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Chinese Journal of Endourology(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (06): 792-795. doi: 10.3877/cma.j.issn.1674-3253.2025.06.017

• Review • Previous Articles    

Research progress on perioperative influencing factors of renal function deterioration after percutaneous nephrolithotomy

Fu'an Zhou, Jian Chen()   

  1. Department of Urology, Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China
  • Received:2024-01-26 Online:2025-12-01 Published:2025-11-24
  • Contact: Jian Chen

Abstract:

Percutaneous nephrolithotomy plays an important role in the treatment of upper urinary tract calculi. With the continuous development of technology, more and more scholars begin to pay attention to the influencing factors of renal function deterioration after percutaneous nephrolithotomy, including preoperative influencing factors: urinary tract infection, hypertension, diabetes, proteinuria, serum creatinine, etc; intraoperative influencing factors: channel size, number of channels, surgical time, intraoperative hypotension, etc; postoperative influencing factors: bleeding, etc. This review synthesizes current evidence on perioperative determinants of renal function deterioration after PCNL, aiming to provide guidance for clinical prevention and management of this complication.

Key words: Percutaneous nephrolithotomy, Kidney stone, Renal function, Acute kidney injury, Risk factors, Perioperative period, Postoperative complications

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