Evidence map›Paper›PMID 25995750›Full record

ArticleArchives of medical science : AMS2015

Renal access through the inferior calyx is associated with higher risk of severe bleeding after percutaneous nephrolithotomy.

Jing Tan, Binghai Chen, Leye He, Guangming Yin, Zhiqiang Jiang, Kun Yao, Xianzheng Jiang

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Article in Archives of medical science : AMS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jing TanDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.
Binghai ChenDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.
Leye HeDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.
Guangming YinDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.
Zhiqiang JiangDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.
Kun YaoDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.
Xianzheng JiangDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHemorrhage is a major complication after percutaneous nephrolithotomy (PCNL). In the current study, we analyzed the risk factors for severe bleeding after PCNL. MATERIAL AND

methodsMedical records of 982 consecutive patients undergoing PCNL at the Department of Urology, the Third Xiangya Hospital, were reviewed. The type of stone included: solitary (n = 471), multiple (n = 192) and staghorn (n = 319). 139 patients had renal stones of solitary kidney or functional solitary kidney. The puncture site was the inferior calyx in 246 cases, the middle calyx in 651 cases, and the upper calyx in the remaining 85 cases.

resultsThe success rate (complete removal of the stone) was 92.8%, 73.4%, and 80.9% for solitary, multiple and staghorn stones, respectively. Severe bleeding occurred in 3.25% (8/246) of the cases with inferior calyx access, and 0.3% (2/651) in cases with middle calyx access. No severe bleeding occurred in patients with upper calyx access. The bleeding was controlled successfully with focal embolization under angiography in all 10 cases.

conclusionsSevere postoperative bleeding after PCNL is associated with renal puncture via the inferior calyx, multiple renal stones and solitary kidney stones.

Indexed as

bleedingembolizationnephrolithiasispercutaneous nephrolithotomy

Identifiers

PMID25995750
PMCPMC4424251

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