80.95%)，其中ⅰ级15例(14.30%)，ⅱ级25例(23.80%)，ⅲ级28例(26.70%)，ⅳ级17例(16.20%)。在我们的研究分析中，16例(15.23%)患者出现并发症。Clavien-Dindo分级1级并发症4例，2级并发症11例，死亡1例。采用改良的Clavien-Dindo评分系统统计肾积水程度与并发症程度的关系。p值为0.207 (>0.05)，p=0.382, r=-0.086为负相关，无统计学意义。肾积水与结石清除也无统计学意义，p=0.310。结论:超声引导下PCNL是一种安全有效的治疗大肾结石的方法。在本研究中，超声引导的仰卧PCNL术后肾积水与手术结果之间没有相关性或意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medeniyet medical journal Medicine-Medicine (all)

CiteScore

1.70

自引率

0.00%

发文量

审稿时长

5 weeks

期刊介绍： The Medeniyet Medical Journal (Medeniyet Med J) is an open access, peer-reviewed, and scientific journal of Istanbul Medeniyet University Faculty of Medicine on various academic disciplines in medicine, which is published in English four times a year, in March, June, September, and December by a group of academics. Medeniyet Medical Journal is the continuation of Göztepe Medical Journal (ISSN: 1300-526X) which was started publishing in 1985. It changed the name as Medeniyet Medical Journal in 2015. Submission and publication are free of charge. No fees are asked from the authors for evaluation or publication process. All published articles are available online in the journal website (www.medeniyetmedicaljournal.org) without any fee. The journal publishes intradisciplinary or interdisciplinary clinical, experimental, and basic researches as well as original case reports, reviews, invited reviews, or letters to the editor, Being published since 1985, the Medeniyet Med J recognizes that the best science should lead to better lives based on the fact that the medicine should serve to the needs of society, and knowledge should transform society. The journal aims to address current issues at both national and international levels, start debates, and exert an influence on decision-makers all over the world by integrating science in everyday life. Medeniyet Med J is committed to serve the public and influence people’s lives in a positive way by making science widely accessible. Believing that the only goal is improving lives, and research has an impact on people’s lives, we select the best research papers in line with this goal.