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Safety and efficacy of percutaneous nephrolithotomy in the Galdakao - Modified Supine Valdivia position: A prospective analysis

Luigi Quaresima, Alessandro Conti, Alexia Vici, Marco Tiroli, Daniele Cantoro, Admena Rreshketa, Emanuele Principi, Matteo Tallè, Luca Moroni, Mahmoud Yehia, Giovanni Muzzonigro
  • Luigi Quaresima
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy | luigiquaresima@yahoo.it
  • Alessandro Conti
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Alexia Vici
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Marco Tiroli
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Daniele Cantoro
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Admena Rreshketa
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Emanuele Principi
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Matteo Tallè
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Luca Moroni
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Mahmoud Yehia
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy
  • Giovanni Muzzonigro
    Department of Clinical and Specialist Sciences, Division of Urology, Polytechnic University of the Marche Region Medical School, Ancona, Italy

Abstract

Objective: Aim of the present study was to evaluate the safety and efficacy of Percutaneous Nephrolithotomy (PCNL) in the Galdakao- Modified Supine Valdivia (GMSV) position in order to predict operative time, stone-free rate and onset of complications taking into account comorbidity, stone-related parameters and anatomic upper urinary tract abnormalities. Material and methods: A prospective evaluation of patients who underwent to PCNL in GMSV position for renal stones > 2 cm, from January 2009 to February 2015 was performed. According to the technique, upper urinary tract abnormalities, stone chemical and morphological characteristics, and patients' history were matched with operative outcome, in terms of stone-free, intervention time and incidence of perioperative complications. Results: Seventy-two cases were collected; mean operative time was 105 minutes (DS 41): staghorn stones and the presence of comorbidity resulted statistically significant variables. The complication-rate resulted in line with data showed in literature: hyperpyrexia and hemorrhage were the more frequently complications found. The overall stone-free was reached in 48 patients (67%), and it was influenced by patients’ anatomic abnormalities. Conclusions: In the treatment of renal stones, PCNL may be a safe and effective choice; nevertheless, patients’ anatomic abnormalities or staghorn-stones may influence the outcomes. Thus, a prospective study with a larger population is needed to verify our outcomes.

Keywords

Stones; Percutaneous Nephrolithotomy (PCNL); Stone-free Rate; Staghorn Stones; Complications

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Submitted: 2015-10-01 23:59:32
Published: 2016-07-04 15:13:24
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Copyright (c) 2016 Luigi Quaresima, Alessandro Conti, Alexia Vici, Marco Tiroli, Daniele Cantoro, Admena Rreshketa, Emanuele Principi, Matteo Tallè, Luca Moroni, Mahmoud Yehia, Giovanni Muzzonigro

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