One-Stage Tract Dilation for Percutaneous Nephrolithotomy: Is It Justified?

Ziaee, Seyed Amir Mohsen; Karami, Hossein; Aminsharifi, Alireza; Mehrabi, Sadrollah; Zand, Saeed; Javaherforooshzadeh, Ahmad

doi:10.1089/end.2006.0454

Cited by 33 publications

(21 citation statements)

References 12 publications

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“…The current study and previous studies by Ziaee et al [4] and Falahatkar et al [2] demonstrated lower total radiation exposure time in the access creation stage with the one-stage tact dilation method. We think this method is a suitable option for pediatric patients.…”

Section: Discussionsupporting

confidence: 78%

“…A few studies have assessed the safety of this method for PCNL in adult patients. Ziaee et al [4] compared the efficiency and complications of tract dilation by the one-stage method in 46 patients with a history of ipsilateral flank surgery and 54 patients without such a history. They observed no statistically significant difference in hemorrhage, radiation exposure and access time between the two groups.…”

Section: Discussionmentioning

confidence: 99%

“…Since the introduction of PCNL, several techniques have been developed to simplify it and to decrease the complications of tract creation and dilation. The current dilator devices include the semi-rigid multiple incremental Amplatz dilator set, metal telescopic dilators of the Alken type and one-stage balloon dilators [1,2,3,4]. …”

Section: Introductionmentioning

confidence: 99%

“…In this procedure, tract dilation is performed in a single step using Amplatz dilators. Recent studies in adult patients have shown that this method is effective and accompanied with less X-ray exposure time [2,4,6]. Nevertheless, to our best knowledge, no study has evaluated the advantages of this technique in pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

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One Shot Tract Dilation for Percutaneous Nephrolithotomy: Is It Safe and Effective in Preschool Children?

Hosseini

Mohseni²,

Alizadeh³

2014

Urol Int

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Objective: To evaluate the safety and feasibility of percutaneous tract dilation by the one-stage method in preschool children. Methods: Between April 2009 and February 2013, all preschool (<6 years) children who were candidates for percutaneous nephrolithotomy were enrolled in this prospective study. Patients were randomly assigned to dilation by serial metallic dilators (group I, 31 patients) or dilation by one-stage Amplatz according to Frattini et al. [J Endourol 2001;15:919-923] (group II, 31 patients). The primary endpoint of interest was fluoroscopy time. Secondary endpoints included tract creation and dilation time, success rate and complications. Stone-free status was defined as residuals ≤3 mm. Results: Age, stone size, operation success and operation time were not significantly different between the studied groups. The most common stone composition was calcium oxalate in both groups. The mean ± standard deviation of access and fluoroscopy times in groups I and II were 7.3 ± 1.2 min vs. 5.9 ± 1.5 min (p > 0.05) and 70.0 ± 8.9 s vs. 22.0 ± 5.6 s (p < 0.001), respectively. Postoperative complications included one case of postoperative fever lasting less than 48 h in group I. Conclusions: Percutaneous tract dilation by the one-stage method is safe and effective. Also, it is associated with considerably less radiation exposure in preschool children.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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One Shot Tract Dilation for Percutaneous Nephrolithotomy: Is It Safe and Effective in Preschool Children?

Hosseini

Mohseni²,

Alizadeh³

2014

Urol Int

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“…14 Amirhassani et al have expressed that PNL with one-shot technique is a safe and tolerable method due to low complication rate and radiation exposure. 15 Our results for PNL with one-shot method performed in patients who had and had not had previous open surgery were similar to the results in the literature.…”

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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Dilation of the Nephrostomy Tract

Alken

2018

Smith's Textbook of Endourology

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One-Stage Tract Dilation for Percutaneous Nephrolithotomy: Is It Justified?

Abstract: One-stage tract dilation for PCNL is a safe and effective method in almost every adult patient.

Cited by 33 publications

References 12 publications

One Shot Tract Dilation for Percutaneous Nephrolithotomy: Is It Safe and Effective in Preschool Children?

One Shot Tract Dilation for Percutaneous Nephrolithotomy: Is It Safe and Effective in Preschool Children?

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

Dilation of the Nephrostomy Tract

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