Percutaneous nephrolithotomy has a success rate of 90%; however, its overall complication rate is approximately 83%, including urinary extravasation, bleeding necessitating transfusion, and postoperative fever. Septicemia, colonic and pleural injury are rare major complications. Neighboring organ injury, especially colonic injury, is frequently seen during tract dilatation procedure. In this study, we report a case of colonic lumbar hernia, which is a rare complication of percutaneous nephrolithotomy.
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Risk factors of systemic inflammatory response syndrome after minimally invasive percutaneous nephrolithotomy with a controlled irrigation pressure.
BMC Urol
December 2024
Department of Urology, Dongguan Tungwah Hospital, Dongguan, Guang dong, 523110, China.
Objective: This study aims to identify the risk factors for systemic inflammatory response syndrome (SIRS) after minimally invasive percutaneous nephrolithotomy (PCNL) with a controlled irrigation pressure and to find which patients undergoing PCNL are likely to develop SIRS under the pressure-controlled condition.
Methods: A total of 303 consecutive patients who underwent first-stage PCNL in our institute between July 2016 and June 2018 were retrospectively reviewed. All the procedures were performed with an 18 F tract using an irrigation pump setting the irrigation fluid pressure at 110 mmHg and the flow rate of irrigation at 0.
A Modern Education Theory Approach to Development of a Benchtop Simulation Model for Ultrasound-Guided Percutaneous Nephrolithotomy.
J Endourol
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Department of Urology, University of California San Francisco, San Francisco, California, USA.
To develop and validate a high-fidelity, nonbiohazardous simulator model for the ultrasound-guided percutaneous nephrolithotomy procedure. We employed a systematic framework based on Delphi consensus and modern education theory to design a simulation model. Twelve expert surgeons provided input through a hierarchal task analysis and identified procedural tasks, anatomical landmarks, and potential errors.
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Department of Urology, The Second Affiliated Hospital of Nanchang University, No. 461 Bayi Avenue, Donghu District, Nanchang, 330006, Jiangxi Province, China.
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Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030. Electronic address:
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Analysis of risk factors for SIRS after PCNL in patients with solitary kidney.
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Department of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
The purpose of this study is to address the gap in the existing literature regarding the risk factors for systemic inflammatory response syndrome (SIRS) in patients with a solitary kidney who undergo percutaneous nephrolithotomy (PCNL).This retrospective study reviewed the clinical data of 51 patients with solitary kidney stones who underwent PCNL from January 2018 to January 2024.The study evaluated demographic information, stone characteristics, and laboratory data.
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