Percutaneous nephrolithotomy in patients with solitary kidney


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Percutaneous nephrolithotomy (PCNL) is the method of choice for large and staghorn renal stones, including those in patients with solitary kidney. The aim of the literature review was to analyze the results of PCNL in patients with large stones in the solitary kidney. The literature search was conducted in databases Embase, Medline, Google Scholar, Scopus for the period from 2010 to 2019. A total 94 articles were selected, of which 16 papers were included in the review after analyzing the abstracts. Data was pooled and analyzed using SPSS Statistics 22.0. The primary stone-free rate for PCNL in these patients was 68.3+14.2%, and the final stone-free rate increased by 86.5+4.9%. The average duration of the operation was 86+25 (43.7-138.3) min, the length of stay was 5 (2-6) days. The baseline creatinine level was 137 (110-200) mmol/L, compared to 142 (122-183) mmol/L postoperatively. The mean difference between the baseline and postoperative Hb level was 7.8 (1.3-17.5) g/l. The estimated glomerular filtration rate (GFR) before PCNL was 62.3+7.5 ml/min/1.73 m2, and it did not exceed 62.5+9.3 ml/ min/1.73 m2 postoperatively. The overall complication rate ranged from 10.6 to 68.8%, averaging 29.9%. In most cases, there were grade I and II complications, according to Clavien-Dindo classification, which didn’t require additional interventions. PCNL is a highly effective treatment method for patients with large stones in solitary kidney. Complications rate is relatively low, which is achieved by an individual approach, with a consideration of the condition and all risk factors.

Full Text

Restricted Access

About the authors

B. G Guliev

NorthWestern State Medical University named after I.I. Mechnikov; Center of Urology with robot-assisted surgery of City Mariinsky hospital

