Comparison of Monoplanar and Biplanar Access Techniques for Percutaneous Nephrolithotomy
| Autor: | Mehmet Nuri Bodakci, Yaşar Bozkurt, Namik Kemal Hatipoglu, Onur Dede, Ahmet Ali Sancaktutar, Okan Bas, Mansur Dağgülli, Necmettin Penbegül, Mazhar Utangaç |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Fluoroscope Urology medicine.medical_treatment Operative Time Treatment outcome Contrast Media Kidney Collection system Kidney Calices Kidney Calculi medicine Humans Percutaneous nephrolithotomy Demography Nephrostomy Percutaneous Retrospective Studies business.industry Middle Aged Treatment Outcome Fluoroscopy Nephrostomy Operative time Female Radiology business |
| Zdroj: | Journal of Endourology. 29:993-997 |
| ISSN: | 1557-900X 0892-7790 |
| DOI: | 10.1089/end.2015.0166 |
| Popis: | The aim of this study was to compare the positive aspects and complications of monoplanar and biplanar access techniques used in percutaneous nephrolithotomy (PCNL) based on the modified Clavien complication grading system.The data from patients who underwent PCNL using either monoplanar access (group 1) or biplanar access (group 2) techniques were analyzed retrospectively. For the biplanar technique, puncture is adjusted based on different fluoroscopic projections, including vertical and 30 degree positions. For the monoplanar technique, a C-arm fluoroscope was brought into vertical position, the collecting system was visualized with a contrast agent, and the most appropriate calix was selected to extract the targeted stone.The monoplanar technique was performed for renal access in 310 patients (group 1), and the biplanar technique was used for renal access in 351 patients (group 2). There were no statistically significant differences between the two groups with regard to demographic data. The mean puncture time was significantly lower in group 1 (monoplanar) when compared with that of group 2 (biplanar, P=0.04). The overall success rates of the monoplanar and biplanar groups were 88% and 89% (including clinically insignifican residual fragments in 9% and 7%), respectively (P0.05), and the complication rates of both groups were similar.The monoplanar access technique, which is safe to use, decreases puncture time, minimizes the surgeon's direct exposure time to radiation, and has similar success rates as the biplanar access technique. |
| Databáze: | OpenAIRE |
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