Comparison of Post–Operative Hydrothorax in Supra 12th Rib Versus Infra 12th Rib Access in Prone Mini Percutaneous Nephrolithotomy
DOI:
https://doi.org/10.51253/pafmj.v74i4.10796Keywords:
Hydrothorax, Infra 12th rib percuteous nephrolithotomy, Supra 12th rib percuteous nephrolithotomy.Abstract
Objective: To determine the risk of post-operative hydrothorax in supra-12th rib versus infra-12th rib access in prone Mini Percutaneous Nephrolithotomy.
Study Design: Quasi-experimental study.
Place and Duration of Study: Armed Forces Institutes of Urology, Rawalpindi Pakistan from Jun to Dec 2022.
Methodology: In our study, 110 patients underwent assessment for indication of Percutaneous Nephrolithotomy, level of access, anatomy, site of puncture, incidence of hydrothorax, and requirement of closed-tube thoracostomy.
Results: Of the 110 patients who underwent prone Percutaneous Nephrolithotomy, 55(50%) patients underwent infra 12th rib tract approach (Group-1), and the rest, 55(50%) underwent supra 12th rib tract approach (Group-2) depending upon the location of stones, anatomy of pelvicalyceal system and stone burden. Overall, 10(9.09%) patients developed post- Percutaneous Nephrolithotomy Hydrothorax; out of these ten patients, 8(14.5%) patients were approached from the supra 12th rib tract and the remaining 2(3.6%) patients were approached from the infra 12th rib tract (p-value=0.047).
Conclusion: The study concludes that in prone Percutaneous Nephrolithotomy, infra-12th rib tract renal access is safer than supra-12th rib renal access regarding chest complications (Hydrothorax).
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