Ureterorrenoscopia (URS) flexible: técnica y resultados

Alcaide, José Ramón Cansino; Elbers, Javier Reinoso; Sánchez, David López; González, Sonia Pérez; Bazán, Alfredo Aguilera; Tous, Alberto Rando; Togores, Luis Hidalgo; Barthel, Jesús Javier de la Peña

doi:10.4321/s0004-06142010001000006

Cited by 15 publications

(1 citation statement)

References 23 publications

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“…because its metallic scopes and instruments are not brittle and can be sterilised and reused without causing damage. Mini-PCNL uses less disposables in terms on operating expenses [6][7][8][9][10].…”

Section: обмен опытомmentioning

confidence: 99%

Evaluation of the safety and the reliability of day case mini-PCNL in treatment of renal stones 1 to 2 cm

Mostafa,

El-zayat,

Omer

et al. 2024

Ambulatornaya khirurgiya

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Introduction. The capacity to execute mini percutaneous nephrolithotomy (PCNL) as a day case procedure in the treatment on renal stones measuring between one and two centimetres is being assessed in this study. Mini-PCNL has been employed more and more in the treatment on renal stones with favourable results in terms on stone clearance and low morbidities.Aim. To find a reliable replacement for E.S.W.L. and R.I.R.S in treating small renal stones that is safe, efficient, and reliable with the shortest post-operative stay period.Materials and methods. Seventy patients underwent surgery for kidney stones that ranged in size from 1 to 2 cm and had densities greater than 1000 H.U. They were split into two groups: group B received mini-PCNL and group A received regular PCNL. Both procedures were carried out while the patients was in the prone position. In group A, we fragmented the material with an electrohydraulic lithotripter and removed the resulting fragments using forceps. In contrast, group B employed a 30 w Quanta Holmium laser in dusting mode (0.5 j and 15 Hz) with 550 um laser fibre and relied on our exit plan for the double-J stent implantation, which avoided the necessity for a nephrostomy tube.Results. Operation duration was significantly longer in mini-PCNL group (p < 0.001). Intraoperative extravasation and its severity were non-significantly less frequent in mini-PCNL group (p > 0.05). All patients operated with mini-PCNL underwent double j stent, while the other group included only two patients who necessitated double J insertion insertion, and the remaining 33 patients depended on the insertion on a nephrostomy tube together with a ureteric catheter.Conclusion: Mini-PCNL is a dependable day case method that is safe for treating tiny kidney stones. Larger sample size studies could be required to confirm mini-PCNL as a day case technique.

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Section: обмен опытомmentioning

confidence: 99%

Evaluation of the safety and the reliability of day case mini-PCNL in treatment of renal stones 1 to 2 cm

Mostafa,

El-zayat,

Omer

et al. 2024

Ambulatornaya khirurgiya

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Intrarenal Calculi

González¹,

Canales²

2012

Ureteroscopy

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Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation

Oğuz¹,

Balcı

Atış

et al. 2013

Urolithiasis

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The purpose of the study was to investigate feasibility of retrograde intrarenal surgery (RIRS) in patients with isolated anomaly of kidney rotation with kidney stones. We retrospectively reviewed the medical records of patients who underwent RIRS due to kidney stones in three referral hospitals. Twenty-four patients who had kidney rotation were included in this study. The patients with horseshoe kidney or pelvic kidney were not included in the study. The patients were evaluated for final success 1 month after surgery. Success was defined as stone-free or fragment smaller than 3 mm. Mean age of patients was 39.5 years (1-71 years) and male/female ratio was 3:1. Mean stone size was 13.46 mm (5-30 mm). Twelve (50 %) patients had the operation on the right side and other 12 (50 %) patients had on the left side. Eighteen (75 %) patients were stone-free after single procedure. And stone-free rate increased to 83.3 % after additional treatment procedures. When we compared the successful and failed procedures, gender, stone side and size, preoperative hydronephrosis, access sheet usage, ureteral double-J stent insertion were not statistically significant in two groups. We did not confront major complication. RIRS seems to be an effective and safe treatment option for renal stones in patients with isolated anomaly of kidney rotation.

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Ureterorrenoscopia (URS) flexible: técnica y resultados

Cited by 15 publications

References 23 publications

Evaluation of the safety and the reliability of day case mini-PCNL in treatment of renal stones 1 to 2 cm

Evaluation of the safety and the reliability of day case mini-PCNL in treatment of renal stones 1 to 2 cm

Intrarenal Calculi

Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation

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