Keyhole surgery of the kidney at sultan qaboos university hospital, oman

Abstract

Objectives: Percutaneous access surgery of the kidneys was introduced in Sultan Qaboos University Hospital (SQUH) in 1998. We are presenting our early experience in the first 31 patients operated on over an eight year period using the percutaneous approach.

Methods: A retrospective review of 25 patients, who underwent percutaneous nephrolithotomy (PCNL) for the treatment of large renal stones and 6 patients who underwent endopyelotomy for the treatment of pelviureteric junction (PUJ) obstruction.

Results: In the PCNL group complete stone clearance was achieved in 68% (17/25) patients and the complication rate was 28% (7/25). In the endopyelotomy group the success rate of relief of obstruction of PUJ measured by renogram and relief of symptoms was 83% (5/6 patients).

Conclusion: Our early results of PCNL are promising and comparable to international results.

Keywords: Endopyelotomy; Kidney calculi; Percutaneous nephrolithotomy.

Figure 1:

The operative settings with C-arm fluroscopy monitoring for the percutaneous approach

Figure 2:

Clinical presentation of the 25 patients who had PCNL

Figure 3:

Outcome of the 25 patients who had PCNL. 68% had complete stone clearance.