Open Collections

UBC Faculty Research and Publications

Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy Wong, Victor K. F.; Lundeen, Colin J.; Paterson, Ryan; Scotland, Kymora B.; Chew, Ben

Abstract

A retrospective review was conducted to evaluate intraoperative and patient outcomes following simultaneous bilateral percutaneous nephrolithotomy (SB-PCNL). Target stone characteristics, operative time, hospitalization length, post-operative complications, blood loss, opioid use, pain, and stone-free rates were evaluated. In total, 42 patients with large renal stones (>20 mm²) were identified for this study, and 38% of them achieved stone-free status with no residual fragments apparent on post-operative day one CT imaging. The maximum mean residual fragment size was 3.67 mm² and average number of residual fragments following the procedures was 1.63. The rates of blood loss, post-operative complications, opioid use, and pain from the study cohort were similar to the reported outcomes of studies conducted by others. The potential benefits of a single procedure and anesthesia to treat bilateral stone burdens, lower total pain medication prescribed, and lower hospital costs render SB-PCNL as an attractive option in the treatment of bilateral kidney stones.

Item Metadata

Title
Safety and Efficacy of Simultaneous Bilateral Percutaneous Nephrolithotomy
Creator
Wong, Victor K. F.; Lundeen, Colin J.; Paterson, Ryan; Scotland, Kymora B.; Chew, Ben
Publisher
Multidisciplinary Digital Publishing Institute
Date Issued
2022-02-16
Description
A retrospective review was conducted to evaluate intraoperative and patient outcomes following simultaneous bilateral percutaneous nephrolithotomy (SB-PCNL). Target stone characteristics, operative time, hospitalization length, post-operative complications, blood loss, opioid use, pain, and stone-free rates were evaluated. In total, 42 patients with large renal stones (>20 mm²) were identified for this study, and 38% of them achieved stone-free status with no residual fragments apparent on post-operative day one CT imaging. The maximum mean residual fragment size was 3.67 mm² and average number of residual fragments following the procedures was 1.63. The rates of blood loss, post-operative complications, opioid use, and pain from the study cohort were similar to the reported outcomes of studies conducted by others. The potential benefits of a single procedure and anesthesia to treat bilateral stone burdens, lower total pain medication prescribed, and lower hospital costs render SB-PCNL as an attractive option in the treatment of bilateral kidney stones.
Subject
bilateral calculi; PCNL; percutaneous nephrolithotomy; renal stones; urolithiasis
Genre
Article
Type
Text
Language
eng
Date Available
2022-04-14
Provider
Vancouver : University of British Columbia Library
Rights
CC BY 4.0
DOI
10.14288/1.0412853
URI
http://hdl.handle.net/2429/81189
Affiliation
Medicine, Faculty of; Alumni; Non UBC; Urologic Sciences, Department of
Citation
Uro 2 (1): 49-54 (2022)
Publisher DOI
10.3390/uro2010007
Peer Review Status
Reviewed
Scholarly Level
Faculty
Rights URI
https://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
DSpace

Item Media

Item Citations and Data

Rights

CC BY 4.0