Email: gulievbg@mail.ru

A. E Talyshinslyi

Center of Urology with robot-assisted surgery of City Mariinsky hospital

Email: ali-ma@mail.ru

References

  1. Иванов А.П., Тюзиков И.А., Фатеев Д.М. Современная этиологическая структура заболеваний единственной почки после нефрэктомии. Военно-медицинский журнал. 2011;332(9):69-71
  2. Иванов А.П., Тюзиков И.А. Нефрэктомия в современных условиях: причины и дальнейшая судьба больных с единственной почкой. Фундаментальные исследования. 2011;7:64-66
  3. Pietropaolo A., Reeves T., Aboumarzouk O. et al. Endourologic management (PCNL, URS, SWL) of stones in solitary kidney: a systematic review from European association of urologists, young academic urologists and uro-technology groups. J. Endourol. 2020;34(1):7-17. Doi: 10.1089/ end.2019.0455.
  4. Bai Y., Wang X., Yang Y. et al. Percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of kidney stones up to 2 cm in patients with solitary kidney: a single centre experience. BMC Urol. 2017;17(1):9. doi: 10.1186/s12894-017-0200-z.
  5. Shi X., Peng Y., Li X. et al. Propensity score-matched analysis comparing retrograde intrarenal surgery with percutaneous nephrolithotomy for large stones in patients with a solitary kidney. J. Endourol. 2018;32(3):198-204. doi: 10.1089/end.2017.0482.
  6. Zhang Y., Wu Y., Li J., Zhang G. Comparison of percutaneous nephrolithotomy and retrograde intrarenal surgery for the treatment of lower calyceal calculi of 2-3 cm in patients with solitary kidney. Urology. 2018;115:65-70. Doi: 10.1016/j
  7. Bucuras V., Gopalakrishnam G., Wolf J.S. et al. The Clinical research office of the endourological society percutaneous nephrolithotomy global study: nephrolithotomy in 189 patients with solitary kidneys. J Endourol. 2012;26(4):336-341. doi: 10.1089/end.2011.0169.
  8. Akman T., Sari E., Binbay M. et al. Comparison of outcomes after percutaneous nephrolithotomy of staghorn calculi in those with single and multiple accesses. J Endourol. 2010;24(6):955-960. Doi: 10.1089/ end.2009.0456.
  9. Unsal A., Resorlu B., Atmaca A.F. et al. Prediction of morbidity and mortality after percutaneous nephrolithotomy by using the charlson comorbidity index. Urology. 2012;79(1):55-60. Doi: 10.1016/j. urology.2011.06.038.
  10. Hosseini M.M., Yousefi A., Hassanpour A. et al. Percutaneous nephrolithotomy in solitary kidneys: experience with 412 cases from Southern Iran. Urolithiasis. 2015;43(3):233-236. doi: 10.1007/s00240-014-0743-3.
  11. Wong K.A., Sahai A., Patel A. et al. Is percutaneous nephrolithotomy in solitary kidneys safe? Urology. 2013;82(5): 1013-1016. Doi: 10.1016/j. urology.2013.12.058.
  12. Suelozgen T., Budak S., Celik O. et al. Percutaneous nephrolithotomy in patients with a solitary kidney. Arch Ital di Urol e Androl. 2014;86(4):253. doi: 10.4081/aiua.2014.4.253.
  13. Torricelli F.C.M., Padovani G.P., Marchini G.S. et al. Percutaneous nephrolithotomy in patients with solitary kidney: a critical outcome analysis. Int Braz J Urol. 2015;41(3):496-502. doi: 10.1590/S1677-5538.
  14. Resorlu B., Kara C., Oguz U. et al. Percutaneous nephrolithotomy for complex caliceal and staghorn stones in patients with solitary kidney. Urol Res. 2011;39(3):171-176. doi: 10.1007/s00240-010-0321-2.
  15. Tiktinskiy O.L., Aleksandrov V.P. Urinary stone disease. SPb.: Piter; 2000. 384 p. Russian (Тиктинский О.Л., Александров В.П. Мочекаменная болезнь. СПб.: Питер; 2000;384 с.).
  16. Ganpule A.P., Mishra S., Desai M.R. Multiperc versus single perc with flexible instrumentation for staghorn calculi. J Endourol. 2009;23(10):1675-1678. doi: 10.1089/end.2009.1535.
  17. Fernstrom I., Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol. 1976;10:257-259. doi: 10.1080/21681 805.1976.11882084.
  18. Haberal H.B., Qtamak B., Bozaci A.C. et al. Percutaneous nephrolithotomy in solitary kidneys: 17 years of experience. Urology. 2017;109:55-59. doi: 10.1016/j.urology.2017.07.038.
  19. Zeng G., Zhu W., Li J. et al. The comparison of minimally invasive percutaneous nephrolithotomy and retrograde intrarenal surgery for stones larger than 2 cm in patients with a solitary kidney: a matched-pair analysis. World J Urol. 2015;33(8):1159-1164. doi: 10.1007/s00345-014-1420-4.
  20. Гулиев Б.Г. Чрезкожное удаление камней единственной почки. Экспериментальная и клиническая урология. 2014;3:44-48).
