Abstract
The lifetime prevalence of kidney stone disease is estimated at 1% to 15% with the probability of having a stone varying according to age, gender, race and geographical location (Margeret S. pearle et al 2007)8. In Indian scenario urolithiasis constitutes one of the commonest reason requiring surgical intervention and approximately about 5-7 million patients suffer from calculus disease.
Aims and Objectives: To evaluate two levels of renal access in PCNL one supracostal and other infracostal and will evaluate their outcomes in terms of:
- Number of access puncture sites required for complete stone clearance
- Stone clearance rates
- Safety
- Efficacy (Stone free status post op KUB)
- Complications
Materials and Methods: This study entitled “To Study the Outcomes of Supracostal and Infracostal Access Approach in Treating Renal Calculi using PCNL (Percutaneous Nephrolithotomy)” was conducted in the Post-graduate Department of Surgery, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu from 1st Nov 2016 to 31st Oct 2017.
The site of calyceal puncture in supracostal group was superior calyx in 21 (70%), Middle calyx in 8 (26.67%) and inferior calyx in 1 (3.33%) of patients respectively, while in the infracostal group it was superior calyx in 5 (16.67%), middle calyx in 12 (40%) and inferior calyx in 13 (43.33%) patients respectively
Keywords: probability ,urolithiasis
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Corresponding Author
Dr Kulbir Singh Jat
Registrar, Department of Surgery GMC Jammu, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.180
