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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 186 - 194 (9page)
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Purpose: Recently, the needs for supine percutaneous nephrolithotomy (PCNL) have become more increased because of an easy approach for endoscopic combined intrarenal surgery. However, making a nephrostomy tract during supine PCNL is more difficult than prone position due to movable kidney. To overcome this limitation, we used a modified nephrostomy tract dilation (MTD) technique using guidewire traction. Materials and Methods: From January 2014 to June 2019, a total of 259 patients underwent PCNL in the modified supine position. Among them, the MTD technique was performed in 171 patients. For the MTD technique, two hydrophilic guidewires were passed from the nephrostomy tract and brought out through the urethra, then both proximal and distal ends were contralaterally pulled with tension for the easy placement of a fascia-cutting needle and a balloon catheter. We analyzed the efficacy of this technique in comparison with the conventional method. Results: Intraoperative radiation exposure time (RET) (68.87 vs. 212.11 s) and hospital stay (5.90 vs. 6.74 days) were significantly shorter, while the success rate (77.2% vs. 63.6%) was significantly higher in the MTD group. Multivariate analysis showed that only the maximal stone diameter (odds ratio [OR], 1.928; 95% confidence interval [CI], 1.314–2.828; p=0.001) and MTD technique (OR, 0.017; 95% CI, 0.007–0.040; p<0.001) were independent factors for predicting short RET (<120 s). Conclusions: This study demonstrated that MTD technique can be effectively and safely performed in modified supine position PCNL, and it can be helpful in reducing RET and enhancing success rates.
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참고문헌 (30)
참고문헌 신청
Fernström I / 1976 / Percutaneous pyelolithotomy. A new extraction technique / Scand J Urol Nephrol 10:257~259
Assimos D / 2016 / Surgical management of stones : American Urological Association/Endourological Society Guideline, PART I / J Urol 196:1153~1160
Dechao Feng / 2020 / The efficacy and safety of miniaturized percutaneous nephrolithotomy versus standard percutaneous nephrolithotomy: A systematic review and meta-analysis of randomized controlled trials / Investigative and Clinical Urology 61(2):115~126
Blair B / 2013 / Reduced fluoroscopy protocol for percutaneous nephrostolithotomy : feasibility, outcomes and effects on fluoroscopy time / J Urol 190:2112~2116
Lipkin ME / 2012 / Organ-specific radiation dose rates and effective dose rates during percutaneous nephrolithotomy / J Endourol 26:439~443
Assimos D / 2016 / Surgical management of stones : American Urological Association/Endourological Society Guideline, PART I / J Urol 196:1153~1160
Dechao Feng / 2020 / The efficacy and safety of miniaturized percutaneous nephrolithotomy versus standard percutaneous nephrolithotomy: A systematic review and meta-analysis of randomized controlled trials / Investigative and Clinical Urology 61(2):115~126
Blair B / 2013 / Reduced fluoroscopy protocol for percutaneous nephrostolithotomy : feasibility, outcomes and effects on fluoroscopy time / J Urol 190:2112~2116
Lipkin ME / 2012 / Organ-specific radiation dose rates and effective dose rates during percutaneous nephrolithotomy / J Endourol 26:439~443
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