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Kidney stone surgery: More women, more complications with minimally invasive procedure
Date:3/26/2013

DETROIT While the number of people especially women who have a minimally invasive procedure to remove kidney stones has risen in recent years, so has the rate of complications related to the surgery, according to a published study by Henry Ford Hospital.

The research, from Khurshid R. Ghani, M.D., of Henry Ford Hospital's Vattikuti Urology Institute, appears in the current issue of Journal of Urology.

The focus of the investigation was the procedure, percutaneous nephrolithotomy, or PCNL, in which a surgeon removes medium to large kidney stones through a small incision in the back using a hollow scope.

Minimally invasive procedures used for treating a wide range of medical conditions have increased in recent years, and the Henry Ford researchers set out to find how much and to what effect this is true for this specific procedure.

"What we found is that the use of PCNL in this country has increased," Dr. Ghani said, "and more women than men have the procedure.

"We also discovered that while the rate of PCNL-related death is low and has remained so, incidence of blood infection and overall complications has increased."

The population-based study looked at data from the Nationwide Inpatient Sample, a database of inpatient hospital stays used by researchers to find, track and analyze national health care trends. The database catalogs some 8 million cases from more than 1,000 hospitals in 44 states.

It was used in this study to identify patients who underwent PCNL between 1999 and 2009. A weighted sample was then formulated to estimate utilization rates across the country.

In addition, Henry Ford researchers tracked and analyzed trends in patient age; complications before, during and after the procedure; other disorders or diseases that existed at the time of the surgery; and in-hospital deaths.

A total of 80,097 patients over the age of 18 and with a median age of 53 wer
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Contact: Dwight Angell
dwight.angell@hfhs.org
313-850-3471
Henry Ford Health System
Source:Eurekalert

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