Análisis de los factores que influyen en la pérdida hemática en la nefrolitotomía percutánea: registro de la Asociación Española de Urología sobre la posición supina

Fata, F. Ramón de; Pérez, Daniel; Resel-Folkersma, Luis; Galán, J.A.; Serrano, Álvaro; Servera, A.; Arrabal, Miguel; Álvarez-Ossorio, J.L.; Ballestero, Roberto; Cao, Eldis Román; Fàbregas, M. Arzoz; Navarro, Patricio; Rigabert, M.; Sánchez-Zalabardo, J.M.; Lista, F.; Angulo, Javier C.; Amón-Sesmero, J.H.

doi:10.1016/j.acuro.2013.05.001

Cited by 12 publications

(7 citation statements)

References 23 publications

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“…In our study, both types of tract dilation were comparable in terms of blood loss. Similarly, blood transfusions were not different between groups, supporting the previous reports that both types of tract dilation are equally safe [13]. Other parameters such as total operative time, fluoroscopy time, and tract formation time were not different between the two groups.…”

Section: Discussionsupporting

confidence: 84%

Percutaneous Nephrolithotomy with Amplatz and Alken Dilators: An Eight-Year Single Tertiary Care Centre Experience

et al. 2016

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BackgroundPercutaneous nephrolithotomy (PNL) is the standard procedure for patients with renal stones over 2 cm in diameter. We analyzed complications after this procedure focusing on two different methods of tract dilation.Material/MethodsBetween August 2008 and April 2016 222 percutaneous nephrolithotomies were performed in a total of 208 patients. The Group I (n=123) comprised patients where Alken dilatators were used, while Group II (n=99) comprised patients where Amplatz dilators were used. Efficacy was examined based on ultrasound and x-ray examination one month after the procedure. Complications were recorded using Clavien Dindo classification.ResultsEfficacy was 85.3% and 86.8% in group I and II, respectively (p=0.77). Grade I complications were present in 14.6% and 3%, grade II were present in 9.7% and 8%, grade IIIa were present in 2.4% and 2%, grade IIIb were present in 1.6% and 2%, grade IVa were present in 1.6% and 7%, grade IVb were present in 3.2% and 1% in Group I and Group II, respectively. These differences were statistically significant (p=0.03).ConclusionsEfficacy was comparable between Alken dilator and Amplatz dilator groups. In group I, there were more postoperative fevers >38.5 °C and a higher rate of urosepsis. On the other hand, in group II we observed more pleural injuries. All differences resulted from the type of access to the kidney (inter/infracostal), punctured calyx, and utilization (or not) of access sheath rather than type of dilators itself.

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Section: Discussionsupporting

confidence: 84%

Percutaneous Nephrolithotomy with Amplatz and Alken Dilators: An Eight-Year Single Tertiary Care Centre Experience

et al. 2016

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“…14 In a register of the Spanish Association of Urology conducted in 397 patients who had undergone PCNL in the supine position, the transfusion rate was 5.5%. 15 Most of these complications are related to the creation of the percutaneous passage, and bleeding in particular is directly related to its caliber. 16 In 1997, Helal et al 17 described the miniperc technique for the treatment of renal lithiasis in pediatric patients, and in 1998, Jackman et al 18 used it in an adult population to decrease surgical trauma and, therefore, bleeding.…”

Section: Discussionmentioning

confidence: 99%

Comparative study of retrograde intrarenal surgery and micropercutaneous nephrolithotomy in the treatment of intermediate-sized kidney stones

Fata

García-Tello

Andrés

et al. 2014

Actas Urológicas Españolas (English Edition)

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“…20 Mini-PNL was developed in the treatment of the renal stones in adults to decrease the therapeutic step between ESWL and PNL. 20 Mini-PNL was developed in the treatment of the renal stones in adults to decrease the therapeutic step between ESWL and PNL.…”

Section: Miniperc: Indications Preparation and Surgical Techniquementioning

confidence: 99%

Miniperc and retrograde intrarenal surgery: When and how?

Fata

Hauner

Andrés

et al. 2015

Actas Urológicas Españolas (English Edition)

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Análisis de los factores que influyen en la pérdida hemática en la nefrolitotomía percutánea: registro de la Asociación Española de Urología sobre la posición supina

Cited by 12 publications

References 23 publications

Percutaneous Nephrolithotomy with Amplatz and Alken Dilators: An Eight-Year Single Tertiary Care Centre Experience

Percutaneous Nephrolithotomy with Amplatz and Alken Dilators: An Eight-Year Single Tertiary Care Centre Experience

Comparative study of retrograde intrarenal surgery and micropercutaneous nephrolithotomy in the treatment of intermediate-sized kidney stones

Miniperc and retrograde intrarenal surgery: When and how?

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