Treatment of Kidney Stones By Percutaneous Nephrolithotomy in the Lateral Position with Ultrasound-Guided at Phrae Hospital from 2010 - 2024
Abstract
Background: Kidney stones are a common health issue in Thailand, particularly in the northern and northeastern regions. For large kidney stones, the current recommended treatment is Percutaneous Nephrolithotomy (PCNL), which is known for its high efficacy.
Objective: This study aimed to evaluate the outcomes of kidney stone treatment by PCNL in lateral position with ultrasound guided at Phrae Hospital.
Study design: A retrospective descriptive study was conducted, involving 171 patients who underwent PCNL in the lateral position at Phrae Hospital between 2010 and 2024. Patient data, including age, gender, stone characteristics, and treatment outcomes, were analyzed using descriptive statistics.
Results: The study found that the majority of patients were male (70.18%), with an average age of 56.10 ± 9.07 years. The most common type of stone was partial staghorn calculi (38.01%). The mean operative time was 67.33 ± 35.48 minutes, and the average length of hospital stay was 8.72 ± 4.44 days. The overall stone-free rate (SFR) was 51.46%. The highest stone-free rates were observed for stones located at the UPJ (94.12%) and pelvic stones (74.47%).
Conclusion: This study demonstrated that PCNL in the lateral position with ultrasound guided is an effective and safe treatment for kidney stones. Although there are limitations in treating partial staghorn and staghorn stones, the overall outcomes are satisfactory. Future studies are needed to confirm the efficacy of this method and further improve treatment approaches.
Keywords: Kidney stones, PCNL, lateral position, ultrasound-guided
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