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Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study

OBJECTIVE: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was...

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Autores principales: NAPITUPULU, Tiopan, HARDJA, Yosua, SUSANTO, Martin, HUTAHAEAN, Grace Dumamawarni, RIANTRI, Ika, SUTAPA, Hendra, RACHMAN, Yusuf, SIAHAAN, Andre Marolop Pangihutan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284088/
https://www.ncbi.nlm.nih.gov/pubmed/37338913
http://dx.doi.org/10.4274/MMJ.galenos.2023.85688
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author NAPITUPULU, Tiopan
HARDJA, Yosua
SUSANTO, Martin
HUTAHAEAN, Grace Dumamawarni
RIANTRI, Ika
SUTAPA, Hendra
RACHMAN, Yusuf
SIAHAAN, Andre Marolop Pangihutan
author_facet NAPITUPULU, Tiopan
HARDJA, Yosua
SUSANTO, Martin
HUTAHAEAN, Grace Dumamawarni
RIANTRI, Ika
SUTAPA, Hendra
RACHMAN, Yusuf
SIAHAAN, Andre Marolop Pangihutan
author_sort NAPITUPULU, Tiopan
collection PubMed
description OBJECTIVE: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was to analyze the correlation of hydronephrosis with surgical outcomes after ultrasound-guided supine PCNL. METHODS: A retrospective study was conducted at Doris Sylvanus General Hospital. Data of the patients was obtained from hospital records. Hundred and five patients underwent ultrasound-guided PCNL in the supine position from August 2020 to August 2022. Data were analyzed using SPSS 16.0. RESULTS: The presence of hydronephrosis was 85 (80.95%), which consisted of Grade I 15 (14.30%), Grade II 25 (23.80%), Grade III 28 (26.70%), and Grade IV 17 (16.20%). In our study analysis, complications occurred in 16 patients (15.23%). Grade I complications of the Clavien-Dindo classification was of in 4 cases, 11 cases of grade 2 complications, and 1 patient died. The statistical result was the relationship between grade hydronephrosis and the grade of complication using the modified Clavien-Dindo system. We found a p-value of 0.207 (>0.05), and there is no statistically significant relationship p=0.382 and r=-0.086 was a negative correlation. There is also no statistically significant relationship between hydronephrosis and stone clearance with p=0.310. CONCLUSIONS: The use of ultrasonographic guidance PCNL has been reported as a safe and effective procedure for the management of large renal stones. In this study, there was no correlation or signification between hydronephrosis and surgical outcome after ultrasound-guided supine PCNL.
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spelling pubmed-102840882023-06-22 Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study NAPITUPULU, Tiopan HARDJA, Yosua SUSANTO, Martin HUTAHAEAN, Grace Dumamawarni RIANTRI, Ika SUTAPA, Hendra RACHMAN, Yusuf SIAHAAN, Andre Marolop Pangihutan Medeni Med J Original Article OBJECTIVE: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was to analyze the correlation of hydronephrosis with surgical outcomes after ultrasound-guided supine PCNL. METHODS: A retrospective study was conducted at Doris Sylvanus General Hospital. Data of the patients was obtained from hospital records. Hundred and five patients underwent ultrasound-guided PCNL in the supine position from August 2020 to August 2022. Data were analyzed using SPSS 16.0. RESULTS: The presence of hydronephrosis was 85 (80.95%), which consisted of Grade I 15 (14.30%), Grade II 25 (23.80%), Grade III 28 (26.70%), and Grade IV 17 (16.20%). In our study analysis, complications occurred in 16 patients (15.23%). Grade I complications of the Clavien-Dindo classification was of in 4 cases, 11 cases of grade 2 complications, and 1 patient died. The statistical result was the relationship between grade hydronephrosis and the grade of complication using the modified Clavien-Dindo system. We found a p-value of 0.207 (>0.05), and there is no statistically significant relationship p=0.382 and r=-0.086 was a negative correlation. There is also no statistically significant relationship between hydronephrosis and stone clearance with p=0.310. CONCLUSIONS: The use of ultrasonographic guidance PCNL has been reported as a safe and effective procedure for the management of large renal stones. In this study, there was no correlation or signification between hydronephrosis and surgical outcome after ultrasound-guided supine PCNL. Galenos Publishing 2023-06 2023-06-20 /pmc/articles/PMC10284088/ /pubmed/37338913 http://dx.doi.org/10.4274/MMJ.galenos.2023.85688 Text en © Copyright 2023 by the Istanbul Medeniyet University / Medeniyet Medical Journal published by Galenos Publishing House. https://creativecommons.org/licenses/by-nc/4.0/Licenced by Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
spellingShingle Original Article
NAPITUPULU, Tiopan
HARDJA, Yosua
SUSANTO, Martin
HUTAHAEAN, Grace Dumamawarni
RIANTRI, Ika
SUTAPA, Hendra
RACHMAN, Yusuf
SIAHAAN, Andre Marolop Pangihutan
Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
title Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
title_full Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
title_fullStr Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
title_full_unstemmed Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
title_short Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
title_sort correlation between the grade of hydronephrosis with surgical outcomes after ultrasound-guided supine percutaneous nephrolithotomy: a retrospective observational study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284088/
https://www.ncbi.nlm.nih.gov/pubmed/37338913
http://dx.doi.org/10.4274/MMJ.galenos.2023.85688
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