Single step access into the pelvicalyceal system using the webb target dilator for PCNL and comparison with sequential dilatation technique
| Autor: | Apul Goel, Monish Aron, Rajiv Goel, N P Gupta, A K Hemal, P N Dogra, Amlesh Seth |
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| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: | |
| Zdroj: | Indian Journal of Urology, Vol 20, Iss 1, Pp 14-17 (2003) |
| Druh dokumentu: | article |
| ISSN: | 0970-1591 1998-3824 |
| Popis: | Objectives: To evaluate the effectiveness and safety of the single step dilatation of the pelvicalyceal system using the Webb target dilator. Methods: Thirty consecutive patients who underwent PCNL using the Webb dilator were compared with 30 pa-tients in whom sequential dilatation was done. The two groups were similar as regards age, stone location and degree of hydronephrosis. Results: The Webb dilator was associated with a lesser time for tract dilatation as compared to the sequential dila-tation group. There were no significant complication in either group. There was a higher incidence of failure of adequate access to pelvicalyceal system with the Webb dilator group if the pelvicalyceal system was not dilated. Conclusions: The Webb target dilator is a safe, rapid and effective method of tract dilatation during PCNL and is associated with significantly shorter time in tract dila-tation as compared to the sequential dilatation group. How-ever it is not suitable for non-dilated pelvicalyceal systems. |
| Databáze: | Directory of Open Access Journals |
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