Page 37 - TheTalents 2018 Debate9
P. 37
The Consequence of PCNL
Porcine model of renal parenchymal injury after tract
dilation, shows minimal damage.
1
Long
term RF after PCNL, shows that 80% of pts
-
with chronic kidney disease improved or remained
stable.
In solitary kidney pts RF was preserved and a significant improvement in overall eGFR seen at 1
year. None progressed to ESRD or dialysis.
2
3
Mean scar volume πr2 X l
Mean % scarred parenchyma 4/3π (l x w x h)
30F tract
0.29 ± 0.23 cc
0.63 ± 0.52%
11F tract
0.40 ± 0.19 cc
0.91 ± 0.52%
1. Traxer, et al
2. Akman et al. 3. Canes et al.
J Urol
165:1693, 2001.
J Urol J Urol
187: 1656, 2012. 181: 154, 2009.