Objective: To study the results of renal stones treatment with PCNL in terms of complication and stone free rate in Cipto Mangunkusumo Hospital. Material & methods: Retrospective study of renal stone patients who were treated with PCNL at the Department of Urology, Cipto Mangunkusumo Hospital from January 1st 1999 until May 31st 2006. Results: There were 213 patients between 8 until 80 years old done for various stone localizations in the kidney. The overall stone free rate was 74,2%. The complication rate was 10,8%, bleeding in 15 patients (7,1%), leakage in 5 patients (2,3%), and colon perforation in 3 patients (1,4%). There was no artery + vena renalis perforation, urosepsis, hydro/pneumothorax or mortality in this group. Results are similar with experience in the literature. Conclusion: PCNL is a safe procedure for renal stones removal. It gives satisfactory results as well as a low complication rate, but if complications occur the morbidity can be severe. Hence, this procedure has to be done very meticulously.
Renal stone, PCNL, stone free rate, complication rate
Stoller ML, Bolton DM. Urinary stone disease, in Tanagho EA, McAninch JW (Eds): Smith General Urology. 14th Ed. London: Practice-Hall Int, Inc; 1995. p. 276 – 304.
Matlaga BR, Assimos DG. The role of open stone surgery in 2002. Braz J Urol 2002; 28 (2): 87 – 92.
Rahardjo D, Rochani, Muslim P, Umbas R. Percutaneous ultrasonic (Nephro) lithotripsy. Jakarta; 1987. (Unpublished).
Segura JW. The role of percutaneous surgery in renal and ureteral stones removal. J Urol 1989; 141: 780 – 1.
Ramakumar S, Segura JW. Percutaneous management of urinary calculi. Digital Journal Urology. Minnesota. Available from: http:/www.duj.com/Article/Segura/Segura.html
Menon M, Parulkar BG, Drach GW. Urinary lithiasis: etiology, diagnosis and medical management. In: Walsh CP, Retik AB, Vaughan ED, Wein AJ, editors. Campbell’s Urology. 7th ed. Philadelphia: WB Saunders; 1998. p. 2662 – 5.
Rahardjo D, Hamid R. Perkembangan penatalaksanaan batu ginjal di RS Cipto Mangunkusumo tahun 1997 – 2002. J Bedah Indonesia 2004; 32 (2): 58 – 63.
Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, et al. American Urological Association: Nephrolithiasis clinical guidelines panel summary report of management of staghorn calculi. J. Urol 1994; 151: 1684 – 51.
Munver R, Preminger GM. Urinary tract stones. In: Weiss RM, George NJR, O’Reilly PH, editors. Comphrehensive Urology. London: Mosby International Limited; 2001. p. 313 – 23.
Portis TJ. Diagnosis and initial management of kidney stones. American Family Physician 2001; 63 Available from: http:/www.md consult.com
Auge BK, Preminnger GM. Surgical management of urolithiasis. Endocrinology and Metabolism clinics 2002; 31(4) Available from: http:/www.md consult.com
Lashley DB, Fuchs EF. Urologist-aquired renal access for percutaneous renal surgery. Urology 1998; 51: 927 – 31.
Streem SB, Preminger GM. Surgical management of calculi diseases. In: Gillen Water JY, Grayhack JT, Howard SS, Mitchell ME, editors. Adult and Pediatric Urology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 393 – 447.
Srivasta A, Singh KJ, Suri A. Vascular complications after percutaneous nephrolithotomy: Are there any predictive factors? Urology 2005; 66: 38 – 40.