  21. Akman T., Binbay M., Tekinarslan E. et al. Outcomes of percutaneous nephrolithotomy in patients with solitary kidneys: A singlecenter experience. Urology. 2011 ;78(2):272-276. Doi: 10.1016/j. urology.2010.12.029.
  22. Tabey N.A., Nahas A.R., Eraky I. et al. Long-term functional outcome of percutaneous nephrolithotomy in solitary kidney. Urology. 2014;83(5):1011-1115. doi: 10.1016/j.urology.2014.05.023.
  23. Atis G., Gurbuz C., Arikan O. et al. Retrograde intrarenal surgery for the treatment of renal stones in patients with a solitary kidney. Urology. 2013;82(2):290-294. doi: 10.1016/j.urology.2013.04.013.
  24. Clavien P.A., Barkun J., de Oliveira M.L. et al. The Clavien-Dindo classification of surgical complications. Ann Surg. 2009;250(2):187-196. doi: 10.1097/SLA.0b013e3181b13ca2.
  25. Dindo D., Demartines N., Clavien P.A. Classification of surgical complications. Ann Surg. 2004;240(2):205-213. doi: 10.1097/01. sla.0000133083.54934.ae
  26. Harper J.D., Breda A., Leppert J.T. et al. Experience with 750 consecutive laparoscopic donor nephrectomiesis it time to use a standardized classification of complications? J Urol. 2010;183(5): 1941-1946. doi: 10.1016/j.juro.2010.01.021.
  27. Bremer M., Beckman M. A grading system to predict surgical outcome of percutaneous nephrolithotomy. Eur. Urology Suppl. 2013;12(3):Е139.
  28. Degirmenci T., Gunlusoy B., Kozacioglu Z. et al. Utilization of a modified Clavien classification system in reporting complications after ultrasound-guided percutaneous nephrostomy tube placement: comparison to standard society of interventional radiology practice guidelines. Urology. 2013;81(6):1161-1167. doi: 10.1016/j.urology.2013.02.038.
  29. Tefekli A., Karadag M.A., Tepeler K. et al. Classification of percutaneous nephrolithotomy complications using the modified Clavien grading system: looking for a standard. Eur Urol. 2008;53( 1): 184-190. doi: 10.1016/j.eururo.2007.06.049.
  30. Nahas A.R., Taha D.E., Ali H.M. et al. Acute kidney injury after percutaneous nephrolithotomy for stones in solitary kidneys. Scand J Urol. 2017;51(2):165-169. doi: 10.1080/21681805.2017.1295103.
  31. Shi X., Peng Y., Li L. et al. Renal function changes after percutaneous nephrolithotomy in patients with renal calculi with a solitary kidney compared to bilateral kidneys. BJU Int. 2018;122(4):633-638. doi: 10.1111/bju.
  32. Seitz C., Desai M., Hacker A. et al. Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol. 2012;61(1):146-158. doi: 10.1016/j.eururo.2011.09.016.
  33. Bootsma A.M., Laguna Pes M.P., Geerlings S.E., Goossens A. Antibiotic prophylaxis in urologic procedures: a systematic weview. Eur Urol. 2008;54(6):1270-1286. doi: 10.1016/j.eururo.2008.03.033.
  34. Mariappan P., Smith G., Moussa S.A., Tolley D.A. One week of ciprofloxacin before percutaneous nephrolithotomy significantly reduces upper tract infection and urosepsis: a prospective controlled study. BJU Int. 2006;98(5):1075-1079. doi: 10.1111/j.1464-410X.2006.06450.x
  35. Nouralizadeh A., Ziaee S.A.M., Hosseini Sharifi S.H. et. al. Delayed postpercutaneous nephrolithotomy hemorrhage: Prevalence, predictive factors and management. Scand J Urol. 2014;48(1): 110-115. doi: 10.3109/21681805.2013.806586.
  36. Kessaris D.N., Bellman G.C., Pardalidis N.P., Smith A.G. Management of hemorrhage after percutaneous renal surgery. J Urol. 1995;153:604-608. doi: 10.1097/00005392-199503000-00011.
  37. Chatham J.R., Dykes T.E., Kennon W.G., Schwartz B.F. Effect of percutaneous nephrolithotomy on differential renal function as measured by mercaptoacetyltriglycine nuclear renography. Urology. 2002;59:522-525. doi: 10.1016/s0090-4295(02)01519-4.
  38. Su B., Liang W., Hu W. et al. Long-term outcomes of ultrasound-guided percutaneous nephrolithotomy in patients with solitary kidneys: a singlecenter experience. World J Urol. 2019;37(5):951-956. Doi: 10.1007/ s00345-018-2458-5.
  39. Basiri A., Shabaninia S., Mir A., Soltani M.H. The safety and efficacy of percutaneous nephrolithotomy for management of large renal stones in single- versus double-functioning kidney patients. J Endourol. 2012;26(3):235-238. doi: 10.1089/end.2011.0083.
  40. Hunayan A., Khalil M., Hassabo M., et. al. Management of solitary renal pelvic stone: laparoscopic retroperitoneal pyelolithotomy versus percutaneous nephrolithotomy. J Endourol. 2011;25(6):975-978. doi: 10.1089/end.2010.0467.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies