Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

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dc.contributor.authorAkbulut, Fatih
dc.contributor.authorTok, Adem
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorDaggulli, Mansur
dc.contributor.authorEryildirim, Bilal
dc.contributor.authorAdanur, Senol
dc.contributor.authorGurbuz, Gokhan
dc.date.accessioned2024-04-24T15:59:54Z
dc.date.available2024-04-24T15:59:54Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractWe present our experience with the largest series of colon perforation (CP) as complication of percutaneous nephrolithotomy (PNL). From January 1998 to August 2014, 22 cases that presented with PNL-related CP from seven referral centers were retrospectively reviewed. The patients with CP were evaluated in terms of probable risk factors. Peri-operative and postoperative findings, timing of diagnosis, and treatment modalities of the CP were reviewed. Of the 22 patients, previous ipsilateral renal surgery (n:2) and retrorenal colon (n:5) were the risk factors for CP. The CP was directly visualized via nephroscopy during the surgery in 3 (13.6 %) and with nephrostography at the end of the procedure in 4 patients (18.2 %). In two patients, perforation was realized via the passage of contrast into the colon with nephrostography on the postoperative second day. Postoperative passage of feces through the nephrostomy tube was seen in six patients. The clinical signs in 13 cases directed CP diagnosis. The confirmation of the CP was achieved with a CT scan in all the patients. The patients with extraperitoneal perforation were primarily managed conservatively. Open surgical treatment was performed in cases with intraperitoneal perforation (n:5) and those with extraperitoneal perforation resistant to conservative treatment (n:5). Meticulous evaluation of the risk factors preoperatively is the initial step in the prevention of CP. Timely diagnosis plays essential role in the management of this PNL complication. Although extraperitoneal CP may be managed conservatively, surgery is required for intraperitoneal CPs.en_US
dc.identifier.doi10.1007/s00240-015-0792-2
dc.identifier.endpage526en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue6en_US
dc.identifier.pmid26033042
dc.identifier.scopus2-s2.0-84946493981
dc.identifier.scopusqualityQ2
dc.identifier.startpage521en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-015-0792-2
dc.identifier.urihttps://hdl.handle.net/11468/14302
dc.identifier.volume43en_US
dc.identifier.wosWOS:000364228600006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColon Perforationen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectComplicationen_US
dc.subjectDiagnosisen_US
dc.subjectTreatmenten_US
dc.titleColon perforation related to percutaneous nephrolithotomy: from diagnosis to treatmenten_US
dc.titleColon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment
dc.typeArticleen_US

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