Abstract:

Introduction The renal kidney is a common type of renal fusion anomalies. The most common complication is the kidney stones. The aim of this study is to evaluate the results of the percutaneous nefrolithotomy (PNL) surgery used in the treatment of renal stones in patients with atnaal kidney anomaly. Tools and Methods Study in our clinic between 2014 and 2018 included seven patients with stone in the anus kidney and PNL. The patient’s age (year), gender, stone characteristics (stone surface area, side and location), operation time (d), floroscopy time (d), hemoglobin exchange quantity, Hounsfield Unit (HU) values, time (day) of taking nefrostomy, complications and residual stones were evaluated. For all patients, PNL was performed in prone position under general anesthesia. In the postoperative 1st month, patients were checked with uncontrasted computer tomography. Stones greater than 4 mm were considered as reside stones. The average age of patients was 50,50±2,12 (48-69) years and they were all male. The average stone surface area and HU values were found at 441,50±156,20 mm2 and 1317,50±123,70 respectively. Both patients with PNL had a failure in the history of extracorporeal shock wave lithotripsy (ESWL). During surgery or postoperative period, no major complications have developed in any patient. The total remaining stone ratio is 42.80% (3/7). According to our findings, PNL surgery can be applied safely and effectively on the adrenal kidneys.