Standard percutaneous nephrolithotomy alone versus in combination with intraoperative anterograde flexible nephroscopy for staghorn stones: A retrospective study
| Autor: | Ufuk Ozturk, Abdurrahim Imamoglu, Goksel Goktug, Kursad Zengin, Nevzat Can Sener, Nihat Karakoyunlu, Ismail Nalbant, Osman Raif Karabacak |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Urine Hematocrit Nephroscopy PCNL Postoperative Complications medicine Coagulation testing Humans Staghorn Prospective cohort study Percutaneous nephrolithotomy Nephrostomy Percutaneous Retrospective Studies Medicine(all) lcsh:R5-920 Intraoperative Care medicine.diagnostic_test business.industry Antegrage flexible Complete blood count Retrospective cohort study General Medicine Middle Aged Surgery Female business Staghorn Calculi lcsh:Medicine (General) |
| Zdroj: | Kaohsiung Journal of Medical Sciences, Vol 31, Iss 11, Pp 568-571 (2015) |
| Popis: | This study aimed to compare the outcomes of standard percutaneous nephrolithotomy (PCNL) to PCNL with intraoperative antegrade flexible nephroscopy (IAFN) for treating stones of staghorn nature. We retrospectively analyzed patients treated using PCNL between January 2007 and July 2013. A total of 1250 patients were treated using PCNL, and 166 patients had staghorn stones. All patients had been subjected to a complete blood count, routine biochemical analyses, coagulation tests, a complete urine analysis, and urine cultures. Patients with a positive urine culture had been treated with appropriate antibiotics until the urine culture became negative. After purchasing a flexible renoscope in March 2012, we routinely used this tool to improve the stone-free (SF) rate. The 105 patients who underwent standard PCNL prior to March 2012 were classified as Group 1, and the 61 patients who underwent PCNL + IAFN after that date were classified as Group 2. The two groups had similar and homogeneous demographic data. The fluoroscopy and total operative times were significantly higher in Group 2 than in Group 1 (p |
| Databáze: | OpenAIRE |
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