Necessity of Preoperative Computed Tomography in Percutaneous Renal Surgery
| Autor: | Hikmet Topaloglu, Nihat Karakoyunlu, Fuat Aksun, Hamit Ersoy, Ugur Ozok, Levent Sagnak |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.diagnostic_test business.industry medicine.medical_treatment Renal surgery Perforation (oil well) 030232 urology & nephrology Computed tomography digestive system diseases 03 medical and health sciences Prone position 0302 clinical medicine medicine Cost analysis Radiology Percutaneous nephrolithotomy business Complication |
| Zdroj: | International Journal of Research in Urology. :1-5 |
| ISSN: | 2379-9668 |
| Popis: | Aim: Colon injury is an important complication of percutaneous renal surgery. Retrorenal colon on computed tomography (CT) is reported in 10% of patients in the prone position. Our aim is to discuss the necessity of routine preoperative CT and perform a cost analysis of this procedure. Methods: We retrospectively analyzed the records of 285 patients with renal calculi who underwent percutaneous nephrolithotomy between April 2007 and April 2012. After the 2 nd colon perforation, we began to use CT routinely to image stones and to determine the presence of retrorenal colon. We compared the total cost of CTs per incidence of retro colon versus the cost of restoring complications. Results: The first colon injury was extraperitoneal and could be managed conservatively. The cost of this management was only $280. The second colon injury was intraperitoneal and could be managed with a series of open surgeries. The cost of these operations was $8,400. The cost of diagnosis using CT per case of retrorenal colon was $1,833. Conclusion: CT, which should be low-dose, if possible, should be performed routinely in all patients to prevent colon injuries. This technique appears to be cost-effective. |
| Databáze: | OpenAIRE |
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