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OBJECTIVES: A Retrospective study to review and provide a detailed analysis of percutaneous nephrolithotomy for management of renal calculus disease. PLACE AND DURATION: The retrospective study was conducted by the Dept. of Urology, Mahatma Gandhi Medical College and Hospital, Jaipur. We reviewed the medical records of 1000 patients who underwent percutaneous nephrolithotomy for renal calculus disease from March 2010 to March 2015. METHODS: Patients with stones of various sizes and characteristics in the kidney and upper ureter were included in the study. The duration of the procedure, Perioperative analysis and intra and postoperative complications were reviewed. Mean age of inclusion were 2 to 75 years. Size of stones varying from 9mm to 7cms. RESULTS: Total of 1000 cases was included in the study consisting of 657 males and 343 females. Mean age of patient was 32 years (2-75 years). Calculus was more common in the right side than the left side. Mean operating time was 75mins. Complications occurred in 446 cases, but most of them were minor. CONCLUSION: Percutaneous nephrolithotomy is the procedure of choice for management of renal calculus disease, although associated with a marginally higher complication rate but most of them were minor further these can be overcome by establishing a protocol under skilled surgical experience. To decrease lung and pleural injury, we recommend a subcostal approach if possible. To decrease solid organ injury, we recommend using complete prone position.

A RETROSPECTIVE STUDY OF PERCUTANEOUS NEPHROLITHOTOMY PERFORMED FOR THE MANAGEMENT OF RENAL CALCULUS: FIVE YEAR EXPERIENCE OF 1000 CASES