Vol. 5, Issue 8 (2016)

Author(s):
Myckola Chaplia and Andriy Borzhievsky

Abstract:
Percutaneous nephrolithotomy (PCNL) is the "gold standard" technique for managing of patients with kidney stones different sizes and intrarenal localization. During over than 30 years of PCNL use urologists tried to establish parameters and characteristics that are responsible for procedure complications that usually occurs in 20-83% of cases. The aim of our study was investigation of the predictive factors of PCNL complications development. We retrospectively analyzed our experience in the treatment of 2223 patients (pts) with kidney stones who were managed by PCNL at our clinic from 2008 till 2014 years. By using Charlson scale we calculated CCI for ever patient and afterwards divided all patients of 6 groups: group 1 (CCI = 0), group 2 (CCI = 1), group 3 (CCI = 2), group 4 (CCI = 3), group 5 (CCI = 4), group 6 (CCI = 5), group 7 (CCI > 5). The increasing of percutaneous tracts number, presence of renal calculi with GSS-3 and GSS-4 as well as total CCI score ≤3 in patients who underwent PCNL could be considered as prognostic factors of complications development.