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Predictive factors for success after supine percutaneous nephrolithotomy: an analysis of 961 patients
OBJECTIVE: The aim of this study was to evaluate the predictive factors for success following percutaneous nephrolithotomy in the supine position. METHODS: Patients who underwent percutaneous nephrolithotomy in the supine position from June 2011 to October 2018 were evaluated. Age, sex, body mass in...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Médica Brasileira
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575886/ https://www.ncbi.nlm.nih.gov/pubmed/35766691 http://dx.doi.org/10.1590/1806-9282.20211340 |
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author | El Hayek, Kayann Kaled Reda Perrella, Rodrigo Ferreira, Daniel Beltrame Batagello, Carlos Alfredo Mota, Priscila Kuriki Vieira Cohen, David Jacques Murta, Claudio Bovolenta Claro, Joaquim Francisco de Almeida Vicentini, Fabio Carvalho |
author_facet | El Hayek, Kayann Kaled Reda Perrella, Rodrigo Ferreira, Daniel Beltrame Batagello, Carlos Alfredo Mota, Priscila Kuriki Vieira Cohen, David Jacques Murta, Claudio Bovolenta Claro, Joaquim Francisco de Almeida Vicentini, Fabio Carvalho |
author_sort | El Hayek, Kayann Kaled Reda |
collection | PubMed |
description | OBJECTIVE: The aim of this study was to evaluate the predictive factors for success following percutaneous nephrolithotomy in the supine position. METHODS: Patients who underwent percutaneous nephrolithotomy in the supine position from June 2011 to October 2018 were evaluated. Age, sex, body mass index, the American Society of Anesthesiologists physical status classification, hemoglobin level, number of previous surgeries, stone size, and the Guy’s Stone Score were analyzed. Success was considered if no fragments were observed on the computed tomography scan on the first postoperative day. Univariate and multivariate analyses were performed to determine significant parameters. RESULTS: We evaluated 961 patients; of them, 483 (50.2%) underwent previous stone-related surgery, and 499 (51.9%) had Guy’s Stone Score 3 or 4. The overall success rate in a single procedure was 40.7%, and complication rate was 13.7%. The univariate analysis showed that the maximum diameter of the stone (25.10±10 mm; p<0.001), previous percutaneous nephrolithotomy (OR 0.52; p<0.001), number of previous percutaneous nephrolithotomy (OR 0.15; p<0.001), the Guy’s Stone Score (OR 0.28; p<0.001), and the number of tracts (OR 0.32; p<0.001) were significant. In the multivariate analysis, the number of previous percutaneous nephrolithotomy (OR 0.54; p<0.001) and the Guy’s Stone Score (OR 0.25; p<0.001) were statically significant. CONCLUSIONS: Guy’s Stone Score and the number of previous percutaneous nephrolithotomy are predictors of success with the supine position. Complex cases and with previous percutaneous interventions may require technical improvements to achieve higher stone-free rates. |
format | Online Article Text |
id | pubmed-9575886 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Associação Médica Brasileira |
record_format | MEDLINE/PubMed |
spelling | pubmed-95758862022-10-19 Predictive factors for success after supine percutaneous nephrolithotomy: an analysis of 961 patients El Hayek, Kayann Kaled Reda Perrella, Rodrigo Ferreira, Daniel Beltrame Batagello, Carlos Alfredo Mota, Priscila Kuriki Vieira Cohen, David Jacques Murta, Claudio Bovolenta Claro, Joaquim Francisco de Almeida Vicentini, Fabio Carvalho Rev Assoc Med Bras (1992) Original Article OBJECTIVE: The aim of this study was to evaluate the predictive factors for success following percutaneous nephrolithotomy in the supine position. METHODS: Patients who underwent percutaneous nephrolithotomy in the supine position from June 2011 to October 2018 were evaluated. Age, sex, body mass index, the American Society of Anesthesiologists physical status classification, hemoglobin level, number of previous surgeries, stone size, and the Guy’s Stone Score were analyzed. Success was considered if no fragments were observed on the computed tomography scan on the first postoperative day. Univariate and multivariate analyses were performed to determine significant parameters. RESULTS: We evaluated 961 patients; of them, 483 (50.2%) underwent previous stone-related surgery, and 499 (51.9%) had Guy’s Stone Score 3 or 4. The overall success rate in a single procedure was 40.7%, and complication rate was 13.7%. The univariate analysis showed that the maximum diameter of the stone (25.10±10 mm; p<0.001), previous percutaneous nephrolithotomy (OR 0.52; p<0.001), number of previous percutaneous nephrolithotomy (OR 0.15; p<0.001), the Guy’s Stone Score (OR 0.28; p<0.001), and the number of tracts (OR 0.32; p<0.001) were significant. In the multivariate analysis, the number of previous percutaneous nephrolithotomy (OR 0.54; p<0.001) and the Guy’s Stone Score (OR 0.25; p<0.001) were statically significant. CONCLUSIONS: Guy’s Stone Score and the number of previous percutaneous nephrolithotomy are predictors of success with the supine position. Complex cases and with previous percutaneous interventions may require technical improvements to achieve higher stone-free rates. Associação Médica Brasileira 2022-06-24 /pmc/articles/PMC9575886/ /pubmed/35766691 http://dx.doi.org/10.1590/1806-9282.20211340 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article El Hayek, Kayann Kaled Reda Perrella, Rodrigo Ferreira, Daniel Beltrame Batagello, Carlos Alfredo Mota, Priscila Kuriki Vieira Cohen, David Jacques Murta, Claudio Bovolenta Claro, Joaquim Francisco de Almeida Vicentini, Fabio Carvalho Predictive factors for success after supine percutaneous nephrolithotomy: an analysis of 961 patients |
title | Predictive factors for success after supine percutaneous
nephrolithotomy: an analysis of 961 patients |
title_full | Predictive factors for success after supine percutaneous
nephrolithotomy: an analysis of 961 patients |
title_fullStr | Predictive factors for success after supine percutaneous
nephrolithotomy: an analysis of 961 patients |
title_full_unstemmed | Predictive factors for success after supine percutaneous
nephrolithotomy: an analysis of 961 patients |
title_short | Predictive factors for success after supine percutaneous
nephrolithotomy: an analysis of 961 patients |
title_sort | predictive factors for success after supine percutaneous
nephrolithotomy: an analysis of 961 patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575886/ https://www.ncbi.nlm.nih.gov/pubmed/35766691 http://dx.doi.org/10.1590/1806-9282.20211340 |
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