Gili Palnizky1, Sarel Halachmi2, Michal Barak3. 1. Department of Pediatrics, Tel Aviv Medical Center, Tel Aviv, Haifa, Israel. 2. Bnai Zion Medical Center, Haifa, Israel. 3. Department of Anesthesia, Rambam Health Care Campus, Haifa, Israel.
Abstract
INTRODUCTION: Pulmonary complications may occur in the post-operative period and are a significant cause of morbidity and mortality in patients undergoing anesthesia and surgery. Complication rates vary according to different procedures and different types of anesthesia and may be affected by the patient condition. The purpose of this study was to examine pulmonary complications following percutaneous nephrolithotomy (PCNL) and to search for associations between the pre- and intra-operative factors and the risk of post-operative pulmonary complications (PPC). PATIENTS AND METHODS: This was a prospective observational study of 100 consecutive adult patients who underwent PCNL surgery. We collected data of the patient, surgery and anesthesia and analyzed it to find correlations with PPC. RESULTS: Eight (8%) patients had PPC following PCNL, 7 patients had pneumothorax and 1 had atelectasis and pleural effusion. The latter patient died at post-operative day 24 due to respiratory failure. It was found that patients who had PCNL on the right kidney were at lower risk for PPC. In addition it was found that younger patients had a higher incidence of PPC. CONCLUSIONS: Based on this study the most common type of post-operative complication following PCNL is pulmonary, with pneumothorax being the main complication. PPC may result in patient mortality. The side of the operation and the patient's age might affect the risk of PPC.
INTRODUCTION:Pulmonary complications may occur in the post-operative period and are a significant cause of morbidity and mortality in patients undergoing anesthesia and surgery. Complication rates vary according to different procedures and different types of anesthesia and may be affected by the patient condition. The purpose of this study was to examine pulmonary complications following percutaneous nephrolithotomy (PCNL) and to search for associations between the pre- and intra-operative factors and the risk of post-operative pulmonary complications (PPC). PATIENTS AND METHODS: This was a prospective observational study of 100 consecutive adult patients who underwent PCNL surgery. We collected data of the patient, surgery and anesthesia and analyzed it to find correlations with PPC. RESULTS: Eight (8%) patients had PPC following PCNL, 7 patients had pneumothorax and 1 had atelectasis and pleural effusion. The latter patient died at post-operative day 24 due to respiratory failure. It was found that patients who had PCNL on the right kidney were at lower risk for PPC. In addition it was found that younger patients had a higher incidence of PPC. CONCLUSIONS: Based on this study the most common type of post-operative complication following PCNL is pulmonary, with pneumothorax being the main complication. PPC may result in patient mortality. The side of the operation and the patient's age might affect the risk of PPC.
Authors: Zeph Okeke; Arthur D Smith; Gaston Labate; Alessandro D'Addessi; Ramakrishna Venkatesh; Dean Assimos; Willem E M Strijbos; Jean J M C H de la Rosette Journal: J Endourol Date: 2012-05-23 Impact factor: 2.942
Authors: Ahmet Tefekli; Tarik Esen; Peter J Olbert; David Tolley; Robert B Nadler; Ying-Hao Sun; Mordechai Duvdevani; Jean J M C H de la Rosette Journal: J Urol Date: 2012-12-20 Impact factor: 7.450