Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes
Objective. To predict the success rate and complications following percutaneous nephrolithotomy via the upper pole using the Guy’s Stone Score (GSS) based on the findings of a preoperative intravenous pyelogram (IVP). Patients and Methods. Two hundred and twenty-seven renal operations, which were ca...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2016/5157930 |
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| _version_ | 1832558262246965248 |
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| author | Bannakij Lojanapiwat Pattara Rod-Ong Pruit Kitirattrakarn Wilaiwan Chongruksut |
| author_facet | Bannakij Lojanapiwat Pattara Rod-Ong Pruit Kitirattrakarn Wilaiwan Chongruksut |
| author_sort | Bannakij Lojanapiwat |
| collection | DOAJ |
| description | Objective. To predict the success rate and complications following percutaneous nephrolithotomy via the upper pole using the Guy’s Stone Score (GSS) based on the findings of a preoperative intravenous pyelogram (IVP). Patients and Methods. Two hundred and twenty-seven renal operations, which were carried out using PCNL via the upper pole, were classified according to the GSS assigned. Any complications were classified according to the Clavien classification. The success rates and incidence of any complications were compared between each GSS. Results. The immediate success rates were 87.50% of GSS1, 71.43% of GSS2, 53.62% of GSS3, and 38.46% of GSS4, P<0.01. There were statistically significant differences between the groups in stone size, overall immediate success rate, operative time, number of access tracts, and frequency of tubeless PCNL. Major complications (a Clavien score of 3–5) were significantly higher in the cases with a higher GSS. Conclusion. A GSS based on an IVP is a simple and reliable tool in predicting the success rate and possible complications following upper pole access PCNL. |
| format | Article |
| id | doaj-art-96e665d5040140608297fbbea2570ab8 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-96e665d5040140608297fbbea2570ab82025-02-03T01:32:53ZengWileyAdvances in Urology1687-63691687-63772016-01-01201610.1155/2016/51579305157930Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) OutcomesBannakij Lojanapiwat0Pattara Rod-Ong1Pruit Kitirattrakarn2Wilaiwan Chongruksut3Division of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandObjective. To predict the success rate and complications following percutaneous nephrolithotomy via the upper pole using the Guy’s Stone Score (GSS) based on the findings of a preoperative intravenous pyelogram (IVP). Patients and Methods. Two hundred and twenty-seven renal operations, which were carried out using PCNL via the upper pole, were classified according to the GSS assigned. Any complications were classified according to the Clavien classification. The success rates and incidence of any complications were compared between each GSS. Results. The immediate success rates were 87.50% of GSS1, 71.43% of GSS2, 53.62% of GSS3, and 38.46% of GSS4, P<0.01. There were statistically significant differences between the groups in stone size, overall immediate success rate, operative time, number of access tracts, and frequency of tubeless PCNL. Major complications (a Clavien score of 3–5) were significantly higher in the cases with a higher GSS. Conclusion. A GSS based on an IVP is a simple and reliable tool in predicting the success rate and possible complications following upper pole access PCNL.http://dx.doi.org/10.1155/2016/5157930 |
| spellingShingle | Bannakij Lojanapiwat Pattara Rod-Ong Pruit Kitirattrakarn Wilaiwan Chongruksut Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes Advances in Urology |
| title | Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes |
| title_full | Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes |
| title_fullStr | Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes |
| title_full_unstemmed | Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes |
| title_short | Guy’s Stone Score (GSS) Based on Intravenous Pyelogram (IVP) Findings Predicting Upper Pole Access Percutaneous Nephrolithotomy (PCNL) Outcomes |
| title_sort | guy s stone score gss based on intravenous pyelogram ivp findings predicting upper pole access percutaneous nephrolithotomy pcnl outcomes |
| url | http://dx.doi.org/10.1155/2016/5157930 |
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