Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients

Background and purpose: Percutaneous nephrolithotomy (PCNL) in elderly patients is challenging due to the high prevalence of comorbidity and single kidney. We compared the results and complications of patients who were submitted to PCNL according to age (higher than and lower than 65 years old). Mat...

Full description

Saved in:
Bibliographic Details
Main Authors: T. Nakamon, P. Kitirattrakarn, B. Lojanapiwat
Format: Journal
Published: 2018
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84891642543&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/47663
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-47663
record_format dspace
spelling th-cmuir.6653943832-476632018-04-25T08:42:32Z Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients T. Nakamon P. Kitirattrakarn B. Lojanapiwat Background and purpose: Percutaneous nephrolithotomy (PCNL) in elderly patients is challenging due to the high prevalence of comorbidity and single kidney. We compared the results and complications of patients who were submitted to PCNL according to age (higher than and lower than 65 years old). Materials and Methods: A total of 61 patients aged more than 65 years old (group I) and 385 patients aged 65 years old or less (group II) were treated with PCNL. PCNL was performed by a standard technique under fluoroscopic guidance. The operative time, length of hospital stay, success rate, auxiliary treatment and complications of both groups were compared. Results: Patients older than 65 years old (group I) had more comorbidities mainly diabetes mellitus, hypertension and higher level of ASA classification (P < 0.001). The success rate was 85.24% and 86.24% of groups I and II, respectively. Four patients (6.56%) of group I and 55 patients (14.29%) of group II needed auxiliary treatment (P = 0.098). Among the complications, only sepsis was significantly higher in group I (6.56% of group I and 1.3% of group II, P = 0.007). The operative time, success rate, hospital stay and complications except sepsis episode did not significantly differ between the two groups. Conclusion: Percutaneous nephrolithotomy is effective and safe in elderly patients even though with more comorbidities. Sepsis is the only more frequent common complication following PCNL in elderly. 2018-04-25T08:42:32Z 2018-04-25T08:42:32Z 2013-09-01 Journal 16776119 16775538 2-s2.0-84891642543 10.1590/S1677-5538.IBJU.2013.05.12 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84891642543&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/47663
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description Background and purpose: Percutaneous nephrolithotomy (PCNL) in elderly patients is challenging due to the high prevalence of comorbidity and single kidney. We compared the results and complications of patients who were submitted to PCNL according to age (higher than and lower than 65 years old). Materials and Methods: A total of 61 patients aged more than 65 years old (group I) and 385 patients aged 65 years old or less (group II) were treated with PCNL. PCNL was performed by a standard technique under fluoroscopic guidance. The operative time, length of hospital stay, success rate, auxiliary treatment and complications of both groups were compared. Results: Patients older than 65 years old (group I) had more comorbidities mainly diabetes mellitus, hypertension and higher level of ASA classification (P < 0.001). The success rate was 85.24% and 86.24% of groups I and II, respectively. Four patients (6.56%) of group I and 55 patients (14.29%) of group II needed auxiliary treatment (P = 0.098). Among the complications, only sepsis was significantly higher in group I (6.56% of group I and 1.3% of group II, P = 0.007). The operative time, success rate, hospital stay and complications except sepsis episode did not significantly differ between the two groups. Conclusion: Percutaneous nephrolithotomy is effective and safe in elderly patients even though with more comorbidities. Sepsis is the only more frequent common complication following PCNL in elderly.
format Journal
author T. Nakamon
P. Kitirattrakarn
B. Lojanapiwat
spellingShingle T. Nakamon
P. Kitirattrakarn
B. Lojanapiwat
Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients
author_facet T. Nakamon
P. Kitirattrakarn
B. Lojanapiwat
author_sort T. Nakamon
title Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients
title_short Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients
title_full Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients
title_fullStr Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients
title_full_unstemmed Outcomes of percutaneous nephrolithotomy: Comparison of elderly and younger patients
title_sort outcomes of percutaneous nephrolithotomy: comparison of elderly and younger patients
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84891642543&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/47663
_version_ 1681423103620546560