{"title":"时机","authors":"Elliott R. Morss, Jerry Van Sant","doi":"10.4324/9780429050091-6","DOIUrl":null,"url":null,"abstract":"RESULTS: The study included a total of 98 consecutive pa- tients, with 49 patients in each group. No statistically signi fi cant differ-ences were observed in terms of stone volume (p [ 0.085), stone density (p [ 0.5590), location of renal access (p [ 0.108), surgery duration (p [ 0.38), blood loss (p [ 0.54), or laboratory changes after surgery (p [ 0.60). 91.84 precent of obese patients were stone- free per CT scan at follow- up, compared to 77.5 percent of normal- weight patients (p [ 0.089). According to Clavien Dindo classi fi cation, six patients in the non-obese group experienced grade II (10%) and grade III (2%) complications, as opposed to fi ve patients in the obese group with grade I (2%), grade II (6%), and grade III (2%) complications. CONCLUSIONS: There was no signi fi cant correlation between body mass index and the or safety of ultrasound- guided PCNL. Although more challenging, a higher BMI should not be an impediment to performing this approach. This method is safe, with no increased incidence of postoperative complications or compromise in stone- free status post- operatively, and can diminish or even avoid both patient's and medical team's exposure to ionizing radiation.","PeriodicalId":250855,"journal":{"name":"Implementing Rural Development Projects","volume":"51 12 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Timing\",\"authors\":\"Elliott R. Morss, Jerry Van Sant\",\"doi\":\"10.4324/9780429050091-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"RESULTS: The study included a total of 98 consecutive pa- tients, with 49 patients in each group. No statistically signi fi cant differ-ences were observed in terms of stone volume (p [ 0.085), stone density (p [ 0.5590), location of renal access (p [ 0.108), surgery duration (p [ 0.38), blood loss (p [ 0.54), or laboratory changes after surgery (p [ 0.60). 91.84 precent of obese patients were stone- free per CT scan at follow- up, compared to 77.5 percent of normal- weight patients (p [ 0.089). According to Clavien Dindo classi fi cation, six patients in the non-obese group experienced grade II (10%) and grade III (2%) complications, as opposed to fi ve patients in the obese group with grade I (2%), grade II (6%), and grade III (2%) complications. CONCLUSIONS: There was no signi fi cant correlation between body mass index and the or safety of ultrasound- guided PCNL. Although more challenging, a higher BMI should not be an impediment to performing this approach. This method is safe, with no increased incidence of postoperative complications or compromise in stone- free status post- operatively, and can diminish or even avoid both patient's and medical team's exposure to ionizing radiation.\",\"PeriodicalId\":250855,\"journal\":{\"name\":\"Implementing Rural Development Projects\",\"volume\":\"51 12 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Implementing Rural Development Projects\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4324/9780429050091-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Implementing Rural Development Projects","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4324/9780429050091-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
RESULTS: The study included a total of 98 consecutive pa- tients, with 49 patients in each group. No statistically signi fi cant differ-ences were observed in terms of stone volume (p [ 0.085), stone density (p [ 0.5590), location of renal access (p [ 0.108), surgery duration (p [ 0.38), blood loss (p [ 0.54), or laboratory changes after surgery (p [ 0.60). 91.84 precent of obese patients were stone- free per CT scan at follow- up, compared to 77.5 percent of normal- weight patients (p [ 0.089). According to Clavien Dindo classi fi cation, six patients in the non-obese group experienced grade II (10%) and grade III (2%) complications, as opposed to fi ve patients in the obese group with grade I (2%), grade II (6%), and grade III (2%) complications. CONCLUSIONS: There was no signi fi cant correlation between body mass index and the or safety of ultrasound- guided PCNL. Although more challenging, a higher BMI should not be an impediment to performing this approach. This method is safe, with no increased incidence of postoperative complications or compromise in stone- free status post- operatively, and can diminish or even avoid both patient's and medical team's exposure to ionizing radiation.