One-Shot Versus Metal Telescopic Dilation Technique for Tract Creation in Percutaneous Nephrolithotomy: Comparison of Safety and Efficacy

Falahatkar, Siavash; Neiroomand, Hassan; Akbarpour, Marzieh; Emadi, Seyedeh Atefeh; Khaki, Pejvak

doi:10.1089/end.2008.0330

Cited by 54 publications

(42 citation statements)

References 12 publications

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“…Frattini et al have stated that, because of the development of retroperitoneal scar, dilatation with the one-shot technique generallyfails in patients with a history of open-stone surgery and, therefore, balloon or metal dilatation techniques are preferred in this patient group. In their study of 112 patients, Falahatkar et al examined one-shot technique by using a PVC dilator (Amplatz) and reported that nephrostomy access failed in three patients who had open-stone surgery; 9 they nevertheless commented that it was an effective and reliable method. However, access failure did not occur in any of the patients and no other dilatation method was needed.…”

Section: Discussionmentioning

confidence: 99%

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

Süelözgen

İşoğlu

Türk

et al. 2016

CUAJ

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Introduction: This study aimed to evaluate whether one-shot dilatation technique is as safe in patients with a history of open-stone surgery as it is in patients without previous open-stone surgery. Methods: Between January 2007 and February 2015, 82 patients who underwent percutaneous nephrolithotomy (PNL) surgery with one-shot dilation technique who previously had open-stone surgery were retrospectively reviewed and evaluated (Group 1). Another 82 patients were selected randomly among patients who had PNL with one-shot dilation technique, but with no history of open renal surgery (Group 2). Age, gender, type of kidney stone , duration of surgery, radiation exposure time, and whether or not there was any bleeding requiring perioperative and postoperative transfusion were noted for each patient . Results: The stone-free rates, operation and fluoroscopy time, and peroperative and postoperative complication rates were similar in both groups (p>0.05). Conclusions: Our experience indicated that PNL with one-shot dilation technique is a reliable method in patients with a history of open-stone surgery.

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Section: Discussionmentioning

confidence: 99%

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

Süelözgen

İşoğlu

Türk

et al. 2016

CUAJ

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“…From the first application of nephrostomy in 1955, developments in its technique, and equipment have improved patient outcomes. [12][13][14] Kukreja et al [15] demonstrated that during intrarenal access, the selection of the appropriate calyx had not any impact on the development of complications, on the contrary following optimal access with a needle the dilatation technique used had effected rates of bleeding. In 1994, Stoller et al [16] investigated the effects of telescopic metal, and balloon dilatation on blood loss, and couldn't find any significant difference between both methods.…”

Section: Discussionmentioning

confidence: 99%

“…However, shorter hospital stay has been demonstrated in the Amplatz group. [12,13,18,21,22] Higher cost of balloon dilators, disadvantages of their dynamic features, and single-use, need for Amplatz dilators when more than one access tract must be created for multiple, and staghorn stones demonstrate superiority of Amplatz dilators in terms of cost-effectiveness. [22,23] Since our study had a retrospective design, duration of dilatation, and radiation exposure were not evaluated.…”

Section: Discussionmentioning

confidence: 99%

A comparison of balloon and amplatz dilators in percutaneous nephrolithotomy: a retrospective evaluation

Özçift

Bal

Dinçel

2013

Turkish Journal of Urology

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Objective: In this study, we compared our experience using balloon and amplatz dilatation in percutaneous nephrolithotomy (PCNL). We also evaluated peri-and postoperative variables, including success rates. Material and methods: Conclusion:The balloon or amplatz dilatation methods have similar results with regard to efficacy, speed, and safety. However, the cost of the balloon dilator is higher than that of the amplatz dilator.

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“…We believe that one-step balloon dilation can reduce operation time [11,12,13], although the two-step method of tract dilation is popular in PCNL. In our series, the mean operative time was 72.8 min (range: 35-140).…”

Section: Discussionmentioning

confidence: 99%

Doppler Ultrasound and X-Ray-Guided Percutaneous Nephrolithotomy with One-Step Balloon Dilation for Complex Renal Stones

Jiang²,

Hou³

et al. 2013

Urol Int

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Objectives: To assess the safety and efficacy of combining Doppler ultrasound with X-ray-guided percutaneous nephrolithotomy (PCNL) with one-step balloon dilation for management of complex renal stones. Material and Methods: We retrospectively analyzed 85 renal stone patients who underwent 89 PCNLs from January 2011 to May 2012. Doppler ultrasound with X-ray-guided PCNL with one-step balloon dilation was finished on the Fluoroscopic Table (Siemens, Berlin, Germany) with the patient under general anesthesia. Results: The study included 85 patients (49 male and 36 female) with a mean age of 42.5 ± 16.4 years. All patients underwent 89 PCNLs (4 patients had bilateral stones). The mean operative time was 72.8 min (range: 35-140). The average fluoroscopic screening time was 5.55 ± 1.81 s (range: 4-12). Successful access to the collecting system was 98.9% (88/89). Although most of the cases (85/89) were managed satisfactorily by a single tract, a second tract was used in 4 cases. No severe complications occurred. The stone-free rate of PCNL monotherapy was 77.5% (69/89). At 3 months, the stone-free rate increased to 89.9% (80/89) after shock wave lithotripsy. Conclusions: PCNL with one-step balloon dilation for the management of complex renal stones under the guidance of combining Doppler ultrasound with X-ray is safe and effective because of its high stone-free rate and low operative time.

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One-Shot Versus Metal Telescopic Dilation Technique for Tract Creation in Percutaneous Nephrolithotomy: Comparison of Safety and Efficacy

Abstract: One-shot dilation was proved to be safe and effective like metal telescopic dilation even in patients with a history of ipsilateral open renal surgery. In this procedure, X-ray exposure is lower.

Cited by 54 publications

References 12 publications

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

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

A comparison of balloon and amplatz dilators in percutaneous nephrolithotomy: a retrospective evaluation

Doppler Ultrasound and X-Ray-Guided Percutaneous Nephrolithotomy with One-Step Balloon Dilation for Complex Renal Stones

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