Percutaneous nephrolithotomy: complications and how to deal with them

Urolithiasis. 2018 Feb;46(1):87-97. doi: 10.1007/s00240-017-1022-x. Epub 2017 Nov 17.

Abstract

Percutaneous nephrolithotomy is a common surgical treatment for large and complex stones within the intrarenal collecting system. A wide variety of complications can result from this procedure, including bleeding, injury to surrounding structures, infection, positioning-related injuries, thromboembolic disease, and even death. Knowledge of the different types of complications can be useful in order to prevent, diagnose, and treat these problems if they occur. This review describes the diversity of complications with the goal of improving their avoidance and treatment.

Keywords: Bleeding; Complications; Infections; Injury; Nephrolithiasis; PNL; Percutaneous nephrolithotomy; Perforation; Supracostal access; Urosepsis.

Publication types

  • Review

MeSH terms

  • Humans
  • Intraoperative Complications / etiology*
  • Intraoperative Complications / therapy*
  • Nephrolithotomy, Percutaneous / adverse effects*
  • Postoperative Complications / etiology*
  • Postoperative Complications / therapy*