TY - JOUR
T1 - MP27-03 ANALGESIC USE, COMPLICATIONS, AND STONE-FREE RATE FOLLOWING UPPER POLE ACCESS FOR PERCUTANEOUS NEPHROLITHOTOMY
AU - Lightfoot, Michelle
AU - Ng, Caleb
AU - Li, Roger
AU - Alsyouf, Muhannad
AU - Wallner, Caroline
AU - Huang, Gene
AU - Engebretsen, Steven
AU - Olgin, Gaudencio
AU - Baldwin, Dalton D.
PY - 2014/4
Y1 - 2014/4
N2 - INTRODUCTION AND OBJECTIVES: Upper pole access to the kidney optimizes working angles during percutaneous nephrolithotomy (PCNL). However, many surgeons are hesitant to employ upper pole access (UPA) due to higher reported complication rates and concerns for increased postoperative pain. The purpose of this study is to compare outcomes for PCNL performed via UPA versus middle and lower pole access (LPA). METHODS: A retrospective review of PCNLs performed at a single academic institution between 2002 and 2012 was performed. Patient demographics, stone burden, operative time, length of hospital stay, estimated blood loss, and perioperative Clavien-Dindo complication score were recorded. Stone-free status was defined as no remaining fragment 4mm or greater. Narcotics administered on postoperative days 1 and 2 were converted to intravenous morphine equivalents and recorded. UPA and LPA groups were compared using Mann-Whitney U, Fisher's exact test, and logistic regression analyses, with significance set at p
AB - INTRODUCTION AND OBJECTIVES: Upper pole access to the kidney optimizes working angles during percutaneous nephrolithotomy (PCNL). However, many surgeons are hesitant to employ upper pole access (UPA) due to higher reported complication rates and concerns for increased postoperative pain. The purpose of this study is to compare outcomes for PCNL performed via UPA versus middle and lower pole access (LPA). METHODS: A retrospective review of PCNLs performed at a single academic institution between 2002 and 2012 was performed. Patient demographics, stone burden, operative time, length of hospital stay, estimated blood loss, and perioperative Clavien-Dindo complication score were recorded. Stone-free status was defined as no remaining fragment 4mm or greater. Narcotics administered on postoperative days 1 and 2 were converted to intravenous morphine equivalents and recorded. UPA and LPA groups were compared using Mann-Whitney U, Fisher's exact test, and logistic regression analyses, with significance set at p
UR - http://www.jurology.com/article/S0022-5347(14)00624-7/abstract
UR - https://www.mendeley.com/catalogue/42d09866-6719-3161-bf29-c0a9b40b9672/
U2 - 10.1016/j.juro.2014.02.366
DO - 10.1016/j.juro.2014.02.366
M3 - Meeting abstract
VL - 191
JO - The Journal of Urology
JF - The Journal of Urology
IS - 4S
ER -