Initial experience of percutaneous nephrolithotomy surgery in secondary hospital in Bali

Abstract

Background. The formation of kidney stones is the result of the accumulation of crystals within the kidneys. Percutaneous nephrolithotomy (PCNL) is the preferred method for treating stones larger than 2 cm. This study aims to analyse outcomes and experiences of PCNL for kidney stone removal. Materials and methods. It was a descriptive study with a cross-sectional design, utilizing secondary data from electronic medical records in Klungkung General Hospital. There are 91 samples collected using total sampling between October 2020 and August 2023. The analysis was conducted using the SPSS Statistics 26. Results. The 51–60 age group (38.5 %) exhibited the highest prevalence of patients undergoing PCNL surgery. The most common type of stone was solitary (48.4 % of cases), with an average size of 3.570 ± 1.159 cm. The mean duration of the procedure was 38.630 ± 21.667 minutes, with a single puncture utilized in 68.1 % of cases. The pain levels experienced were generally low, with a mean score of 2 on a 10-point scale. The mean length of hospital stay was 2.330 ± 1.012 days. The outcomes of PCNL in patients with kidney stones were favourable, with a high stone-free rate of 92.3 % and minimal complications. Рostoperative complications were infrequent. Conclusions. It is suggested that PCNL is an effective and safe procedure for kidney stone removal.

Keywords

• percutaneous nephrolithotomy
• kidney stone
• secondary hospital
• stone-free rate