Feasibility and Safety of Ultrasonography Guidance and Flank Position during Percutaneous Nephrolithotomy

The Journal of Urology
Seyed Hassan InanlooSeyed Ali Momeni

Abstract

Percutaneous nephrolithotomy is generally performed using fluoroscopy, which is associated with exposure to radiation. Another drawback of fluoroscopic guided percutaneous nephrolithotomy is the prone position, which is not suitable for all patients. In this study we evaluated the feasibility, safety and efficacy of ultrasound guided percutaneous nephrolithotomy with the patient in the flank position. A total of 603 patients with a mean ± SD age of 50.9 ± 13 years were included in this study from December 2010 to July 2016. Access to the collecting system and tract dilation were performed under ultrasound guidance. Perioperative data on the stone-free rate, operative time, length of stay and complication rates were recorded. Successful access was achieved in all but 1 patient. Mean operative time was 56.6 ± 6.5 minutes. Complete stone clearance was achieved in 529 patients (87.7%) and Clavien-Dindo grade 3 complications were noted in 17 (2.8%). Blood transfusion was necessary in 43 patients (7.1%). However, bleeding was self-limited in all cases and did not require angioembolization. To our knowledge this is the largest series of ultrasound guided percutaneous nephrolithotomy with the patient in the flank position. Unlike in ot...Continue Reading

References

Jun 8, 2001·The Journal of Maternal-fetal Medicine·S B BarnettUNKNOWN International Perinatal Doppler Society
Feb 6, 2003·Obesity Surgery·Jay B Brodsky
Apr 26, 2006·Urology·Ahmed R El-NahasHamdy A El-Kappany
Jul 27, 2006·International Urology and Nephrology·Geeta KumariPrem N Dogra
Nov 11, 2006·European Urology·Maurice Stephan MichelJens Jochen Rassweiler
Feb 26, 2008·Journal of Endourology·Abbas BasiriSeyed M Hosseini Moghaddam
Apr 2, 2009·Journal of Endourology·Mohammad Mehdi HosseiniMohammad Amin Afrasiabi
Sep 1, 2009·Journal of Endourology·Mahesh Desai
Jun 22, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S A BadgerC V Soong
Mar 15, 2011·Journal of Endourology·Wael M GamalAbdelmonem Abuzeid
May 10, 2011·Urology·András HoznekClément-Claude Abbou
Jul 21, 2011·BJU International·Catherine J AtkinsonMark D Stoneham
Jul 22, 2011·Deutsches Ärzteblatt International·Gerhard Alzen, Gabriele Benz-Bohm
Jul 30, 2011·Forensic Science International : Synergy·Jeffrey D HoJames R Miner
Aug 3, 2011·Radiologic Clinics of North America·Lisa J States, James S Meyer
Jan 10, 2012·Current Opinion in Urology·Michael E Lipkin, Glenn M Preminger
Jul 28, 2012·Journal of Endourology·Sero AndonianUNKNOWN CROES PCNL Study Group
Apr 22, 2015·World Journal of Orthopedics·J Mason DePasseAlan H Daniels
Sep 8, 2015·European Urology·Christian TürkThomas Knoll
Dec 10, 2016·Journal of Intensive Care·Jason Chertoff
May 27, 2017·Journal of Applied Physiology·Allison P AndersonJay C Buckey

❮ Previous
Next ❯

Citations

Oct 10, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Guo JiangZhang Zhenyang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.