Percutaneous Nephrolithotomy With One Shot Dilatıon Method: Is It Safe In Patients Who Had Open Surgery Before

Süelözgen, Tufan; İşoğlu, Cemal Selçuk; Türk, Hakan; Yoldaş, Mehmet; Karabıçak, Mustafa; Ergani, Batuhan; Boyacıoğlu, Hayal; İlbey, Yusuf Özlem; Zorlu, Ferruh

doi:10.5489/cuaj.3301

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…In addition, the presence of staghorn stones in these two patients is a risk factor for bleeding. [19] However, in their study comparing OD procedure in cases undergoing primary intervention and secondary intervention, Süelözgen et al [23] reported no difference between the groups concerning bleeding complications. Considering these major complications, it should be re-emphasized that PCNL has a significant complication potential, regardless of the dilatation technique used.…”

Section: Discussionmentioning

confidence: 98%

Two Different Renal Dilatation Techniques in Percutaneous Nephrolithotomy: One-Shot Dilation vs. Sequential Dilation

Aydemi̇r¹

2020

South Clin Ist Euras

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Objective: In this study, we aimed to compare the results in patients undergoing the oneshot dilatation (OD) technique and the conventional serial dilatation (SD) technique with amplatz dilators in percutaneous nephrolithotomy (PNL) operations. Methods:We retrospectively evaluated the data of 213 patients who had undergone PNL between January 2016 and June 2018. The patients who had undergone SD were classified as Group 1 and the patients undergoing OD as Group 2. All of the patients had undergone contrast-free computed tomography (CT) before the operation. The PNL procedure was performed by experienced endo-urologists. Follow-up CT was performed in the 3 rd postoperative month. The PNL procedure was considered unsuccessful in patients who had a stone larger than 4 mm on the CT scan. The patients were accepted as 'stone free' when there was no residual stone or there was a stone less than 4 mm in diameter on the CT scan. The groups were compared concerning demographic characteristics, operation duration, fluoroscopy duration, amount of hemoglobin change, complication rate (according to the modified Clavien classification), length of hospital stay and the operation success rate. Results:There was no statistically significant difference between the groups concerning operation data, rate of stone-free patients and complication rates. The mean length of hospital stay was shorter in the OD group (p<0.001). Conclusion:The conventional SD procedure is similar to the OD procedure with amplatz dilators concerning the total fluoroscopy time, complication rates and the surgical success rate.

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Section: Discussionmentioning

confidence: 98%

Two Different Renal Dilatation Techniques in Percutaneous Nephrolithotomy: One-Shot Dilation vs. Sequential Dilation

Aydemi̇r¹

2020

South Clin Ist Euras

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“…10 There are previous studies demonstrated that using larger sheath, longer operation duration, and multiple tracts increase renal bleeding complication rate in PNL operations, as well as some other studies reported that these factors have no effect on renal bleeding complication rates. 6,8,10,11 In a study comparing the effects of renal access techniques on bleeding complications, balloon dilatation method was reported to cause less bleeding than the amplatz dilation method. 12 The high cost of balloon dilators is limiting their use.…”

Section: Discussionmentioning

confidence: 99%

Effects of severe hydronephrosis on the outcomes of percutaneous nephrolithotomy with one-shot dilation method

Miçooğulları¹,

Yücel²,

Sueluzgen³

et al. 2021

Urologia

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Objective: To investigate the effect of the presence of severe hydronephrosis on percutaneous nephrolithotomy (PNL) outcome in patients who underwent PNL operation with one-shot dilatation technique. Materials and methods: Medical data of 989 patients underwent PNL operation in our clinic between 2012 and 2018 were retrospectively reviewed. We included 373 of the patients underwent PNL operation due to renal pelvic stone, who were older than 18 years of age, who did not have any urinary tract abnormality, and had no previous history of open renal stone operation. Patients were divided into two groups according to the presence of severe hydronephrosis and absence of hydronephrosis. These two groups were compared in terms of age, gender, body mass index (BMI), number of stones, stone burden, operation duration, fluoroscopy time, hospitalization time, hemoglobin and creatinine change, complications, and stone free rate. Results: There was no statistically significant difference between the groups in terms of age, gender, BMI, stone number, stone size, stone density, operation duration, fluoroscopy time, and hospitalization duration. The mean change in hemoglobin was 1.5 g/dL in group 1 and 1.1 g/dL in group 2. This difference was statistically significant ( p = 0.006). Postoperative blood transfusion was required for 3 patients (2.1%) in group 1 and 12 patients (5.1%) in group 2. This difference was statistically significant ( p < 0.001). Conclusion: Only the presence of severe hydronephrosis was found to be associated with the change in hemoglobin and postoperative blood transfusion.

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“…The tract was dilated by Teflon dilators (gradual or acute) up to 24-26 French. Acute dilatation is defined as one-shot dilatation (12). Nephroscope 26 Fr with outer sheath, 24 Fr without the outer sheath, and pneumatic disintegrator were used.…”

Section: Methodsmentioning

confidence: 99%

Predictive Factors of Complications of PNL in Solitary Kidney: A Prospective Study.

Mahmoud

Saleem

Saber-Khalaf

et al. 2020

Sohag Medical Journal

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Percutaneous Nephrolithotomy With One Shot Dilatıon Method: Is It Safe In Patients Who Had Open Surgery Before

Cited by 5 publications

References 14 publications

Two Different Renal Dilatation Techniques in Percutaneous Nephrolithotomy: One-Shot Dilation vs. Sequential Dilation

Two Different Renal Dilatation Techniques in Percutaneous Nephrolithotomy: One-Shot Dilation vs. Sequential Dilation

Effects of severe hydronephrosis on the outcomes of percutaneous nephrolithotomy with one-shot dilation method

Predictive Factors of Complications of PNL in Solitary Kidney: A Prospective Study.

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