AI Article Synopsis
- The study analyzes pulmonary complications related to supracostal percutaneous nephrolithotomy (PCNL), focusing mainly on right-sided punctures.
- A total of 90 patients were evaluated, revealing a 14.4% incidence rate of chest complications, with significantly higher rates observed in right-side procedures (20.8%) versus left-side (5.4%).
- The findings stress the importance of monitoring for potential delayed complications like hydrothorax post-surgery, recommending follow-up chest X-rays one week after the procedure.
Article Abstract
Purpose: To analyse pulmonary complications following supracostal percutaneous nephrolithotomy especially after right sided supracostal punctures, both in initial and relook PCNL.
Material And Methods: From February 2016 till date, 90 patients underwent PCNL in Government Medical College, Jammu through supracostal puncture - 53 on right side and 37 on left side. All supracostal punctures were made about 7-8.5 cm from midline. Tract dilatation was done using metal dilators and calculi were fragmented using pneumatic lithotripsy. Patients with supracostal superior calyceal punctures were evaluated for chest complications intraoperatively by fluoroscopy, X-ray chest on evening of postoperative day 0 and repeated thereafter on third and seventh postoperative days.
Results: Stone configuration included complete staghorn in 16, partial staghorn in 23, multiple stones in 16 and pelvic stone in 35 cases. Age range of patients was 07-76 years. There was 14.4% (13 out of 90) incidence of early or delayed chest complications - 20.8% (11 out of 53) on right side and 5.4% (2 out of 37) on left side.
Conclusion: Pulmonary complications in supracostal punctures; especially on right side should not be underestimated. There are always chances of delayed hydrothorax after supracostal puncture. A chest X-ray should be repeated after 1 week in patients with supracostal PCNL punctures.
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| http://dx.doi.org/10.1177/03915603211038319 | DOI Listing |
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