Adopting ultrasound guided PCNL in nephrolithiasis management.

IF 0.8 Q4 UROLOGY & NEPHROLOGY
Urologia Journal Pub Date : 2024-05-01 Epub Date: 2023-10-17 DOI:10.1177/03915603231198554
Binyamin B Neeman, Galia Raisin, Boris Chertin, Saeed Qadan, Ilan Kafka
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引用次数: 0

Abstract

Introduction: This study aimed to evaluate the learning curve associated with the adoption of US guided PCNL and demonstrate that it can be carried out safely with results comparable to those obtained using standard PCNL.

Methods: Prospective study with 65 patients who underwent PCNL between 2019 and 2020. all procedures were performed in supine position and an initial attempt to gain access to the kidney using US was made.

Results: Mean procedure duration was 69.5 ± 27.8 min. Fluoroscopy was used with a mean dose of 276.68 ± 560.71 (cGycm3) and mean fluoroscopy time 40.25 ± 77.69 (s). Throughout the study there was a steady decrease in the use of fluoroscopy and amount of radiation to gain access to the kidney to only 25% at the study end. 76.5% of the patients were stone free at follow-up. Complication rate was 9.2%.

Conclusions: Fluoroless US guided PCNL is safe, feasible and reproducible procedure.

采用超声引导PCNL治疗肾结石。
引言:本研究旨在评估与采用US引导的PCNL相关的学习曲线,并证明它可以安全地进行,其结果与使用标准PCNL获得的结果相当。方法:对2019年至2020年间接受PCNL的65名患者进行前瞻性研究。所有手术均以仰卧位进行,并首次尝试使用超声进入肾脏。结果:平均手术时间为69.5 ± 27.8 最小荧光镜检查的平均剂量为276.68 ± 560.71(cGycm3)和平均荧光透视时间40.25 ± 77.69(s)。在整个研究过程中,荧光镜检查的使用和进入肾脏的辐射量稳步下降,研究结束时仅下降了25%。随访时76.5%的患者无结石。并发症发生率为9.2%。结论:无氟超声引导下PCNL是一种安全、可行、可重复的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Urologia Journal
Urologia Journal UROLOGY & NEPHROLOGY-
CiteScore
0.60
自引率
12.50%
发文量
66
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