Complete supine PCNL: ultrasound vs. fluoroscopic guided: a randomized clinical trial

Falahatkar, Siavash; Allahkhah, Aliakbar; Kazemzadeh, Majid; Enshaei, Ahmad; Shakiba, Maryam; Moghaddas, Fahimeh

doi:10.1590/s1677-5538.ibju.2014.0291

Cited by 28 publications

(27 citation statements)

References 27 publications

(46 reference statements)

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“…[ 15 ] A separate study has compared complications and outcomes of UGPN and FGPN using a complete supine position to perform the procedure. [ 16 ] It included 51 patients with renal stones who were randomly allocated such that 26 patients underwent UGPN, and 25 patients underwent the FGPN procedure. [ 16 ] The results of this study showed that both UGPN and FGPN demonstrated similar outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 ] It included 51 patients with renal stones who were randomly allocated such that 26 patients underwent UGPN, and 25 patients underwent the FGPN procedure. [ 16 ] The results of this study showed that both UGPN and FGPN demonstrated similar outcomes. Moreover, ultrasonography could be a useful alternative to fluoroscopy during this surgery.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-guided percutaneous nephrolithotomy for the treatment in patients with kidney stones

et al. 2017

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Background:In this study, we aimed to explore the effect of ultrasound-guided percutaneous nephrolithotomy (UGPN) for the treatment in patients with kidney stones (KS).Methods:We randomly assigned 86 patients with KS to a UGPN group or a control group, each group comprising 43 patients. Patients from the UGPN group underwent UGPN whereas those from control group underwent fluoroscopic-guided percutaneous nephrolithotomy (FGPN). The primary outcome included the stone-free rate. Secondary outcomes included complication rates, operative time, and length of hospitalization.Results:UGPN did not show better efficacy than the FGPN procedure in decreasing stone-free rate (UGPN group 79.1% vs control group 69.8%, P = .45), operative time (UGPN group 108.4 ± 31.7 minute vs control group 113.2 ± 34.5 minute, P = .50), and length of hospitalization (UGPN group 2.7 ± 1.3 days vs control group 3.1 ± 1.5 days, P = .19). Additionally, no complications, except fever (UGPN group 4.7% vs control group 9.3%, P = .41) and hemoglobin slightly reduced (UGPN group 7.0% vs control group 11.6%, P = .46) were noted in patients from both groups in this study.Conclusions:To summarize, we demonstrated that both UGPN and FGPN techniques showed similar efficacy and complications when used for the management of KS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided percutaneous nephrolithotomy for the treatment in patients with kidney stones

et al. 2017

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“…Similar to what we have reported in this case, several studies found no significant difference of complication between ultrasound-guided and fluoroscopy-guided PCNL. [16][17][18][19] Moreover, meta-analysis by Yang et al, even showed that ultrasound-guided PCNL had a significantly lower complication rate. 7 Our result and current evidence showed positive remarks of safety in performing X-rayfree ultrasound-guided PCNL.…”

Section: Discussionmentioning

confidence: 99%

<p>X-ray-free Ultrasound-guided Percutaneous Nephrolithotomy in Supine Position Using Alken Metal Telescoping Dilators in a Large Kidney Stone: A Case Report</p>

Birowo¹,

Raharja²,

Putra³

et al. 2020

RRU

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X-ray-free ultrasound-guided percutaneous nephrolithotomy (PCNL) has been proven to be safe, feasible, and affordable. Kidney dilatation during X-ray-free ultrasound-guided PCNL is mostly using balloon dilators. This report presents our experience of performing X-rayfree ultrasound-guided PCNL in supine position using Alken metal telescopic dilators in a patient with a large kidney stone. A 50-year-old male presented with right complete staghorn stone sized 46×30×24 mm (stone burden: 50,985 mm 3 with sphere formula) and grade II hydronephrosis. The computed tomography (CT) scan showed no right ureteric stone, kinking, or stenosis. Ureteral catheter and guidewire were placed retrogradely under ultrasound guidance during cystoscopy. Normal saline was pumped via the ureteral catheter to make artificial hydronephrosis thus assisting the process. Kidney dilatation was performed with Alken metal telescoping dilators. Urine flow from the dilators confirmed that our dilator had reached the collecting system. The stone was identified and fragmented with combination of both pneumatic and shock pulse lithotripter. Double J stent and nephrostomy tubes were inserted at the end of the procedure. All of the steps were performed purely under ultrasound guidance. There was no residual stone after the procedure, confirmed by ultrasound, nephroscope, and postoperative Xray. There was no significant complication during or after the procedure. The patient was discharged on postoperative day two. X-ray-free ultrasound-guided PCNL in supine position using Alken metal telescoping dilators seems to be a feasible, safe, and cost-effective approach in managing kidney stones, including staghorn and large stones.

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“…Во многих публикациях предполагается неодинаковый уровень КЖ у больных после эктомии органа и его резекции [14][15][16][17][18][19][20][21]. Однако, как указывают B. Ljungberg и соавт., на данный момент только незначительное число исследований непосредственно посвящено сравнительной оценке КЖ пациентов, перенесших РНЭ или резекцию почки [22].…”

Section: Introductionunclassified

Evaluation of quality of life of patients after surgical treatment of kidney cancer

Попов¹,

Guseynov²,

Орлов³

et al. 2019

Onkourologiâ

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Background. Restoring the quality of life of patients to a level comparable to that of practically healthy people is the most important task of medicine in general. At this stage of development of science, the main goal in the treatment of malignant diseases remains the preservation of life. However, now in oncological practice, methods whose potential allows not only to preserve life as such, but also to ensure the high quality of this life in all its manifestations, are acquiring greater and greater significance.The objective of the study is to compare the quality of life of persons with localized kidney cancer in the early and late periods after surgical treatment by radical nephroectomy and laparoscopic resection of renal tissue.Materials and methods. A questionnaire survey using SF-36 (Short Form-36), designed for a comprehensive assessment of the quality of life associated with health.Results. The quality of life of patients with localized kidney cancer before treatment is reduced due to a number of physical and mental nature, limiting labor, domestic and social activity and causing a feeling of dissatisfaction with their lives in general. These problems are disorders of physical, social and emotional functioning, physical pain, deterioration of general and mental health, limitations of role functioning due to physical and emotional state. After surgical treatment with laparoscopic resection, complete satisfaction of patients with the quality of their life was achieved during the first 1–3 postoperative months; after radical nephroectomy – not earlier than 1–3 years.Conclusion. One of the advantages of laparoscopic resection over radical nephroectomy is a higher quality of life of patients in the early and late periods after the intervention.

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Complete supine PCNL: ultrasound vs. fluoroscopic guided: a randomized clinical trial

Cited by 28 publications

References 27 publications

Ultrasound-guided percutaneous nephrolithotomy for the treatment in patients with kidney stones

Ultrasound-guided percutaneous nephrolithotomy for the treatment in patients with kidney stones

<p>X-ray-free Ultrasound-guided Percutaneous Nephrolithotomy in Supine Position Using Alken Metal Telescoping Dilators in a Large Kidney Stone: A Case Report</p>

Evaluation of quality of life of patients after surgical treatment of kidney cancer

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