Akademik Veri Yönetim Sistemi
KUWAIT MEDICAL JOURNAL, cilt.55, sa.4, ss.300-306, 2023 (SCI-Expanded)
Objective: To evaluate the factors affecting percutaneous nephrolithotomy complication rates in overall and specific contexts Design: Retrospective study Setting: Urology clinics at Erciyes University Faculty of Medicine Hospitals from 2006 to 2013 Subjects: Data from 700 adults treated with percutaneous nephrolithotomy. Records of pre-, peri- and postoperative statements. Interventions: All patients underwent percutaneous nephrolithotomy. Complications, residues and influencing factors were noted. The effects of these variables on procedure-related complications were investigated. Main outcome measures: Patients were grouped according to their body mass index (BMI) and complication grades and then compared in terms of variables. Univariate and multivariate analyses were used to determine predictive factors affecting complication rates. Results: Patients were divided into groups according to complication grades. It was observed that the grade of complications increased significantly as the stone burden, duration of operation, duration of fluoroscopy, and access count increased, (P=0.002, 0.001, 0.001, 0.001, respectively). In the entire cohort and small stone subgroup, no association was found; however, in the large stone subgroup, as BMI increased, grade II complications increased and stone clearance decreased (P=0.039 and 0.041, respectively). In multivariate analysis, the independent factors in the complicated outcome were stone burden (odds ratio [ OR] 1.59) and access count (OR: 1.71). Conclusion: Many of the percutaneous nephrolithotomy complications were included in the lower Clavien grades, and major complications were uncommon. To further reduce complication rates, it would be beneficial to consider the parameters, such as the duration of both surgery and fluoroscopy, access count, BMI (especially those with high stone burden), and stone burden.