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

e found to have undergone PCNL during the study period, during which the number of times the procedure was performed climbed by 47 percent.

The results showed:

  • PCNL use rose from 3.0 to 3.63 per 100,000 men, and from 2.99 to 4.07 per 100,000 women during the study period. This represented a 0.03 percent increase in men who underwent the procedure compared to a 2.54 percent increase in women.

  • Co-morbidity, or the presence of other disorders or disease at the time of surgery, increased during the study time-span.

  • At the same time, overall complications increased from 12.2 percent in 1999 to 15.6 percent in 2009.

  • Significantly, the incidence of sepsis or blood infection doubled, rising from 1.2 percent to 2.4 percent.

  • The rate of PCNL-related death remained essentially unchanged at 0 to 0.4 percent.

Dr. Ghani and his associates concluded that patients were at higher risk of developing complications if they were older, sicker and treated in more recent years. And though the rate of deaths associated with the procedure remained statistically flat, those cases that did occur were found with older patients.

"We believe the broad use of this procedure, especially in older and sicker patients, may be the reason for these changes," Dr. Ghani said.


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Contact: Dwight Angell
dwight.angell@hfhs.org
313-850-3471
Henry Ford Health System
Source:Eurekalert

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