Feasibility of Percutaneous Nephrolithotomy After Urology Residency Training in the 2nd Stage State Hospital

Abstract

Purpose: It was aimed to evaluate the results and complications of percutaneous nephrolithotomy (PCNL) in a second stage state hospital by a surgeon after Urology residency. Materials and methods: Between January 2019 and January 2020, PCNL was applied to 102 renal units in 97 patients with kidney stones in a second stage state hospital. Standard PCNL was performed in all patients in the prone position with a 26 Fr rigid nephroscope and pneumatic lithotripter. The data of the patients were collected retrospectively. Success rates, length of stay, and complications were evaluated in the light of the literature. Results: The average age of 97 patients who underwent PCNL was 41.7±10.5 (8-71) and 54 (55.7%) of these patients were male and 43 (44.3%) were female. Access was provided to 102 renal units. 42 (41.2%) of them were left and 60 (58.8%) were right. The mean stone surface area was 8.3±5.5 (2-34) cm2 and the number of stones per patient was 2.4. Operation time was measured as 85>32 (40-170) minutes. The duration of fluoroscopy was observed as 1.2±0.2 (0.5-9) minutes. The stone free rate was achieved in 86 (84.3%) of 102 cases. Including clinically insignificant residual fragments (>4 mm), the overall success rate was 93.1%. The hospital stay of the patients was 2.7 (1-11) days. The number of patients with major and minor complications was 21 (20.6%). Conclusion: We thought that PCNL can be applied safely and effectively in 2nd stage state hospitals with acceptable complications and success rates in line by the literature.