The learning curve for a single surgeon using ultrasonography to guide supine percutaneous nephrolithotomy with an alken metal telescopic dilator

Birowo, Ponco; Rustandi, Reginald; Raharja, Putu Angga Risky; Putra, Harun Wijanarko Kusuma; Rasyid, Nur; Atmoko, Widi

doi:10.1016/j.heliyon.2022.e12524

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Cited by 3 publications

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Analyzing learning curve for supine percutaneous nephrolithotomy in urology resident training programme: comparative analysis

Arıkan,

Danacioğlu,

Özlü

et al. 2024

Urolithiasis

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Analyzing learning curve for supine percutaneous nephrolithotomy in urology resident training programme: comparative analysis

Arıkan,

Danacioğlu,

Özlü

et al. 2024

Urolithiasis

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Ultrasound-Guided PCNL — Why Are We Still Performing Exclusively Fluoroscopic Access?

2023

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Analyzing Learning Curve for Supine Percutaneous Nephrolithotomy in Urology Resident Training Programme: Comparative Analysis

Arıkan,

Danacioğlu,

Özlü

et al. 2024

Preprint

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Introduction This article attempts to provide a comprehensive review of the learning objectives and importance of the supine percutaneous nephrolithotomy (PCNL) technique. Material Method We retrospectively reviewed the cases of Supine PCNL between January 2018 and January 2024. We divided the groups into 3: residents between 1–3 years (Group 1), residents between 4–5 years (Group 2), and specialists (Group 3). The 1–3-year resident started to perform PCNL for the first time, while the 4–5-year resident started to perform Supine PCNL for the first time while previously performing prone PCNL. Results Access, fluoroscopy, and operation time were higher in Group 1, shorter in Group 2, and shortest in Group 3 (p < 0.001). Postoperative length of stay and the need for additional treatment were found to be shorter (p < 0.001), and the stone-free rate (SFR) increased (p < 0.001) from Group 1 to Group 3. The highest complication rates were observed in Group 1 (p = 0.002). SFR rate increased as the number of cases increased in Group 1 patients. Success was stable after 46–60 cases in terms of SFR. In Group 2, the SFR rate was stable after 31–45. cases. The most complications were observed in Group 1 and the least in Group 3. Conclusion In 1-3-year residents, access time and fluoroscopy time decrease with experience. In 4-5-year residents, due to their expertise in prone PCNL, the operation time and fluoroscopy time decrease with the number of cases performed. SFR is higher after 46–60 cases for 1-3-year residents and 31–45 cases for 4-5-year residents.

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The learning curve for a single surgeon using ultrasonography to guide supine percutaneous nephrolithotomy with an alken metal telescopic dilator

Cited by 3 publications

References 13 publications

Analyzing learning curve for supine percutaneous nephrolithotomy in urology resident training programme: comparative analysis

Analyzing learning curve for supine percutaneous nephrolithotomy in urology resident training programme: comparative analysis

Ultrasound-Guided PCNL — Why Are We Still Performing Exclusively Fluoroscopic Access?

Analyzing Learning Curve for Supine Percutaneous Nephrolithotomy in Urology Resident Training Programme: Comparative Analysis

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